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DR. STACEY AMBER KUBOVEC M.D.
NPI 1245762673
Surgery in Tulsa, OK

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
4444 E 41ST ST, TULSA, OK 74135(918) 619-4400(918) 619-4960 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2025, Nov 19, 2024, Jul 22, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Stacey Amber Kubovec M.d. NPPES

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

DR. STACEY AMBER KUBOVEC M.D. (NPI 1245762673) is an individual surgery provider in Tulsa, Oklahoma, licensed in Oklahoma (42481) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Council Oak Comprehensive Healthcare, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245762673
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. STACEY AMBER KUBOVECCredential: M.D.
Location Address4444 E 41ST STTulsa, OK 74135-2527
Mailing AddressPo Box 268838Oklahoma City, OK 73126-8838 · (918) 634-7500 · Fax (918) 634-7560
Phone(918) 619-4400
Fax(918) 619-4960
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateMarch 26, 20254 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1245762673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 42481
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4444 E 41ST ST, Tulsa, OK 74135
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Other Identifiers 1

Medicaid201220420AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stacey Amber Kubovec 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 ID3779860440
PECOS Enrollment IDI20231128001275, I20240113000260
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

2

Medicare enrollment records show Stacey Kubovec reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
0.2 mi
Multi-Specialty
4502 E 41ST ST
Tulsa, OK 74135
  • Reassigned Medicare billing, Oklahoma enrollment
  • 124 clinicians in this Medicare group
NPI 1154385730 (918) 660-3632
Creek Nation Hospital & Clinics
39 mi
Clinic/Center
2900 N MAIN ST
Muskogee, OK 74401
  • Reassigned Medicare billing, Texas enrollment
  • 655 clinicians in this Medicare group
NPI 1922873611 (918) 346-7833

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services15 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Council Oak Comprehensive Healthcare

Acute Care Hospitals · Tulsa, OK
OwnershipTribal
CMS Certification Number370244
Location10109 E 79th StTulsa, OK 74133 · Tulsa County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES 20

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

SUNIYE GHARAJEH MD
Student in an Organized Health Care Education/Training Program
4444 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 619-4400
JOHN MAXWELL CARMENT MD
Internal Medicine (Geriatric Medicine)
4444 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 619-4400
JESSICA CANNON LCSW
Social Worker (Clinical)
4444 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 619-4400
DA YOUNG SEO
Student in an Organized Health Care Education/Training Program
4444 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 619-4400
DR. TARA ROMASANTA BUCK M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4444 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 660-3130
CARMEN M GENT D.O.
Pediatrics
4444 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 619-4400
WILLIAM ANCIL OGILVIE MD
Student in an Organized Health Care Education/Training Program
4444 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 619-4400
WILLIAM SCHALLER
Student in an Organized Health Care Education/Training Program
4444 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 619-4400

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 Stacey Kubovec's NPI number?

The NPI number for Stacey Kubovec is 1245762673. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Stacey Kubovec located?

Stacey Kubovec practices at 4444 E 41st St, Tulsa, OK 74135. The listed phone number is (918) 619-4400.

What is Stacey Kubovec's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Stacey Kubovec enrolled in Medicare?

Yes. Stacey Kubovec 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.

Which organizations bill Medicare for Stacey Kubovec's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Kubovec reassigns Medicare benefits to 2 organizations: Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa (Tulsa, OK) and Creek Nation Hospital & Clinics (Muskogee, OK). 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 Stacey Kubovec's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Kubovec accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Stacey Kubovec 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 Stacey Kubovec affiliated with any hospitals?

According to CMS data, Stacey Kubovec is affiliated with Council Oak Comprehensive Healthcare.

When was this NPI record last updated?

The NPPES record for Stacey Kubovec was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.