Edward A Porubsky, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

053019 Issued in GA

Practice address

340 N Belair Rd
Evans, GA 30809-3000

Phone

(706) 868-5676

Fax

(706) 722-2824

NPI assigned

Feb 27, 2006

Last updated

Jan 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Medical College of Georgia School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Augusta ENT PCGroup PAC ID 9537156484, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
• Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034
• Doctors Hospital Hospital, Augusta, GA, CCN 110177
• University McDuffie County Regional Medical Center Hospital, Thomson, GA, CCN 110111

Merit-based Incentive Payment System (MIPS)

Final score

90.28 of 100Reported as group

Quality

82.32

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eporubsky@augustaent.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Augusta ENT PC

  • Specialist
  • Evans, GA
  • NPI 1770649204
  Medicare reassignment Care Compare group NPD
• Augusta ENT PC

  • Specialist
  • Thomson, GA
  • NPI 1043377005
  NPD
• Augusta ENT PC

  • Otolaryngology Physician
  • Aiken, SC
  • NPI 1679945661
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Au Medical Center, Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1437135902
  Care Compare affiliation
• Doctors Hospital of Augusta LLC

  dba Doctors Hospital (Augusta)

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1912951963
  Care Compare affiliation
• University Health Services,Inc

  dba Piedmont Augusta Hospital

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation
• University McDuffie County Regional Medical Center, Inc.

  dba Piedmont McDuffie Hospital

  • General Acute Care Hospital
  • Thomson, GA
  • NPI 1982600540
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1043286313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093000",
            "telephone_number": "706-868-5676",
            "fax_number": "706-722-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093000",
            "telephone_number": "706-868-5676",
            "fax_number": "706-722-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORUBSKY",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "GA",
            "license": "053019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3285145",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "952703",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00177360",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4305494",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYMENT STANDARD WORK",
            "identifier": "157315300",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519526707A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie J Pollard Jr., MD
• Shunya Poole
• James Poore
• Beverly Ann Pope, LCSW
• Estacy Porter, DNP, FNP-C, PMHNP-BC
• Amber Faith Poss, LPC
• R. Steven Powell Sr., D.M.D.
• Robert Steven Powell Jr., DMD
• Stuart H. Prather III, M.D.
• Precious Memories Sitter Service, LLC.

• Facial Plastic Surgery Physician in Evans, GA
• Providers in Evans, GA by specialty
• Facial Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.