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GILFRED C UBINA MD
NPI 1972564839
Hospitalist in Cresson, PA

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
815 2ND ST, CRESSON, PA 16630(814) 886-2911(814) 886-8929 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2024, Jun 16, 2017, May 17, 2016 (3 updates tracked since 2016).

About Gilfred C Ubina Md NPPES

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

GILFRED C UBINA MD (NPI 1972564839) is an individual hospitalist provider in Cresson, Pennsylvania, licensed in Pennsylvania (MD417026) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Paoli.

NPPES Registry Identity

NPI1972564839
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameGILFRED C UBINACredential: MD
Location Address815 2ND STCresson, PA 16630-1141
Mailing Address255 W Lancaster Ave, Fl 1Paoli, PA 19301-1763 · (814) 886-2911 · Fax (814) 886-8929
Phone(814) 886-2911
Fax(814) 886-8929
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMarch 30, 2006
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1972564839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD417026
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD417026 (PA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD417026 (PA)
815 2ND ST, Cresson, PA 16630
Open in Google Maps ↗

Secondary Practice Location 1

Location 1255 W Lancaster AvePaoli, PA 19301-1763 · Phone (484) 565-1510

Other Identifiers 1

Medicaid001867124PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Gilfred C Ubina 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 ID749185643
PECOS Enrollment IDI20031204000168
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 7

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.

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.
654 services610 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.
286 services277 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.
137 services136 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services21 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services14 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16630 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 6

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

DONALD F RATCHFORD MD
Family Medicine
815 2ND ST
CRESSON, PA 16630
Cambria County (814) 886-2911
CONEMAUGH HEALTH INITIATIVES
Family Medicine
815 2ND ST
CRESSON, PA 16630
Cambria County (814) 886-2911
MS. TERRY JEAN NESMITH CRNP
Nurse Practitioner
815 2ND ST
CRESSON, PA 16630
Cambria County (724) 874-1485
ROBIN L MUNOZ CRNP
Nurse Practitioner (Family)
815 2ND ST
CRESSON, PA 16630
Cambria County (814) 886-2911
MRS. AMBER ROSE MARUCA
Physician Assistant
815 2ND ST
CRESSON, PA 16630
Cambria County (814) 215-3492
DLP CONEMAUGH PHYSICIAN PRACTICES LLC
Family Medicine
815 2ND ST
CRESSON, PA 16630
Cambria County (814) 886-2911

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 Gilfred Ubina's NPI number?

The NPI number for Gilfred Ubina is 1972564839. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Gilfred Ubina located?

Gilfred Ubina practices at 815 2nd St, Cresson, PA 16630. The listed phone number is (814) 886-2911.

What is Gilfred Ubina's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gilfred Ubina enrolled in Medicare?

Yes. Gilfred Ubina 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 Gilfred Ubina accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Gilfred Ubina 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 Gilfred Ubina affiliated with any hospitals?

According to CMS data, Gilfred Ubina is affiliated with Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Paoli Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Gilfred Ubina was last updated on August 20, 2024. 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.