DR. SUSAN MARIE KUBICA MD
NPI 1245321876
Internal Medicine in Monterey, CA

Active since September 27, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2038116 · Waiver
87.35/100
CMS Quality Rating
1000 8TH ST, SUITE 101, MONTEREY, CA 93940(831) 372-1188(831) 372-1181 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Susan Marie Kubica Md NPPES

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

DR. SUSAN MARIE KUBICA MD (NPI 1245321876) is an individual internal medicine provider in Monterey, California, licensed in California (A51385) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 12, 2028, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1245321876
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUSAN MARIE KUBICACredential: MD
Location Address1000 8TH ST, SUITE 101Monterey, CA 93940-3664
Mailing Address1000 8th St, Suite 101Monterey, CA 93940-3664 · (831) 372-1188 · Fax (831) 372-1181
Fax(831) 372-1181
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 27, 2006
Last NPPES UpdateOctober 5, 2007
NPI 1245321876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A51385
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1000 8TH ST, Monterey, CA 93940

Other Identifiers 3

Medicare UPINF57359
Medicare ID-Type Unspecified00A513850CA
Medicaid00A513850CA

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. Susan Marie Kubica 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 ID5698873149
PECOS Enrollment IDI20070606000364
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2038116

Susan M Kubica MD · Monterey, CA
Active · expires Mar 12, 2028
CLIA Number05D2038116
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorSusan M. Kubica
Laboratory Phone(831) 372-1188
Laboratory LocationSusan M Kubica MD1000 8th St Ste 101, Monterey, CA 93940
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

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, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,400 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
565 services249 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.
405 services181 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.
371 services188 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
237 services222 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
150 services106 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

87.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.17
Promoting Interoperability100
Improvement Activities40
Cost62.69

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%33 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
95%87 patients4/55-star benchmark: 100%
Breast Cancer Screening
91%87 patients4/55-star benchmark: 93%
Cervical Cancer Screening
48%25 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
39%155 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
80%125 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
63%124 patients3/55-star benchmark: 91%
Dementia: Cognitive Assessment
0%26 patients
Diabetes: Eye Exam
0%24 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%24 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
33%1,990 patients1/55-star benchmark: 100%
e-Prescribing
99%5,009 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
18%283 patients1/55-star benchmark: 100%
HIV Screening
2%45 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%304 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%162 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%581 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 79% · 311 patients
77%311 patients
Provide Patients Electronic Access to Their Health Information
100%333 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%284 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 24% · 271 patients
Patients totalRate: 25% · 271 patients
29%271 patients2/55-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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers14 claims36 services$6.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$88.36 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

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

Clinic/Center
1000 8TH ST, SUITE 101
MONTEREY, CA 93940

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 Susan Kubica's NPI number?

The NPI number for Susan Kubica is 1245321876. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Susan Kubica located?

Susan Kubica practices at 1000 8th St Suite 101, Monterey, CA 93940. The listed phone number is (831) 372-1188.

What is Susan Kubica's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susan Kubica enrolled in Medicare?

Yes. Susan Kubica 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.

Does Susan Kubica hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2038116) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Susan Kubica was last updated on October 5, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.