DAVID A GUBIN MD
NPI 1235164286
Urology in Memphis, TN

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6029 WALNUT GROVE RD., SUITE 300, MEMPHIS, TN 38120(901) 767-8158(901) 767-1555 Get Directions Write a Review

NPPES record last updated: July 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David A Gubin Md NPPES

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

DAVID A GUBIN MD (NPI 1235164286) is an individual urology provider in Memphis, Tennessee, licensed in Tennessee (26045) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1235164286
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDAVID A GUBINCredential: MD
Location Address6029 WALNUT GROVE RD., SUITE 300Memphis, TN 38120
Mailing Address6029 Walnut Grove Rd., Suite 300Memphis, TN 38120 · (901) 767-8158 · Fax (901) 767-1555
Fax(901) 767-1555
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 25, 2013
NPI 1235164286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in TN · 26045 Licensed in TN · MD0000026045 Licensed in MO · 119325 Licensed in MS · 22564
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
6029 WALNUT GROVE RD., Memphis, TN 38120

Other Identifiers 4

Medicare UPING00869TN
Medicare UPING00869
Medicare ID-Type Unspecified3090814TN
Medicaid204679419MO

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

David A Gubin Md 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.

PECOS PAC ID5890769418
PECOS Enrollment IDI20051216000011, I20131127000608, I20170216002445
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.

Areas of Expertise CMS Part B claims 66

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
74,352 services16 patients
Leuprolide injectable, camcevi, 1 mg J1952
Camcevi, containing 1 mg of Leuprolide, is an injectable medication. It's used to manage certain health conditions by influencing hormone levels in your body. It's administered by a healthcare professional, usually once every month or as directed by your doctor.
1,596 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,059 services619 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
856 services529 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
846 services525 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
662 services445 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

St Francis Hospital

Acute Care Hospitals · Memphis, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440183
Location5959 Park AveMemphis, TN 38119 · Shelby County
Emergency services Birthing friendly

Saint Francis Bartlett Medical Center

Acute Care Hospitals · Bartlett, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440228
Location2986 Kate Bond RdBartlett, TN 38133 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
39%120 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
90%6,763 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%1,766 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
91%3,543 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 1,777 patients
Patients screened: 99% · 1,777 patients
97%245 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
90%505 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,849 patients
Patients totalRate: 2% · 1,850 patients
2%1,850 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
3 suppliers39 claims67 services$23.42 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
4 suppliers12 claims37 services$2.15 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
4 suppliers16 claims48 services$10.89 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
9 suppliers64 claims13,860 services$1.46 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers52 claims116 services$8.30 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
5 suppliers41 claims159 services$5.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 David Gubin's NPI number?

The NPI number for David Gubin is 1235164286. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is David Gubin located?

David Gubin practices at 6029 Walnut Grove Rd. Suite 300, Memphis, TN 38120. The listed phone number is (901) 767-8158.

What is David Gubin's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Gubin enrolled in Medicare?

Yes. David Gubin 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 David Gubin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 10 other insurers list David Gubin 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 David Gubin affiliated with any hospitals?

According to CMS data, David Gubin is affiliated with Baptist Memorial Hospital, St Francis Hospital and Saint Francis Bartlett Medical Center.

When was this NPI record last updated?

The NPPES record for David Gubin was last updated on July 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.