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DR. KEN CUBELLI M.D.
NPI 1346257581
Orthopaedic Surgery in Denville, NJ

Active since August 01, 2006PECOS Enrolled
64.47/100
CMS Quality Rating
109 US HIGHWAY 46, DENVILLE, NJ 07834(973) 625-1221(973) 625-1594 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ken Cubelli M.d. NPPES

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

DR. KEN CUBELLI M.D. (NPI 1346257581) is an individual orthopaedic surgery provider in Denville, New Jersey, licensed in New Jersey (MA38394) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346257581
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KEN CUBELLICredential: M.D.
Location Address109 US HIGHWAY 46Denville, NJ 07834-2776
Mailing Address109 Us Highway 46Denville, NJ 07834-2776 · (973) 625-1221 · Fax (973) 625-1594
Phone(973) 625-1221
Fax(973) 625-1594
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 28, 2010
✔ NPI 1346257581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NJ · MA38394
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
109 US HIGHWAY 46, Denville, NJ 07834
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF00223NJ
Medicare ID-Type UnspecifiedCU472514NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ken Cubelli M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Ken Cubelli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tri-County Orthopaedic & Sports Medicine PA
5.9 mi
Specialist
197 RIDGEDALE AVE
Cedar Knolls, NJ 07927
  • Reassigned Medicare billing, New Jersey enrollment
  • 37 clinicians in this Medicare group
NPI 1447213962 (973) 538-2334
Advocare, LLC
73 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07834 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

64.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.38
Promoting Interoperability70
Improvement Activities20
Cost47.2

Referred Medical Equipment & Supplies CMS DME claims

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier22 claims22 services$71.39 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 7

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

NICOLE CASTELLUCCI DPT
Physical Therapist
109 US HIGHWAY 46
DENVILLE, NJ 07834
Morris County (973) 625-0744
DR. FRANK CAPECCI M.D.
Orthopaedic Surgery
109 US HIGHWAY 46
DENVILLE, NJ 07834
Morris County (973) 625-1221
MORRIS COUNTY ORTHOPAEDIC GROUP PA
Orthopaedic Surgery
109 US HIGHWAY 46
DENVILLE, NJ 07834
Morris County (973) 625-1221
DR. ROCCO A SIMMERANO M.D.
Orthopaedic Surgery
109 US HIGHWAY 46
DENVILLE, NJ 07834
Morris County (973) 625-1221
ADVOCARE, LLC
Orthopaedic Surgery
109 US HIGHWAY 46
DENVILLE, NJ 07834
Morris County (973) 625-1221
MRS. HEIDI DASCHKO
Physical Therapy Assistant
109 US HIGHWAY 46
DENVILLE, NJ 07834
Morris County (973) 625-0744
JENNA COTUGNO DPT
Physical Therapist
109 US HIGHWAY 46
DENVILLE, NJ 07834
Morris County (973) 625-0744

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 Ken Cubelli's NPI number?

The NPI number for Ken Cubelli is 1346257581. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Ken Cubelli located?

Ken Cubelli practices at 109 Us Highway 46, Denville, NJ 07834. The listed phone number is (973) 625-1221.

What is Ken Cubelli's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Ken Cubelli enrolled in Medicare?

Yes. Ken Cubelli is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ken Cubelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ken Cubelli reassigns Medicare benefits to 2 organizations: Tri-County Orthopaedic & Sports Medicine PA (Cedar Knolls, NJ) and Advocare, LLC (Marlton, NJ). 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 Ken Cubelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ken Cubelli was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.