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MICHAEL ERICH KUBALA M.D.
NPI 1598184418
Otolaryngology in Plano, TX

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment
6300 W PARKER RD STE G24, PLANO, TX 75093(972) 378-0633(972) 378-0656 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Michael Erich Kubala M.d. NPPES

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

MICHAEL ERICH KUBALA M.D. (NPI 1598184418) is an individual otolaryngology provider in Plano, Texas, licensed in Texas (S0487) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1598184418
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMICHAEL ERICH KUBALACredential: M.D.
Location Address6300 W PARKER RD STE G24Plano, TX 75093-8105
Mailing Address6300 W Parker Rd Ste G24Plano, TX 75093-8105 · (972) 378-0633 · Fax (972) 378-0656
Phone(972) 378-0633
Fax(972) 378-0656
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2019
Enumeration DateApril 8, 2014
Last NPPES UpdateMay 17, 2021
NPPES CertifiedMay 17, 2021
✔ NPI 1598184418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · S0487
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6300 W PARKER RD STE G24, Plano, TX 75093
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Secondary Practice Location 1

Location 14301 W Markham StLittle Rock, AR 72205-7101 · Phone (501) 686-5356

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Michael Erich Kubala 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 ID9436476744
PECOS Enrollment IDI20190603000775
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 8

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.
155 services105 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
111 services111 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.
80 services60 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
31 services29 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
31 services29 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
28 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Center For Diagnostics & Surgery

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450891
Location6020 W Parker RoadPlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 2

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

ABIGAIL ELIZABETH LANDRY AU.D.
Audiologist
6300 W PARKER RD STE G24
PLANO, TX 75093
Collin County (972) 378-0633
DR. JACQUELYN LINEA JOUETT AU.D., CCC-A
Audiologist
6300 W PARKER RD STE G24
PLANO, TX 75093
Collin County (972) 378-0633

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 Michael Kubala's NPI number?

The NPI number for Michael Kubala is 1598184418. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Michael Kubala located?

Michael Kubala practices at 6300 W Parker Rd Ste G24, Plano, TX 75093. The listed phone number is (972) 378-0633.

What is Michael Kubala's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Michael Kubala enrolled in Medicare?

Yes. Michael Kubala 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 Michael Kubala accept?

Health plans from UnitedHealthcare list Michael Kubala 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 Michael Kubala affiliated with any hospitals?

According to CMS data, Michael Kubala is affiliated with Texas Health Presbyterian Hospital Plano and Texas Health Center For Diagnostics & Surgery.

When was this NPI record last updated?

The NPPES record for Michael Kubala was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.