DR. MARK JEREMY KULBIEDA M.D.
NPI 1922038058
Anesthesiology in Petoskey, MI
About Dr. Mark Jeremy Kulbieda M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK JEREMY KULBIEDA M.D. (NPI 1922038058) is an individual anesthesiology provider in Petoskey, Michigan, licensed in Michigan (4301079164) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of University Of Michigan Medical School (1997).
NPPES Registry Identity
Specialties & Licenses
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. Mark Jeremy Kulbieda 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Kulbieda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Petoskey, MI 49770
- Reassigned Medicare billing, Michigan enrollment
- 19 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 10
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Northern Michigan
Acute Care Hospitals · Petoskey, MIMedicare 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.
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.
PETOSKEY, MI 49770
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 Kulbieda's NPI number?
The NPI number for Mark Kulbieda is 1922038058. It was assigned to this individual provider in the NPPES registry on July 4, 2006.
Where is Mark Kulbieda located?
Mark Kulbieda practices at 416 Connable Ave, Petoskey, MI 49770. The listed phone number is (231) 348-2795.
What is Mark Kulbieda's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Mark Kulbieda enrolled in Medicare?
Yes. Mark Kulbieda 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 organization bills Medicare for Mark Kulbieda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Kulbieda reassigns Medicare benefits to Northern Anesthesia Providers PC (Petoskey, MI). The 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 Kulbieda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mark Kulbieda affiliated with any hospitals?
According to CMS data, Mark Kulbieda is affiliated with Mclaren Northern Michigan.
When was this NPI record last updated?
The NPPES record for Mark Kulbieda was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Mark Jeremy Kulbieda, M.D. · NPI 1922038058
Anesthesiology physician in Petoskey, Michigan. Individual provider, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1922038058 (Entity type: Individual)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 4301079164 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 416 CONNABLE AVE, Petoskey, MI 49770-2212
- **Phone:** (231) 348-2795 · **Fax:** (231) 348-2031
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northern Anesthesia Providers PC (NPI 1396834628, Petoskey, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 1997
## Record status
- **NPPES last updated:** September 21, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1922038058) · Data from the CMS NPPES public registry.