DR. THEODORE R CUBBISON (DO) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1871595603

DR. THEODORE R CUBBISON (DO) is a healthcare provider. based in Youngstown, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 34.002940 (OH). The NPI Number for DR. THEODORE R CUBBISON (DO) is 1871595603

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. THEODORE R CUBBISON (DO)
NPI
1871595603
Phone
(330) 747-9551
Address
726 WICK AVE
Enumeration Date
11 August 2005
Last Update Date
30 December 2024

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
330747955177182
Graduation Year
1978 (48 years ago)
PAC ID
0345259842
Group Practice PAC ID
1951395086
Professional Enrollment ID
I20060411000617
Address ID
OH445052827YO726XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for DR. THEODORE R CUBBISON (DO)

  • 726, Wick Avenue, Oak Park, North Side, Youngstown, Mahoning County, Ohio, 44505, United States

    YOUNGSTOWN, OH 445052827

    Phone: (330) 747-9551

    Fax: (330) 884-6120

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $181.

Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: ABBVIE INC. ($79).

Total Amount

$181

General + Research + Ownership

Payments

10

Total payment records

General Amount

$181

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

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: 2006-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (921 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20060411000617IInternal MedicineOH2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
82962Blood glucose (sugar) test performed by hand-held instrument5826$0
83036Hemoglobin a1c level4324$0
View full utilization report →

Insurance plans in this area (ZIP 44505)

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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: 1951395086View full group profile
NameSpecialtyState
Mental Health CounselorOH
Family PracticeOH
D E N T I S TOH
Nurse PractitionerOH
Registered Dietitian Or Nutrition ProfessionalOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
Internal MedicineOH

Reviews

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Frequently asked questions

Can I cross-check DR. THEODORE R CUBBISON (DO) using NPI 1871595603?
NPI 1871595603 belongs to DR. THEODORE R CUBBISON (DO); compare other details if you need extra assurance.
Would DR. THEODORE R CUBBISON (DO) appear as active to a payer?
You can treat DR. THEODORE R CUBBISON (DO) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. THEODORE R CUBBISON (DO)?
DR. THEODORE R CUBBISON (DO)'s record emphasizes Neuromusculoskeletal Medicine & OMM Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is DR. THEODORE R CUBBISON (DO) registered?
Use Youngstown, Ohio as the headline location for DR. THEODORE R CUBBISON (DO) here.
Does DR. THEODORE R CUBBISON (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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