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Active NPI 1497755391 Individual Practitioner Male Practitioner

Dr. Mark J Kubala , MD

Specialist • Beaumont, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kubala, MD is a registered healthcare professional specializing in Specialist in Beaumont, TX. Practice services are available at 5235 MERLOT DR under active NPI credentials.

Frequently performed procedures and clinical services include partial removal of spine bone with release of spinal cord and/or nerves, partial removal of middle spine bone with release of spinal cord and/or nerves, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5235 Merlot Dr

Beaumont, TX 777062577

Telephone 4097818426
Associated Practice Facility / Clinic
🏢 Mark J Kubala Md Pa Facility NPI 1275319139

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Beaumont, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.1 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Beaumont, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
97.2% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves
47 21 $1200.00 $30.92
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
21 21 $5200.00 $148.87

Medical Specialties & State Licenses

CMS Verified: 2023-09-12
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX C0720

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License TX C0720

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
125802205 (TX)
Medicaid State Provider ID
148913001 (TX)
Commercial Insurance / Payer ID Cigna
2824444001 (TX)
Commercial Insurance / Payer ID Bcbs
8F3760 (TX)
Commercial Insurance / Payer ID Group Bcbs
0020HD (TX)
Commercial Insurance / Payer ID Railroad Medicare
140007873 (TX)
Commercial Insurance / Payer ID Tricare Champus
A003 (TX)
Commercial Insurance / Payer ID Aetna
4364874 (TX)

Secondary Practice Locations

2965 Harrison St Ste 111

Beaumont, TX 777021148

Phone: 4098987800

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2023

Neurological Surgery (License #C0720 in TX)

📍
Updated Practice Location September 06, 2023

Registered at 5235 MERLOT DR, BEAUMONT, TX 777062577 (Tel: 4097818426)

📍
Updated Business Mailing Address September 06, 2023

Registered at 5235 MERLOT DR, BEAUMONT, TX 777062577 (Tel: 4097818426)

NPI Profile Active February 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2010

Registered at 2965 HARRISON ST, SUITE 111, BEAUMONT, TX 777021100 (Tel: 4098987800)

📍
Updated Business Mailing Address February 12, 2010

Registered at 2965 HARRISON ST, SUITE 111, BEAUMONT, TX 777021100 (Tel: 4098987800)

👤
Provider Name / Credentials Updated February 12, 2010

Recorded as MARK KUBALA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2010

Specialist (License #C0720 in TX)

🟢
Initial NPI Registration & Enumeration July 21, 2005

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: 1497755391
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2005
Last Update: September 12, 2023
Sole Proprietor: No

Mailing Address

5235 Merlot Dr

Beaumont, TX 777062577

Phone: 4097818426

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.