DR. JEFFREY JAMES SKUBIC D.O.
NPI 1609169994
Surgery - Surgical Critical Care in Mcallen, TX

Active since May 19, 2011PECOS EnrolledAccepts Medicare Assignment
86.22/100
CMS Quality Rating
1100 E DOVE AVE STE 300, MCALLEN, TX 78504(956) 362-8170(956) 362-8168 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2023, Oct 19, 2020, Jun 2, 2020 (3 updates tracked since 2020).

About Dr. Jeffrey James Skubic D.o. NPPES

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

DR. JEFFREY JAMES SKUBIC D.O. (NPI 1609169994) is an individual surgical critical care provider in Mcallen, Texas, licensed in Texas (R8275) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and maintains a secondary practice location in Brownsville.

NPPES Registry Identity

NPI1609169994
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. JEFFREY JAMES SKUBICCredential: D.O.
Location Address1100 E DOVE AVE STE 300Mcallen, TX 78504-4672
Mailing AddressPo Box 2975Mcallen, TX 78502-2975 · (956) 362-8170 · Fax (956) 362-8168
Fax(956) 362-8168
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2011
Enumeration DateMay 19, 2011
Last NPPES UpdateMarch 24, 20233 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
NPI 1609169994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in TX · R8275
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License R8275 (TX)
1100 E DOVE AVE STE 300, Mcallen, TX 78504

Secondary Practice Location 1

Location 14770 N Expressway Ste 303Brownsville, TX 78526-3108 · Phone (956) 362-3715 · Fax (956) 362-3716

Other Identifiers 2

OtherH08MR78401TX · Bcbs
Medicaid390898003TX

Accepted 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

Dr. Jeffrey James Skubic D.o. 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 ID5597033068
PECOS Enrollment IDI20180925001479
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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
72 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo 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.

86.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.03
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Family)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Colon & Rectal Surgery
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Physician Assistant
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery (Vascular Surgery)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery (Surgical Critical Care)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Nurse Practitioner (Family)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504

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 Jeffrey Skubic's NPI number?

The NPI number for Jeffrey Skubic is 1609169994. It was assigned to this individual provider in the NPPES registry on May 19, 2011.

Where is Jeffrey Skubic located?

Jeffrey Skubic practices at 1100 E Dove Ave Ste 300, Mcallen, TX 78504. The listed phone number is (956) 362-8170.

What is Jeffrey Skubic's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Jeffrey Skubic enrolled in Medicare?

Yes. Jeffrey Skubic 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 Jeffrey Skubic accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jeffrey Skubic 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 Jeffrey Skubic affiliated with any hospitals?

According to CMS data, Jeffrey Skubic is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Jeffrey Skubic was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.