DR. CHARLES J KOVALCHICK DO
NPI 1144215682
Family Medicine in Lake Ariel, PA

Q: What is Charles Kovalchick's NPI number?

The NPI number for Charles Kovalchick is 1144215682. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Q: What is Charles Kovalchick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment

543 EASTON TPKE, LAKE ARIEL, PA 18436(570) 689-9965(570) 689-0387 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Charles J Kovalchick Do NPPES

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

DR. CHARLES J KOVALCHICK DO (NPI 1144215682) is an individual family medicine provider in Lake Ariel, Pennsylvania, licensed in Pennsylvania (OS009495L) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (1996).

NPPES Registry Identity

NPI1144215682

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHARLES J KOVALCHICKCredential: DO

Location Address543 EASTON TPKELake Ariel, PA 18436-4718

Mailing Address300 W King StLittlestown, PA 17340-1446 · (717) 359-9214 · Fax (717) 359-8120

Phone(570) 689-9965

Fax(570) 689-0387

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1996

Enumeration DateSeptember 12, 2005

Last NPPES UpdateJuly 11, 2023

NPPES CertifiedJuly 11, 2023

✔ NPI 1144215682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS009495L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

543 EASTON TPKE, Lake Ariel, PA 18436

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles J Kovalchick Do 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 ID3971513284

PECOS Enrollment IDI20060502000238

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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390125

Location601 Park StreetHonesdale, PA 18431 · Wayne County

Emergency services Birthing friendly

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390237

Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18436 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers78 claims130 services$5.23 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers26 claims30 services$0.92 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$3.07 avg. paid by Medicare

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

1 supplier11 claims11 services$6.47 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$4.51 avg. paid by Medicare

Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$5.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

MS. SABRINA ELISE SHANDER CRNP

Nurse Practitioner (Family)

543 EASTON TPKE
LAKE ARIEL, PA 18436

Wayne County (570) 689-9965

DANIEL HARMUTH FNP-BC

Nurse Practitioner (Family)

543 EASTON TPKE, SUITE 105
LAKE ARIEL, PA 18436

Wayne County (570) 689-9965

BRIANNE FRASCELLA CRNP

Nurse Practitioner (Family)

543 EASTON TPKE
LAKE ARIEL, PA 18436

Wayne County (570) 689-9965

STEPHEN A POKOWICZ, DC

Chiropractor (Rehabilitation)

543 EASTON TPKE, STE 102
LAKE ARIEL, PA 18436

Wayne County (570) 689-5757

MATERNAL & FAMILY HEALTH SERVICES INC

Clinic/Center

543 EASTON TPKE
LAKE ARIEL, PA 18436

Wayne County (570) 390-5000

NANCY GREER CRNP

Nurse Practitioner

543 EASTON TPKE
LAKE ARIEL, PA 18436

Wayne County (570) 689-9965

WAYNE MEMORIAL COMMUNITY HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))

543 EASTON TPKE, SUITE 105
LAKE ARIEL, PA 18436

Wayne County (570) 689-9965

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 Charles Kovalchick's NPI number?

The NPI number for Charles Kovalchick is 1144215682. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Charles Kovalchick located?

Charles Kovalchick practices at 543 Easton Tpke, Lake Ariel, PA 18436. The listed phone number is (570) 689-9965.

What is Charles Kovalchick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Kovalchick enrolled in Medicare?

Yes. Charles Kovalchick 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.

What insurance does Charles Kovalchick accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Charles Kovalchick 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.

Is Charles Kovalchick affiliated with any hospitals?

According to CMS data, Charles Kovalchick is affiliated with Geisinger-Community Medical Center, Wayne Memorial Hospital, Regional Hospital Of Scranton and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Kovalchick was last updated on July 11, 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.