1. Home
  2. Directory
  3. Michigan
  4. Ludington
  5. Pediatrics
  6. NPI Profile

DR. TERESA ELLEN KOVAS M.D.
NPI 1043435779
Pediatrics in Ludington, MI

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
907 E TINKHAM AVE, LUDINGTON, MI 49431(231) 843-3477(231) 843-9042 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Teresa Ellen Kovas M.d. NPPES

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

DR. TERESA ELLEN KOVAS M.D. (NPI 1043435779) is an individual pediatrics provider in Ludington, Michigan, licensed in Michigan (4301099708) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2007).

NPPES Registry Identity

NPI1043435779
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. TERESA ELLEN KOVASCredential: M.D.
Location Address907 E TINKHAM AVELudington, MI 49431-1537
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Phone(231) 843-3477
Fax(231) 843-9042
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2007
Enumeration DateApril 16, 2007
Last NPPES UpdateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
✔ NPI 1043435779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301099708
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 52893 (WI)
907 E TINKHAM AVE, Ludington, MI 49431
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Teresa Ellen Vandenbergh M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

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

Dr. Teresa Ellen Kovas M.d. 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 ID4082748710
PECOS Enrollment IDI20150521000243
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 Reassignments

2

Medicare enrollment records show Teresa Kovas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Medical Center Of West Michigan
0.4 mi
Psychiatric Unit
1 N ATKINSON DR
Ludington, MI 49431
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1356510259 (231) 843-2591
Edward W Sparrow Hospital Association
96 mi
Pain Medicine
205 S DEXTER ST
Ionia, MI 48846
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
NPI 1891486205 (616) 527-0558

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49431 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 5

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

MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Pediatrics
907 E TINKHAM AVE
LUDINGTON, MI 49431
Mason County (231) 843-3477
MARGARET TOMLINSON MIDDLEBROOK MD
Pediatrics
907 E TINKHAM AVE
LUDINGTON, MI 49431
Mason County (231) 843-3477
STEPHEN F TROMBLEY JR. MD
Pediatrics
907 E TINKHAM AVE
LUDINGTON, MI 49431
Mason County (231) 843-3477
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Clinic/Center (Rural Health)
907 E TINKHAM AVE
LUDINGTON, MI 49431
Mason County (231) 843-3477
ERIN ROSS CPNP
Nurse Practitioner (Pediatrics)
907 E TINKHAM AVE
LUDINGTON, MI 49431
Mason County (231) 843-3477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Kovas's NPI number?

The NPI number for Teresa Kovas is 1043435779. It was assigned to this individual provider in the NPPES registry on April 16, 2007. The provider is also known as Dr. Teresa Ellen Vandenbergh M.D..

Where is Teresa Kovas located?

Teresa Kovas practices at 907 E Tinkham Ave, Ludington, MI 49431. The listed phone number is (231) 843-3477.

What is Teresa Kovas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Teresa Kovas enrolled in Medicare?

Yes. Teresa Kovas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Teresa Kovas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Kovas reassigns Medicare benefits to 2 organizations: Memorial Medical Center Of West Michigan (Ludington, MI) and Edward W Sparrow Hospital Association (Ionia, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresa Kovas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Kovas accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Teresa Kovas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teresa Kovas was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.