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DR. MARK BERNARD LUBIENSKI M.D.
NPI 1376543025
General Practice in Frankfort, IL

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
62.16/100
CMS Quality Rating
372 RED BUD CT, FRANKFORT, IL 60423(708) 710-6048(815) 464-1984 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark Bernard Lubienski M.d. NPPES

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

DR. MARK BERNARD LUBIENSKI M.D. (NPI 1376543025) is an individual general practice provider in Frankfort, Illinois, licensed in Illinois (036071444) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Wayne State University School Of Medicine (1984).

NPPES Registry Identity

NPI1376543025
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MARK BERNARD LUBIENSKICredential: M.D.
Location Address372 RED BUD CTFrankfort, IL 60423-2128
Mailing Address372 Red Bud CtFrankfort, IL 60423-2128 · (708) 710-6048 · Fax (815) 464-1984
Phone(708) 710-6048
Fax(815) 464-1984
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1984
Enumeration DateJuly 22, 2005
Last NPPES UpdateMarch 21, 2013
✔ NPI 1376543025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036071444
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 036071444 (IL)
372 RED BUD CT, Frankfort, IL 60423
Open in Google Maps ↗

Other Identifiers 4

Medicaid036071444IL
Medicare ID-Type UnspecifiedK17107IL · Locality 099
Medicare ID-Type UnspecifiedK17106IL · Locality 16
Medicare UPINF09370IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.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. Mark Bernard Lubienski 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 ID3375445877
PECOS Enrollment IDI20050512000747
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 Mark Lubienski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Woundcare, Inc
39 mi
General Practice
5250 OLD ORCHARD RD STE 300
Skokie, IL 60077
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
NPI 1447821459 (224) 935-9522
Hshs Medical Group Inc
147 mi
Internal Medicine
2329 N DIRKSEN PKWY
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 317 clinicians in this Medicare group
NPI 1912330317 (217) 789-1403

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 7

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.

Therapy procedure using ultrasound 97610
Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.
1,103 services70 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
143 services73 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
76 services45 patients
Application of vein wound compression bandages on lower leg, ankle, and foot 29581
Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.
56 services15 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
41 services41 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
24 services17 patients

Hospital Affiliations CMS Care Compare

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

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.

62.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality34.79
Promoting Interoperability73
Improvement Activities40
Cost28.27

Referred Medical Equipment & Supplies CMS DME claims 15

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier64 claims2,904 services$0.37 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier29 claims1,014 services$7.10 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier17 claims432 services$15.27 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims156 services$7.23 avg. paid by Medicare
Hydrogel dressing, wound filler, gel, per fluid ounce A6248
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims36 services$14.46 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6251
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims456 services$1.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lubienski's NPI number?

The NPI number for Mark Lubienski is 1376543025. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Mark Lubienski located?

Mark Lubienski practices at 372 Red Bud Ct, Frankfort, IL 60423. The listed phone number is (708) 710-6048.

What is Mark Lubienski's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mark Lubienski enrolled in Medicare?

Yes. Mark Lubienski 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 Mark Lubienski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Lubienski reassigns Medicare benefits to 2 organizations: Advanced Woundcare, Inc (Skokie, IL) and Hshs Medical Group Inc (Springfield, IL). 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 Mark Lubienski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Lubienski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Mark Lubienski 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 Lubienski affiliated with any hospitals?

According to CMS data, Mark Lubienski is affiliated with St Johns Hospital.

When was this NPI record last updated?

The NPPES record for Mark Lubienski was last updated on March 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.