MARK CUBBERLY MD
NPI 1760923114
Orthopaedic Surgery in Tustin, CA

Q: What is Mark Cubberly's NPI number?

The NPI number for Mark Cubberly is 1760923114. It was assigned to this individual provider in the NPPES registry on March 18, 2017.

Q: What is Mark Cubberly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Cubberly was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 18, 2017PECOS EnrolledAccepts Medicare Assignment

14642 NEWPORT AVE STE 105, TUSTIN, CA 92780(949) 688-0958 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2023, May 2, 2023, Mar 18, 2017 (3 updates tracked since 2017).

On this page

About Mark Cubberly Md NPPES

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

MARK CUBBERLY MD (NPI 1760923114) is an individual orthopaedic surgery provider in Tustin, California, licensed in California (A158506) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fountain Valley, and is a graduate of University Of Virginia School Of Medicine (2017).

NPPES Registry Identity

NPI1760923114

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMARK CUBBERLYCredential: MD

Location Address14642 NEWPORT AVE STE 105Tustin, CA 92780-6058

Mailing Address14642 Newport Ave Ste 105Tustin, CA 92780-6058

Phone(949) 688-0958

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2017

Enumeration DateMarch 18, 2017

Last NPPES UpdateNovember 8, 20233 updates tracked since enumeration

NPPES CertifiedNovember 8, 2023

✔ NPI 1760923114 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 CA · A158506

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

14642 NEWPORT AVE STE 105, Tustin, CA 92780

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Secondary Practice Location 1

Location 111180 Warner Ave Ste 161Fountain Valley, CA 92708-7515 · Phone (714) 456-7890

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 Cubberly 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 ID2668705617

PECOS Enrollment IDI20230609001407

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 Reassignment

Medicare enrollment records show Mark Cubberly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Richard Lin Do Inc

Same address

Orthopaedic Surgery of the Spine

14642 NEWPORT AVE STE 105
Tustin, CA 92780

Reassigned Medicare billing, California enrollment
6 clinicians in this Medicare group

NPI 1174122436 (714) 478-0909

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 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.

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.

56 services30 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.

36 services36 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

30 services30 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.

28 services28 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

13 services13 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 12

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

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