Summer Kubalak, PA
NPI 1639860083ActiveIndividual· Physician Assistant· Edina, MN
Physician Assistant (PA) with Fairview Express Care and 2 other groups, practicing in Edina, Minnesota. Mostly services rather than prescriptions: Medicare paid $6,826 for 44 patients in 2024, with only 38 Part D claims. Axonics, Inc. reported $47.67 in payments in 2024, mostly food and beverage. Lists M Health Fairview Southdale Hospital as a hospital affiliation.
Overview
| NPI | 1639860083 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 17, 2023 |
| Last updated in NPPES | Jan 10, 2024 |
| Certified by provider | Jan 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14770 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 79 across 21 procedure codes |
| Paid by Medicare | $6,826 |
Part D prescriptions in 2024
| Prescriptions (claims) | 38 · 38 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $989.76 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Fairview Express CareMinneapolis, MN · 1,911 clinicians
- Fairview Health ServicesSaint Paul, MN · 667 clinicians
- Minnesota Oncology Hematology PAMinneapolis, MN · 134 clinicians
Hospital affiliation
- M Health Fairview Southdale HospitalEdina, MN
Industry payments (Open Payments)
- 2024$47.67 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Axonics, Inc. | $47.67 | 2 |
What the 2024 payments were for
- Food and Beverage$47.67 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 148 physician assistants in Edina · All physician assistants in Minnesota