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DR. MICHAEL BUBLEWICZ M.D.
NPI 1083941819
Emergency Medicine in Houston, TX

Active since November 16, 2009PECOS Enrolled
82.38/100
CMS Quality Rating
223B W. 26TH ST, HOUSTON, TX 77008(214) 587-3545 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael Bublewicz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL BUBLEWICZ M.D. (NPI 1083941819) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (N4314) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083941819
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL BUBLEWICZCredential: M.D.
Location Address223B W. 26TH STHouston, TX 77008
Mailing Address223b W. 26th StHouston, TX 77008 · (214) 587-3545
Phone(214) 587-3545
Sole ProprietorYes
Enumeration DateNovember 16, 2009
Last NPPES UpdateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
✔ NPI 1083941819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · N4314
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
223B W. 26TH ST, Houston, TX 77008
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Bublewicz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Bublewicz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Physicians
6.6 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325
Memorial Hermann Hospital Based Physician Group
8.9 mi
Emergency Medicine
929 GESSNER RD STE 2700
Houston, TX 77024
  • Reassigned Medicare billing, Texas enrollment
  • 408 clinicians in this Medicare group
NPI 1295363497 (713) 242-2712
Memorial Hermann Urgent Care PLLC
21 mi
Family Medicine
1227 MUSEUM SQUARE DR STE A
Sugar Land, TX 77479
  • Reassigned Medicare billing, Texas enrollment
  • 160 clinicians in this Medicare group
NPI 1730821208 (281) 265-4630
Acs Primary Care Physicians Southwest, PA
284 mi
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group
NPI 1538101019 (925) 924-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
184 services179 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
137 services134 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services39 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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 Michael Bublewicz's NPI number?

The NPI number for Michael Bublewicz is 1083941819. It was assigned to this individual provider in the NPPES registry on November 16, 2009.

Where is Michael Bublewicz located?

Michael Bublewicz practices at 223B W. 26th St, Houston, TX 77008. The listed phone number is (214) 587-3545.

What is Michael Bublewicz's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Bublewicz enrolled in Medicare?

Yes. Michael Bublewicz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Bublewicz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bublewicz reassigns Medicare benefits to 4 organizations: Ut Physicians (Houston, TX), Memorial Hermann Hospital Based Physician Group (Houston, TX), Memorial Hermann Urgent Care PLLC (Sugar Land, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Bublewicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Bublewicz accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Michael Bublewicz 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.

When was this NPI record last updated?

The NPPES record for Michael Bublewicz was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.