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MARTA HALINA SCIUBISZ M.D.
NPI 1922394808
Family Medicine in Bloomington, IL

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
702 W CHESTNUT ST, BLOOMINGTON, IL 61701(309) 557-1400 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2023, Aug 12, 2021, Jan 2, 2020 and 1 more (4 updates tracked since 2017).

About Marta Halina Sciubisz M.d. NPPES

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

MARTA HALINA SCIUBISZ M.D. (NPI 1922394808) is an individual family medicine provider in Bloomington, Illinois, licensed in Illinois (036.134144) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Humboldt Park Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1922394808
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARTA HALINA SCIUBISZCredential: M.D.
Location Address702 W CHESTNUT STBloomington, IL 61701-2814
Mailing AddressPo Box 746721Atlanta, GA 30374-6721
Phone(309) 557-1400
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 20, 2011
Last NPPES UpdateMarch 20, 20234 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1922394808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.134144
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
702 W CHESTNUT ST, Bloomington, IL 61701
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11044 N Francisco AveChicago, IL 60622-2743 · Phone (773) 292-8200
Location 21044 N Mozart St Ste 100Chicago, IL 60622-3644 · Phone (773) 292-8300 · Fax (773) 292-2601
Location 31401 Western AveChicago Heights, IL 60411-3147 · Phone (708) 292-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Marta Halina Sciubisz 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 ID9739402637
PECOS Enrollment IDI20141230000401
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 Marta Sciubisz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chestnut Health Systems Inc
1.3 mi
Rehabilitation, Substance Use Disorder
1003 MARTIN LUTHER KING DR
Bloomington, IL 61701
  • Reassigned Medicare billing, Illinois enrollment
  • 90 clinicians in this Medicare group
NPI 1366431686 (309) 827-6026
Oak Street Health Physicians Group, PC
113 mi
Primary Care
1715 E 95TH ST
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 343 clinicians in this Medicare group
NPI 1083051643 (773) 768-4437
Pcc Community Wellness Center
116 mi
Federally Qualified Health Center (FQHC)
14 LAKE ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 221 clinicians in this Medicare group
NPI 1871516799 (708) 383-0113
Humboldt Park Health
119 mi
Family Medicine
1044 N FRANCISCO AVE
Chicago, IL 60622
  • Reassigned Medicare billing, Illinois enrollment
  • 154 clinicians in this Medicare group
NPI 1740417153 (773) 292-8200

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 2

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 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.
44 services28 patients
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.
32 services24 patients

Hospital Affiliations CMS Care Compare

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

Humboldt Park Health

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140206
Location1044 N Francisco AveChicago, IL 60622 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
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 20

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

MRS. LISA DIANE NEUWEG MA, NCC
Counselor
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
SINATA BECCA JINADU
Nurse Practitioner (Psychiatric/Mental Health)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 557-1400
MR. CHRISTOPHER G PERKINS L.C.P.C.
Counselor (Professional)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
MS. CARRIE J ANDERSON MA LCPC
Counselor (Mental Health)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
KATIE J YOUNG MSW, LCSW
Social Worker (Clinical)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
KERRI MARSH LCPC
Counselor (Professional)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
TAMAR GREENLY APRN
Nurse Practitioner (Psychiatric/Mental Health)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 557-1400
JENNY SHANNON RILEY B.A.
Counselor (Addiction (Substance Use Disorder))
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026

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 Marta Sciubisz's NPI number?

The NPI number for Marta Sciubisz is 1922394808. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Marta Sciubisz located?

Marta Sciubisz practices at 702 W Chestnut St, Bloomington, IL 61701. The listed phone number is (309) 557-1400.

What is Marta Sciubisz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marta Sciubisz enrolled in Medicare?

Yes. Marta Sciubisz 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 Marta Sciubisz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marta Sciubisz reassigns Medicare benefits to 4 organizations: Chestnut Health Systems Inc (Bloomington, IL), Oak Street Health Physicians Group, PC (Chicago, IL), Pcc Community Wellness Center (Oak Park, IL) and Humboldt Park Health (Chicago, IL). 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 Marta Sciubisz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marta Sciubisz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Marta Sciubisz 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 Marta Sciubisz affiliated with any hospitals?

According to CMS data, Marta Sciubisz is affiliated with Humboldt Park Health.

When was this NPI record last updated?

The NPPES record for Marta Sciubisz was last updated on March 20, 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.