GEORGIA BLACKWOOD KUBIC M.D.
NPI 1235429655
Family Medicine in Salt Lake City, UT

Active since April 19, 2011PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
375 CHIPETA WAY, UNIVERSITY OF UTAH FAMILY MEDICINE RESIDENCY, SALT LAKE CITY, UT 84108(801) 587-3411 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Georgia Blackwood Kubic M.d. NPPES

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

GEORGIA BLACKWOOD KUBIC M.D. (NPI 1235429655) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (8406695-1205) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2011).

NPPES Registry Identity

NPI1235429655
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGEORGIA BLACKWOOD KUBICCredential: M.D.
Location Address375 CHIPETA WAY, UNIVERSITY OF UTAH FAMILY MEDICINE RESIDENCYSalt Lake City, UT 84108-1260
Mailing Address2232 Haversham CloseVirginia Beach, VA 23454-1151 · (757) 630-4046
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2011
Enumeration DateApril 19, 2011
Last NPPES UpdateAugust 20, 2014
NPI 1235429655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 8406695-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
375 CHIPETA WAY, Salt Lake City, UT 84108

Other Names 1

Former Name (1)Georgia Leeann Blackwood

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

Georgia Blackwood Kubic M.d. 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 ID7911139761
PECOS Enrollment IDI20141203000295
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 2

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.

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.
55 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

Referred Medical Equipment & Supplies CMS DME claims 3

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims330 services$3.92 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims6,069 services$0.40 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier11 claims11 services$299.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
375 CHIPETA WAY, SUITE A
SALT LAKE CITY, UT 84108
Physician Assistant
375 CHIPETA WAY, SUITE A
SALT LAKE CITY, UT 84108
Family Medicine
375 CHIPETA WAY, STE A
SALT LAKE CITY, UT 84108
Family Medicine
375 CHIPETA WAY, SUITE A
SALT LAKE CITY, UT 84108
Psychologist (Clinical)
375 CHIPETA WAY, SUITE A
SALT LAKE CITY, UT 84108

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 Georgia Kubic's NPI number?

The NPI number for Georgia Kubic is 1235429655. It was assigned to this individual provider in the NPPES registry on April 19, 2011. The provider is also known as Georgia Leeann Blackwood.

Where is Georgia Kubic located?

Georgia Kubic practices at 375 Chipeta Way University Of Utah Family Medicine Residency, Salt Lake City, UT 84108. The listed phone number is (801) 587-3411.

What is Georgia Kubic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Georgia Kubic enrolled in Medicare?

Yes. Georgia Kubic 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 Georgia Kubic accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Georgia Kubic 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 Georgia Kubic was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.