JOHN H COVERDALE MD
NPI 1114036373
Psychiatry & Neurology - Psychiatry in Houston, TX

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
7011 SOUTHWEST FWY, HOUSTON, TX 77074(713) 970-7000(713) 970-7246 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John H Coverdale Md NPPES

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

JOHN H COVERDALE MD (NPI 1114036373) is an individual psychiatry provider in Houston, Texas, licensed in Texas (H4821) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1114036373
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOHN H COVERDALECredential: MD
Location Address7011 SOUTHWEST FWYHouston, TX 77074-2007
Mailing Address7011 Southwest FwyHouston, TX 77074-2007 · (713) 970-7000 · Fax (713) 970-7246
Fax(713) 970-7246
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 27, 2008
✔ NPI 1114036373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · H4821
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License H4821 (TX)
7011 SOUTHWEST FWY, Houston, TX 77074

Other Identifiers 3

Medicare PIN8044K3TX
Medicare UPINE35085TX
Medicare PIN8K1506TX

Accepted 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

John H Coverdale 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 ID6406947266
PECOS Enrollment IDI20070808000305
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 John Coverdale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
6620 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
70 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77074 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
7011 SOUTHWEST FWY
HOUSTON, TX 77074
Psychiatry & Neurology (Psychiatry)
7011 SOUTHWEST FWY
HOUSTON, TX 77074
Speech-Language Pathologist
7011 SOUTHWEST FWY
HOUSTON, TX 77074
Counselor (Mental Health)
7011 SOUTHWEST FWY
HOUSTON, TX 77074
Psychiatry & Neurology (Psychiatry)
7011 SOUTHWEST FWY
HOUSTON, TX 77074
Dietitian, Registered
7011 SOUTHWEST FWY
HOUSTON, TX 77074
Counselor (Mental Health)
7011 SOUTHWEST FWY
HOUSTON, TX 77074
Counselor (Professional)
7011 SOUTHWEST FWY
HOUSTON, TX 77074

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 John Coverdale's NPI number?

The NPI number for John Coverdale is 1114036373. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is John Coverdale located?

John Coverdale practices at 7011 Southwest Fwy, Houston, TX 77074. The listed phone number is (713) 970-7000.

What is John Coverdale's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Coverdale enrolled in Medicare?

Yes. John Coverdale 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 organization bills Medicare for John Coverdale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Coverdale reassigns Medicare benefits to Baylor College Of Medicine (Houston, TX). The 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 John Coverdale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Coverdale accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list John Coverdale 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 John Coverdale was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.