DR. PAUL JAN KUBIAK MD
NPI 1396739777
Orthopaedic Surgery in Hewlett, NY

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
77.24/100
CMS Quality Rating
1512 BROADWAY, HEWLETT, NY 11557(516) 374-6838(516) 374-2362 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Paul Jan Kubiak Md NPPES

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

DR. PAUL JAN KUBIAK MD (NPI 1396739777) is an individual orthopaedic surgery provider in Hewlett, New York, licensed in New York (230604) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St John's Episcopal Hospital At South Shore, and is a graduate of Rutgers New Jersey Medical School (2000).

NPPES Registry Identity

NPI1396739777
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL JAN KUBIAKCredential: MD
Location Address1512 BROADWAYHewlett, NY 11557-1429
Mailing Address1512 BroadwayHewlett, NY 11557-1429 · (516) 374-6838 · Fax (516) 374-2362
Fax(516) 374-2362
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2000
Enumeration DateAugust 31, 2005
Last NPPES UpdateFebruary 26, 2008
✔ NPI 1396739777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 230604
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.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License MD20050074 (NM), A96019 (CA)
1512 BROADWAY, Hewlett, NY 11557

Other Identifiers 1

Medicare UPINI39069

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. Paul Jan Kubiak 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 ID9830135433
PECOS Enrollment IDI20080324000300
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

3

Medicare enrollment records show Paul Kubiak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
1512 BROADWAY, ISLAND MUSCULOSKELETAL CARE MD PC
Hewlett, NY 11557
  • Reassigned Medicare billing, New York enrollment
  • 33 clinicians in this Medicare group
Orthopaedic Surgery
657 CENTRAL AVE
Cedarhurst, NY 11516
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: South Island Orthopedics PC
  • 20 clinicians in this Medicare group
Internal Medicine
327 BEACH 19TH ST
Far Rockaway, NY 11691
  • Reassigned Medicare billing, New York enrollment
  • 149 clinicians in this Medicare group

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 11

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.

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.
491 services238 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
210 services105 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
138 services138 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
125 services74 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
73 services50 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
70 services65 patients

Hospital Affiliations CMS Care Compare

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

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330395
Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11557 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

77.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality50.14
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
13%893 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
81%3,518 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%586 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
8%1,700 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,775 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%3,302 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,061 patients
0%1,061 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%24 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 627 patients
Patients totalRate: 3% · 627 patients
3%627 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery
1512 BROADWAY
HEWLETT, NY 11557
Orthopaedic Surgery
1512 BROADWAY, ISLAND MUSCULOSKELETAL CARE MD PC
HEWLETT, NY 11557
Physical Medicine & Rehabilitation
1512 BROADWAY, ISLAND MUSCULOSKELETAL CARE MD PC
HEWLETT, NY 11557
Physical Therapist
1512 BROADWAY, ISLAND MUSCULOSKELETAL CARE MD PC
HEWLETT, NY 11557
Physician Assistant
1512 BROADWAY
HEWLETT, NY 11557
Orthopaedic Surgery
1512 BROADWAY
HEWLETT, NY 11557
Orthopaedic Surgery
1512 BROADWAY
HEWLETT, NY 11557
Physical Medicine & Rehabilitation
1512 BROADWAY
HEWLETT, NY 11557

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 Paul Kubiak's NPI number?

The NPI number for Paul Kubiak is 1396739777. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Paul Kubiak located?

Paul Kubiak practices at 1512 Broadway, Hewlett, NY 11557. The listed phone number is (516) 374-6838.

What is Paul Kubiak's specialty?

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

Is Paul Kubiak enrolled in Medicare?

Yes. Paul Kubiak 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 Paul Kubiak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kubiak reassigns Medicare benefits to 3 organizations: Island Musculoskeletal Care MD PC (Hewlett, NY), South Island Orthopedics, P.C. (Cedarhurst, NY) and St John's Medical Services PC (Far Rockaway, NY). 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 Paul Kubiak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Paul Kubiak affiliated with any hospitals?

According to CMS data, Paul Kubiak is affiliated with St John's Episcopal Hospital At South Shore.

When was this NPI record last updated?

The NPPES record for Paul Kubiak was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.