DR. IRVAN BUBIC (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1124656608

DR. IRVAN BUBIC (MD) is a healthcare provider. based in Portland, Oregon. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD219144 (OR). The NPI Number for DR. IRVAN BUBIC (MD) is 1124656608

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. IRVAN BUBIC (MD)
NPI
1124656608
Phone
Not provided
Address
7122 SW 28TH AVE
Enumeration Date
30 March 2020
Last Update Date
2 July 2025

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5036811111
Graduation Year
2020 (6 years ago)
PAC ID
6507309663
Group Practice PAC ID
7416173414
Professional Enrollment ID
I20240617003227
Address ID
OR971234246HI335XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for DR. IRVAN BUBIC (MD)

  • 7122 SW 28TH AVE

    PORTLAND, OR 972191905

    Phone:

    Type: Mailing

  • 200 W ARBOR DR

    SAN DIEGO, CA 921039000

    Phone: (858) 657-7000

    Type: Location

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-7551

    Type: Location

  • 1400 SW 5TH AVE STE 500

    PORTLAND, OR 972015537

    Phone: (866) 617-6855

    Fax: (503) 346-8015

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,577.

Total Amount is formed as General ($1,577) + Research ($0) + Ownership ($0) = $1,577.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Boston Scientific Corporation ($1,161).

Total Amount

$1,577

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,577

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2024-06-17

PECOS data refreshed: 2026-06-15

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
I20240617003227IEmergency MedicineORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97219)

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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: 7416173414View full group profile
NameSpecialtyState
U R O L O G YOR
Physician AssistantCA
Physician AssistantOR
N E U R O L O G YOR
Emergency MedicineCO
-OR
Physician AssistantOR
Physician AssistantOR
-OR
Family PracticeOR

Reviews

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Frequently asked questions

Does DR. IRVAN BUBIC (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. IRVAN BUBIC (MD) uses 1124656608.
Does the file indicate DR. IRVAN BUBIC (MD) is practicing under active NPI?
Directory data currently reports DR. IRVAN BUBIC (MD) as active.
What is DR. IRVAN BUBIC (MD)'s specialty?
The listing groups DR. IRVAN BUBIC (MD) with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Where is DR. IRVAN BUBIC (MD) based?
DR. IRVAN BUBIC (MD) is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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