2026 NPPES data Sleep Medicine (Otolaryngology) Physician NPI 1003903832 D.O.
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DOUGLAS KUBEK, D.O.

Sleep Medicine (Otolaryngology) Physician in SAINT CLAIR SHORES, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 396 beneficiaries · Sleep Medicine (Otolaryngology) Physician avg: 543
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.357/100
▲ 0 pts above national avg 83.1 · [object Object]
Industry payments
$397.59
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DOUGLAS KUBEK, D.O. reported a CMS MIPS final score of 83.357/100 — above the 83.1 national average — and filed 1,528 Medicare Part D claims in 2023.

83.357/100
MIPS score · +0 vs avg
2K
Part D claims, 2023
99%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DOUGLAS KUBEK, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

83 42nd percentile higher than 42% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

DOUGLAS KUBEK, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DOUGLAS KUBEK, D.O.?

Near national average

NPI registry status

Active

Issued 10/05/2006

NPI 1003903832

Primary specialty

Sleep Medicine (Otolaryngology) Physician

Rare

98 US NPIs in this specialty

Medicare Part D claims

1,528 181% vs specialty avg

2023 prescription claims

Specialty avg: 543

MIPS final score

83.357/100 0.257000000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Sleep Medicine (Otolaryngology) Physician compares to other specialties among Michigan providers

Michigan providers

Sleep Medicine (Otolaryngology) Physician share within Michigan

1. Sleep Medicine (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Otolaryngology) Physician share within Michigan

Medicare quality performance — MIPS

DOUGLAS KUBEK, D.O.'s 2023 MIPS final score plotted against the Sleep Medicine (Otolaryngology) Physician national average

Near national average
MIPS Final Score
83.357/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Otolaryngology) Physician) — 83.357/100 vs national avg 83.1

0%100%National avg83%83.4%
MIPS final score (Sleep Medicine (Otolaryngology) Physician) — 83.357/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DOUGLAS KUBEK, D.O. appears in the CMS NPPES registry as a Sleep Medicine (Otolaryngology) Physician provider holding D.O. credentials at 21000 E 12 MILE RD, SAINT CLAIR SHORES, MI, 48081, with a listed phone of (586) 779-7610. NPI 1003903832 was issued on 10/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KUBEK most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,528 prescription claims written by this provider, covering 396 Medicare beneficiaries and totaling roughly $44K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 1.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.357/100 for the 2023 performance year (Quality 68.0602, Cost 60.6155), compared with the national average of 83.1.

Sleep Medicine (Otolaryngology) Physician is a narrow specialty nationwide, with 98 enrolled providers across 29 states and an average of 543 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

Provider Details

NPI 1003903832
Specialty Sleep Medicine (Otolaryngology) Physician
Credentials D.O.
Gender Male
NPI Issued 10/05/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

83.357
Final Score
Avg: 83.1
68.0602
Quality
60.6155
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DOUGLAS KUBEK, D.O. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

HENRY FORD HEALTH ST JOHN HOSPITAL
★☆☆☆☆ 1/5
SAINT CLAIR SHORES, MI
Acute Care Hospitals
CMS CCN: 230165
LAKESHORE EAR NOSE AND THROAT CENTER PC
MACOMB, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for DOUGLAS KUBEK, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$398

Largest payer

Medtronic, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to DOUGLAS KUBEK, D.O.. To verify DOUGLAS KUBEK, D.O.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

DOUGLAS KUBEK, D.O. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 1,528 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,528
Total Claims
$44K
Total Drug Cost
396
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,565
Total Day Supply
71,019
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$702
Generic Drug Cost
$43K
Opioid Claims
23 (1.5% rate)
Antibiotic Claims
122

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.10
Gender Split
56% female / 44% male
Age Distribution
<65: 54, 65-74: 211, 75-84: 105, 85+: 26

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What DOUGLAS KUBEK, D.O. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Montelukast Sodium
385
Fluticasone Propionate
266
Azelastine Hcl
171
Omeprazole
113
Ipratropium Bromide
87
Famotidine
84
Mupirocin
60
Pantoprazole Sodium
58
Doxycycline Hyclate
45
Prednisone
36

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Sleep Medicine (Otolaryngology) Physician Overview

How DOUGLAS KUBEK, D.O. fits within the Sleep Medicine (Otolaryngology) Physician landscape nationally.

98
Sleep Medicine (Otolaryngology) Physician Providers in US
29
States with Sleep Medicine (Otolaryngology) Physician
543
Avg Claims per Provider

DOUGLAS KUBEK, D.O.'s 1,528 claims are above the specialty average of 543.

Nearby Sleep Medicine (Otolaryngology) Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as KUBEK.

Compare Sleep Medicine (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DOUGLAS KUBEK, D.O.'s specialty?
DOUGLAS KUBEK, D.O. specializes in Sleep Medicine (Otolaryngology) Physician and practices in SAINT CLAIR SHORES, Michigan. Credentials: D.O..
How much does DOUGLAS KUBEK, D.O. prescribe under Medicare Part D?
In 2023, DOUGLAS KUBEK, D.O. wrote 1,528 Medicare Part D claims totaling $44K in drug costs for 396 beneficiaries.
What is DOUGLAS KUBEK, D.O.'s Medicare quality score?
DOUGLAS KUBEK, D.O. has a CMS MIPS Final Score of 83.357/100 (Quality: 68.0602, Cost: 60.6155). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DOUGLAS KUBEK, D.O. located?
DOUGLAS KUBEK, D.O. is located at 21000 E 12 MILE RD, SAINT CLAIR SHORES, MI, 48081. Phone: (586) 779-7610.
What is DOUGLAS KUBEK, D.O.'s NPI number?
DOUGLAS KUBEK, D.O.'s National Provider Identifier (NPI) is 1003903832, issued on 10/05/2006.
Does DOUGLAS KUBEK, D.O. prescribe more brand-name or generic drugs?
DOUGLAS KUBEK, D.O.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $702 in brand drug costs.
Does DOUGLAS KUBEK, D.O. prescribe opioids?
Yes, DOUGLAS KUBEK, D.O. had 23 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Sleep Medicine (Otolaryngology) Physician providers are there in the US?
There are 98 Sleep Medicine (Otolaryngology) Physician providers across 29 states in the US. The average Sleep Medicine (Otolaryngology) Physician provider writes 543 Medicare Part D claims per year.
What drugs does DOUGLAS KUBEK, D.O. prescribe most often?
Based on 2023 Medicare Part D data, DOUGLAS KUBEK, D.O.'s most frequently prescribed drugs include Montelukast Sodium, Fluticasone Propionate, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DOUGLAS KUBEK, D.O. accept Medicare?
DOUGLAS KUBEK, D.O. appears in CMS Medicare data with 1,528 Part D claims and 396 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DOUGLAS KUBEK, D.O.'s credentials?
DOUGLAS KUBEK, D.O.'s NPI is 1003903832 with credentials D.O.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology