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MARK E BUBAK MD
NPI 1336196724
Internal Medicine - Allergy & Immunology in Sioux Falls, SD

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
79.59/100
CMS Quality Rating
2200 W 49TH ST STE 104, SIOUX FALLS, SD 57105(605) 336-6385(605) 336-6513 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark E Bubak Md NPPES

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

MARK E BUBAK MD (NPI 1336196724) is an individual allergy & immunology provider in Sioux Falls, South Dakota, licensed in South Dakota (3512) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Avera St Mary's Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1986).

NPPES Registry Identity

NPI1336196724
Entity TypeIndividualMale
Primary Taxonomy207RA0201X
Provider Legal NameMARK E BUBAKCredential: MD
Location Address2200 W 49TH ST STE 104Sioux Falls, SD 57105-6550
Mailing AddressPo Box 5126Sioux Falls, SD 57117-5126 · (605) 335-1952 · Fax (605) 373-9971
Phone(605) 336-6385
Fax(605) 336-6513
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1986
Enumeration DateMay 30, 2006
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1336196724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License✔ Licensed in SD · 3512
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
2200 W 49TH ST STE 104, Sioux Falls, SD 57105
Open in Google Maps ↗

Other Identifiers 8

Medicare UPINE84703
Medicaid792302300MN
Medicare PINS7519SD
Other0007519SD · Bcbs
Other73Q32BUMN · Bcbs
Medicaid1981852IA
Medicare ID-Type Unspecified030004784SD · Railroad
Medicaid5900042SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mark E Bubak 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 ID2961461736
PECOS Enrollment IDI20041007000241
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 9

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,560 services46 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
950 services23 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
153 services12 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.
98 services80 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.
85 services65 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
81 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

79.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.91
Promoting Interoperability98
Improvement Activities40
Cost49.74

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.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers37 claims93 services$17.92 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
4 suppliers57 claims17,010 services$9.46 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
4 suppliers56 claims172 services$2.39 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 3

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

DAKOTA ALLERGY & ASTHMA LTD
Internal Medicine (Allergy & Immunology)
2200 W 49TH ST STE 104
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-6385
REBECCA MICHELLE DURON MD
Internal Medicine (Allergy & Immunology)
2200 W 49TH ST STE 104
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-6385
JULIE F NIELSEN PA
Physician Assistant
2200 W 49TH ST STE 104
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-6385

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 Mark Bubak's NPI number?

The NPI number for Mark Bubak is 1336196724. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Mark Bubak located?

Mark Bubak practices at 2200 W 49th St Ste 104, Sioux Falls, SD 57105. The listed phone number is (605) 336-6385.

What is Mark Bubak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is Mark Bubak enrolled in Medicare?

Yes. Mark Bubak 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 Mark Bubak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list Mark Bubak 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 Mark Bubak affiliated with any hospitals?

According to CMS data, Mark Bubak is affiliated with Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Bubak was last updated on February 21, 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.