MARK GUBICHUK CRNA
NPI 1487022026
Nurse Anesthetist, Certified Registered in Tulsa, OK

Active since September 14, 2015PECOS EnrolledAccepts Medicare Assignment
85.83/100
CMS Quality Rating
1120 S UTICA AVE, TULSA, OK 74104(316) 644-5755 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark Gubichuk Crna NPPES

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

MARK GUBICHUK CRNA (NPI 1487022026) is an individual nurse anesthetist, certified registered in Tulsa, Oklahoma, licensed in Oklahoma (110276) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Muscogee (creek) Nation Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1487022026
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARK GUBICHUKCredential: CRNA
Location Address1120 S UTICA AVETulsa, OK 74104-4012
Mailing Address2428 S Marion AveTulsa, OK 74114-3428 · (316) 644-5755
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 14, 2015
✔ NPI 1487022026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OK · 110276
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1120 S UTICA AVE, Tulsa, OK 74104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Mark Gubichuk Crna 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 ID5193034908
PECOS Enrollment IDI20230216001816, I20260415002804
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

4

Medicare enrollment records show Mark Gubichuk reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
10502 N 110TH EAST AVE
Owasso, OK 74055
  • Reassigned Medicare billing, Oklahoma enrollment
  • 101 clinicians in this Medicare group
Clinic/Center
2900 N MAIN ST
Muskogee, OK 74401
  • Reassigned Medicare billing, Texas enrollment
  • 655 clinicians in this Medicare group
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Oklahoma enrollment
  • 315 clinicians in this Medicare group
Anesthesiology
1375 E 19TH AVE
Denver, CO 80218
  • Reassigned Medicare billing, Colorado enrollment
  • 160 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 4

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
25 services25 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
24 services24 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
14 services14 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Muscogee (creek) Nation Medical Center

Acute Care Hospitals · Okmulgee, OK
OwnershipTribal
CMS Certification Number370057
Location1401 Morris DriveOkmulgee, OK 74447 · Okmulgee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

85.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.74
Promoting Interoperability100
Improvement Activities40
Cost51.95

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%490 patients5/55-star benchmark: 100%
Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU)
Percentage of patients, regardless of age, who undergo a procedure under anesthesia and are admitted to an Intensive Care Unit (ICU) directly from the anesthetizing location, who have a documented use of a checklist or protocol for the transfer of care from…
99%168 patients
Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy
Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination therapy consisting of at least…
62%396 patients
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 20

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

Dietitian, Registered
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Nurse Anesthetist, Certified Registered
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Anesthesiology
1120 S UTICA AVE
TULSA, OK 74104

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 Gubichuk's NPI number?

The NPI number for Mark Gubichuk is 1487022026. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Mark Gubichuk located?

Mark Gubichuk practices at 1120 S Utica Ave, Tulsa, OK 74104. The listed phone number is (316) 644-5755.

What is Mark Gubichuk's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mark Gubichuk enrolled in Medicare?

Yes. Mark Gubichuk 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 Gubichuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gubichuk reassigns Medicare benefits to 4 organizations: New Era Anesthesia Services PLLC (Owasso, OK), Creek Nation Hospital & Clinics (Muskogee, OK), Emergenchealth PLLC (Fort Worth, TX) and Hospitalist Medicine Physicians Of Colorado - Denver PC (Denver, CO). 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 Gubichuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Gubichuk accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Mark Gubichuk 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 Gubichuk affiliated with any hospitals?

According to CMS data, Mark Gubichuk is affiliated with Muscogee (creek) Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Gubichuk was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.