Active NPI 1992906382 Individual Practitioner Male Practitioner

Dr. Edward William Kubek , MD

Plastic Surgery • Madison, IN

Professional Overview & Biography Verified Profile Summary

Dr. Edward Kubek, MD is a registered healthcare professional specializing in Plastic Surgery in Madison, IN. Practice services are available at 1373 E SR 62 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1373 E Sr 62

Madison, IN 47250

Telephone 8128010840

Fax 8128010024

Associated Practice Facility / Clinic

🏢 Norton - Kings Daughters Health, Inc Facility NPI 1518916048

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Madison, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Madison, IN (84 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$127.00	$84.19
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$133.00	$66.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$276.00	$201.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$218.00	$156.98
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$112.00	$84.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$276.00	$196.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$70.00	$52.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$218.00	$157.33
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$112.00	$86.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$70.00	$52.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$150.00	$105.68
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	13	12	$2055.79	$813.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$276.00	$209.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	29	$64.35	$43.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$150.00	$98.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$218.00	$157.52
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$104.89	$70.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	51	$101.79	$42.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$154.40	$99.80
36415 Insertion of needle into vein for collection of blood sample	27	22	$18.85	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$239.00	$153.30
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$117.17	$70.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$175.00	$37.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$160.40	$103.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$382.08	$130.90
99201 New patient office or other outpatient visit, typically 10 minutes	12	12	$126.33	$43.00
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$133.73	$72.15
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$134.00	$7.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	72	$103.00	$40.40
99213 Established patient office or other outpatient visit, typically 15 minutes	45	36	$118.00	$68.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	23	$170.00	$37.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$163.00	$99.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$293.00	$154.16
36415 Insertion of needle into vein for collection of blood sample	27	24	$18.30	$2.94
11100 Biopsy of single growth of skin and/or tissue	24	24	$176.00	$79.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	20	$611.00	$220.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	18	$79.00	$20.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$403.00	$129.77
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$156.00	$70.21
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	13	$684.00	$155.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$207.00	$100.53
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	15	14	$1783.00	$412.13
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$333.00	$82.89
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$128.00	$39.07
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$481.00	$94.09
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	12	11	$2810.00	$871.66
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$433.00	$160.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	25	$164.60	$37.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	30	$103.00	$40.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$293.00	$154.03
36415 Insertion of needle into vein for collection of blood sample	26	21	$18.30	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$207.00	$98.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	16	$79.00	$18.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$163.00	$97.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$403.00	$130.08
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$156.00	$70.09
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$118.00	$68.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$476.00	$192.75
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	15	$130.00	$7.50
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$578.00	$149.50
71020 X-ray of chest, 2 views, front and side	11	11	$380.00	$15.45

Medical Specialties & State Licenses

CMS Verified: 2021-01-21

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IN 01078254A

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 01078254A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100469740 (KY)

Medicaid State Provider ID

300001450 (IN)

Commercial Insurance / Payer ID Uhc

5778586 (IN)

Commercial Insurance / Payer ID Anthem

1075366 (IN)

Commercial Insurance / Payer ID Aetna

4384232 (IN)

Commercial Insurance / Payer ID Ky Passport

50126138 (KY)

Commercial Insurance / Payer ID Siho

226996 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Paul Cronen , MD

Surgery

NPI 1023049855

Doctor of Medicine (M.D.)

Mandy Althoff , APRN

Nurse Practitioner - Acute Care

NPI 1033494794

Advanced Practice Registered Nurse

Dr. Amy Gifaldi , MD

Surgery

NPI 1164463931

Doctor of Medicine (M.D.)

Dr. Matthew Golden , MD

Surgery

NPI 1295977924

Doctor of Medicine (M.D.)

Dr. David Schumacher , MD

Surgery

NPI 1336132547

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

📍

Updated Business Mailing Address January 21, 2021

Registered at 1200 W WHITE RIVER BLVD, MUNCIE, IN 473034988 (Tel: 8776685621)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2021

Plastic Surgery (License #01078254A in IN)

📍

Updated Business Mailing Address June 27, 2019

Registered at 200 N TILLOTSON AVE, MUNCIE, IN 473043988 (Tel: 7657511700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2019

Surgery (License #01078254A in IN)

📍

Updated Practice Location June 22, 2018

Registered at 1373 E SR 62, MADISON, IN 47250 (Tel: 8128010840)

📍

Updated Business Mailing Address June 22, 2018

Registered at PO BOX 3395, EVANSVILLE, IN 477323395

✅

NPI Profile Active March 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2017

Registered at 1373 E SR 62, MADISON, IN 472507328 (Tel: 8128010840)

📍

Updated Business Mailing Address March 16, 2017

Registered at PO BOX 189, MADISON, IN 472500189 (Tel: 8128010715)

👤

Provider Name / Credentials Updated March 16, 2017

Recorded as EDWARD KUBEK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2017

Plastic Surgery (License #01078254A in IN)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1000 OAKLAND DR, KALAMAZOO, MI 490081282 (Tel: 2693374400)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1000 OAKLAND DR, KALAMAZOO, MI 490081282 (Tel: 2693374400)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD KUBEK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #4301089997 in MI)

🟢

Initial NPI Registration & Enumeration May 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992906382

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2007

Last Update: January 21, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 W White River Blvd

Muncie, IN 473034988

Phone: 8776685621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.