MARY A KOVALAK MD
NPI 1003861030
Internal Medicine - Gastroenterology in Englewood, CO

Q: What is Mary Kovalak's NPI number?

The NPI number for Mary Kovalak is 1003861030. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is Mary Kovalak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kovalak was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment

38.96/100

CMS Quality Rating

499 E HAMPDEN AVE STE 420, ENGLEWOOD, CO 80113(303) 788-8888(866) 896-1158 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mary A Kovalak Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY A KOVALAK MD (NPI 1003861030) is an individual gastroenterology provider in Englewood, Colorado, licensed in Colorado (48189) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lone Tree, and is a graduate of Michigan State University College Of Human Medicine (2002).

NPPES Registry Identity

NPI1003861030

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameMARY A KOVALAKCredential: MD

Location Address499 E HAMPDEN AVE STE 420Englewood, CO 80113-2794

Mailing Address499 E Hampden Ave Ste 420Englewood, CO 80113-2794 · (303) 788-8888 · Fax (866) 896-1158

Phone(303) 788-8888

Fax(866) 896-1158

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2002

Enumeration DateMay 25, 2006

Last NPPES UpdateAugust 24, 2023

NPPES CertifiedAugust 24, 2023

✔ NPI 1003861030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CO · 48189

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

499 E HAMPDEN AVE STE 420, Englewood, CO 80113

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Secondary Practice Location 1

Location 110103 Ridgegate Pkwy Ste 312Lone Tree, CO 80124-5525 · Phone (303) 788-8888 · Fax (866) 456-4594

Other Identifiers 1

Medicaid78529760CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary A Kovalak Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335165398

PECOS Enrollment IDI20091007000760

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Kovalak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Denver Gastroenterology, PC

Same address

Gastroenterology

499 E HAMPDEN AVE STE 420
Englewood, CO 80113

Reassigned Medicare billing, Colorado enrollment
Medicare enrollment name: South Denver Gastroenterology, P.C
55 clinicians in this Medicare group

NPI 1275139578 (303) 788-8888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

83 services48 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

44 services41 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

29 services26 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

23 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

38.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Promoting Interoperability

100

Improvement Activities

Cost

46.55

Reported Quality Measures

Advance Care Plan

37%123 patients2/55-star benchmark: 100%

Age Appropriate Screening Colonoscopy

Lower rates are better for this measure.

0%131 patients

Appropriate follow-up interval based on pathology findings in screening colonoscopy

90%31 patients

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients

96%25 patients

Closing the Referral Loop: Receipt of Specialist Report

43%44 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

85%149 patients4/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

97%460 patients4/55-star benchmark: 100%

e-Prescribing

99%231 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

21%356 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 121 patients

0%121 patients

Provide Patients Electronic Access to Their Health Information

89%117 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 123 patients

Patients totalRate: 2% · 123 patients

2%123 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH DENVER GASTROENTEROLOGY, PC

Internal Medicine (Gastroenterology)