STEPHANIE ALEXANDRA KUBACAK (M.D.) – Internal Medicine Physician, NPI 1821086729
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for STEPHANIE ALEXANDRA KUBACAK (M.D.)
8050 E HIGHWAY 191 STE 200
ODESSA, TX 797658607
Phone: (432) 337-5411
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 102 Open Payments records for all available years, with a total value of $1,896.
Total Amount is formed as General ($1,896) + Research ($0) + Ownership ($0) = $1,896.
Last reported payment date: 2024-11-29 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($277).
Total Amount
$1,896
General + Research + Ownership
Payments
102
Total payment records
General Amount
$1,896
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $277 |
| Lilly USA, LLC | $222 |
| Amgen Inc. | $218 |
| Astellas Pharma US Inc | $169 |
| Abbott Laboratories | $148 |
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: 2004-09-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040930000250 | I | Internal Medicine | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,118 | 369 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 980 | 39 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 294 | 118 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 197 | 76 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 97 | $0 |
Insurance plans in this area (ZIP 79765)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TX | 85610 | Blood test, clotting time | 144 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease (Cardiology) | TX | |
| Family Practice | TX | |
| Orthopedic Surgery | TX | |
| Internal Medicine | TX | |
| Family Practice, Undersea And Hyperbaric Medicine | TX | |
| - | TX | |
| Orthopedic Surgery | LA | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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