KATELYN KUBIAK
NPI 1275116675
Physician Assistant in Salt Lake City, UT

Q: What is Katelyn Kubiak's NPI number?

The NPI number for Katelyn Kubiak is 1275116675. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Q: What is Katelyn Kubiak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Kubiak was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 03, 2021PECOS EnrolledAccepts Medicare Assignment

375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108(801) 581-7766 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2023, May 9, 2023, May 3, 2021 (3 updates tracked since 2021).

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About Katelyn Kubiak NPPES

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

KATELYN KUBIAK (NPI 1275116675) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (13019818-1206) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (2022).

NPPES Registry Identity

NPI1275116675

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATELYN KUBIAK

Location Address375 S CHIPETA WAY STE ASalt Lake City, UT 84108-1261

Mailing Address375 S Chipeta Way Ste ASalt Lake City, UT 84108-1261 · (801) 581-7766

Phone(801) 581-7766

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2022

Enumeration DateMay 3, 2021

Last NPPES UpdateSeptember 1, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2023

✔ NPI 1275116675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in UT · 13019818-1206

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

375 S CHIPETA WAY STE A, Salt Lake City, UT 84108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Katelyn Kubiak 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 ID5193184323

PECOS Enrollment IDI20230706003494

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 5

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.

72 services50 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.

23 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

22 services18 patients

Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes 99447

This is a virtual consultation with a specialist doctor, lasting between 11-20 minutes. It can be done over the phone or online. The physician will assess your health, discuss findings, and provide a written report summarizing the consultation and any recommendations.

15 services15 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

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

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

JONATHAN ADAM CALVERT

Student in an Organized Health Care Education/Training Program