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DR. KENNETH CHARLES KUBIS M.D.
NPI 1124183025
Ophthalmology in San Diego, CA

Active since December 22, 2006PECOS Enrolled
34520 BOB WILSON DRIVE, NAVAL MEDICAL CENTER OPHTHALMOLOGY SUITE 202, SAN DIEGO, CA 92131(619) 532-6719 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kenneth Charles Kubis M.d. NPPES

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

DR. KENNETH CHARLES KUBIS M.D. (NPI 1124183025) is an individual ophthalmology provider in San Diego, California, licensed in California (G74803) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124183025
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KENNETH CHARLES KUBISCredential: M.D.
Location Address34520 BOB WILSON DRIVE, NAVAL MEDICAL CENTER OPHTHALMOLOGY SUITE 202San Diego, CA 92131
Mailing Address10557 Hall Meadow RdSan Diego, CA 92131-3640 · (858) 689-0998
Phone(619) 532-6719
Sole ProprietorYes
Enumeration DateDecember 22, 2006
Last NPPES UpdateNovember 1, 2021
NPPES CertifiedNovember 1, 2021
✔ NPI 1124183025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G74803
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
34520 BOB WILSON DRIVE, San Diego, CA 92131
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Charles Kubis 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 Reassignment

Medicare enrollment records show Kenneth Kubis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.0 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92131 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kenneth Kubis's NPI number?

The NPI number for Kenneth Kubis is 1124183025. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Kenneth Kubis located?

Kenneth Kubis practices at 34520 Bob Wilson Drive Naval Medical Center Ophthalmology Suite 202, San Diego, CA 92131. The listed phone number is (619) 532-6719.

What is Kenneth Kubis's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kenneth Kubis enrolled in Medicare?

Yes. Kenneth Kubis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Kubis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kubis reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Kenneth Kubis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Kubis was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.