DR. DOUGLAS CARL KUBEK D.O.
NPI 1003903832
Otolaryngology - Sleep Medicine in Saint Clair Shores, MI
About Dr. Douglas Carl Kubek D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS CARL KUBEK D.O. (NPI 1003903832) is an individual sleep medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (5101012806) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1995).
NPPES Registry Identity
Specialties & Licenses 2
An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Douglas Carl Kubek D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Macomb Hospital
Acute Care Hospitals · Clinton Township, MIBeaumont Hospital - Grosse Pointe
Acute Care Hospitals · Grosse Pointe, MIAscension St John Hospital
Acute Care Hospitals · Detroit, MIAscension Macomb Oakland Hosp-Warren Campus
Acute Care Hospitals · Warren, MIMclaren Macomb
Acute Care Hospitals · Mount Clemens, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 13
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Douglas Kubek's NPI number?
The NPI number for Douglas Kubek is 1003903832. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is Douglas Kubek located?
Douglas Kubek practices at 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.
What is Douglas Kubek's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Sleep Medicine, with taxonomy code 207YS0012X.
Is Douglas Kubek enrolled in Medicare?
Yes. Douglas Kubek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Douglas Kubek accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Douglas Kubek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Douglas Kubek affiliated with any hospitals?
According to CMS data, Douglas Kubek is affiliated with Henry Ford Macomb Hospital, Beaumont Hospital - Grosse Pointe, Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus and Mclaren Macomb.
When was this NPI record last updated?
The NPPES record for Douglas Kubek was last updated on March 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
