KELLY M KUBIAK (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1801329412

KELLY M KUBIAK (D.P.M.) is a healthcare provider. based in Willoughby, Ohio. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 36.003911 (OH). The NPI Number for KELLY M KUBIAK (D.P.M.) is 1801329412

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KELLY M KUBIAK (D.P.M.)
NPI
1801329412
Phone
(440) 856-5958
Address
4259 CARL CT
Enumeration Date
10 April 2017
Last Update Date
23 November 2021

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3305919635
Graduation Year
2017 (9 years ago)
PAC ID
9234569617
Group Practice PAC ID
5698921229
Professional Enrollment ID
I20200427001587
Address ID
OH442569634ME784XXRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for KELLY M KUBIAK (D.P.M.)

  • 4259, Carl Court, Willoughby, Lake County, Ohio, 44094, United States

    WILLOUGHBY, OH 440947967

    Phone: (440) 856-5958

    Type: Mailing

  • 1900 23rd St Ste 302

    Cuyahoga Falls, OH 442231404

    Phone: (330) 591-4150

    Type: Location

  • Western Reserve Hospital, 1900, 23rd Street, Cuyahoga Falls, Summit County, Ohio, 44223, United States

    CUYAHOGA FALLS, OH 442231404

    Phone: (330) 971-7782

    Type: Location

  • 365 RIFFEL RD STE A

    WOOSTER, OH 446918592

    Phone: (440) 856-5958

    Type: Mailing

  • 784 MEDINA RD STE 107

    MEDINA, OH 442569634

    Phone: (330) 591-9635

    Fax: (330) 591-4150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,249.

Total Amount is formed as General ($1,249) + Research ($0) + Ownership ($0) = $1,249.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Horizon Therapeutics plc ($250).

Total Amount

$1,249

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200427001587IPodiatryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails305125$0
11042Removal of skin and tissue, 20.0 sq cm or less13747$0
99213Established patient office or other outpatient visit, 20-29 minutes11485$0
73630X-ray of foot, minimum of 3 views3118$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less3014$0
View full utilization report →

Insurance plans in this area (ZIP 44094)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698921229View full group profile
NameSpecialtyState
Nurse PractitionerOH
P O D I A T R YOH
Nurse PractitionerOH
P O D I A T R YOH
P O D I A T R YOH
P O D I A T R YOH
P O D I A T R YOH

Reviews

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Frequently asked questions

How do I look up KELLY M KUBIAK (D.P.M.) by NPI?
Use NPI 1801329412 when you need to reference KELLY M KUBIAK (D.P.M.) in forms, claims, or directories.
Is KELLY M KUBIAK (D.P.M.) currently active in the NPI registry?
CMS-published data lists KELLY M KUBIAK (D.P.M.) as an active registrant.
What field does KELLY M KUBIAK (D.P.M.) work in?
You can think of KELLY M KUBIAK (D.P.M.) as practicing within Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where is KELLY M KUBIAK (D.P.M.)'s primary listing?
We display Willoughby, Ohio because that is what the record indicates for KELLY M KUBIAK (D.P.M.).
Is KELLY M KUBIAK (D.P.M.) a real provider?
This page reflects official NPPES data for NPI 1801329412. Always confirm identity and privileges with the practice and licensing boards.

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