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DR. KENNETH J KOVAL MD
NPI 1144256041
Orthopaedic Surgery - Orthopaedic Trauma in Orlando, FL

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
1222 S ORANGE AVE, ORLANDO, FL 32806(407) 649-6878(321) 843-7381 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2023, Jun 8, 2022, Jan 13, 2021 (3 updates tracked since 2021).

About Dr. Kenneth J Koval Md NPPES

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

DR. KENNETH J KOVAL MD (NPI 1144256041) is an individual orthopaedic trauma provider in Orlando, Florida, licensed in Florida (ME109050) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Uf Health Leesburg Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144256041
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameDR. KENNETH J KOVALCredential: MD
Location Address1222 S ORANGE AVEOrlando, FL 32806-1215
Mailing Address1222 S Orange AveOrlando, FL 32806-1215 · (407) 649-6878 · Fax (321) 843-7381
Phone(407) 649-6878
Fax(321) 843-7381
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1984
Enumeration DateJune 23, 2006
Last NPPES UpdateMay 11, 20233 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1144256041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
Licenses✔ Licensed in FL · ME109050✔ Licensed in KY · 54804✔ Licensed in NH · 12209
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME109050 (FL)
1222 S ORANGE AVE, Orlando, FL 32806
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1911 Bypass Rd Bldg APikeville, KY 41501-1689 · Phone (606) 218-6406 · Fax (606) 218-7506
Location 21301 Pleasant Valley Rd Ste 500BOwensboro, KY 42303-9774 · Phone (270) 417-7940 · Fax (270) 417-7949

Other Identifiers 2

Medicaid1010105VT
Medicaid30203937NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Florida Blue (BlueCross BlueShield FL) and more.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. Kenneth J Koval 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 ID9638079296
PECOS Enrollment IDI20110503000424, I20210122001162, I20240405003278
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

9

Medicare enrollment records show Kenneth Koval reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orlando Health Medical Group Inc
0.1 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452
Health First Medical Group, LLC
54 mi
General Practice
1223 GATEWAY DR
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 773 clinicians in this Medicare group
NPI 1750626495 (321) 434-5055
Health First Physician Specialties Inc
55 mi
Orthopaedic Trauma
1350 HICKORY ST
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 67 clinicians in this Medicare group
NPI 1336390020 (321) 434-5055
Baycare Medical Group, Inc.
90 mi
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
NPI 1043269871 (727) 281-9065
The Orthopaedic Institute PA
99 mi
Orthopaedic Surgery
4500 NEWBERRY RD
Gainesville, FL 32607
  • Reassigned Medicare billing, Florida enrollment
  • 116 clinicians in this Medicare group
NPI 1740373547 (352) 336-6000
Southeast Orthopedic Specialists, LLC
124 mi
Orthopaedic Surgery
2627 RIVERSIDE AVE STE 300
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 134 clinicians in this Medicare group
NPI 1629025820 (904) 634-0640
Pikeville Medical Center Inc.
598 mi
Clinic/Center
148 SUITE A, WHITESBURG PLAZA
Whitesburg, KY 41858
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group
NPI 1801106281 (606) 218-3500
Owensboro Health Medical Group Inc
651 mi
Otolaryngology
1501 S DIXIE ST
Horse Cave, KY 42749
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
NPI 1891177556 (270) 786-2191
Central Maine Medical Center
1,239 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646

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 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services40 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
35 services35 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
18 services18 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Uf Health Leesburg Hospital

Acute Care Hospitals · Leesburg, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100084
Location600 E Dixie AveLeesburg, FL 34748 · Lake County
Emergency services Birthing friendly

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

Villages Regional Hospital, The

Acute Care Hospitals · The Villages, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100290
Location1451 El Camino RealThe Villages, FL 32159 · Lake County
Emergency services

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

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.

BRYAN DAVID BROWN MD
Orthopaedic Surgery (Hand Surgery)
1222 S ORANGE AVE, 5TH FLOOR
ORLANDO, FL 32806
Orange County (321) 841-1764
KAREN LEONIA WALKER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1222 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 841-7700
RONALD RICHARD DOMESCEK M.D.
Internal Medicine (Interventional Cardiology)
1222 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 650-1300
DR. JONATHAN RODRIGUEZ ORTIZ M.D
Internal Medicine (Cardiovascular Disease)
1222 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 841-6444
HEATHER M ELKINS PA-C
Physician Assistant (Medical)
1222 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 351-5384
VICTORIA CALDERON APRN
Nurse Practitioner (Adult Health)
1222 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 841-6444
CINDY STEPHANIE ALVAREZ NP-C
Nurse Practitioner (Pediatrics)
1222 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 649-6907
JENNIFER HOLYCROSS APRN
Nurse Practitioner (Adult Health)
1222 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 841-6444

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 Kenneth Koval's NPI number?

The NPI number for Kenneth Koval is 1144256041. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Kenneth Koval located?

Kenneth Koval practices at 1222 S Orange Ave, Orlando, FL 32806. The listed phone number is (407) 649-6878.

What is Kenneth Koval's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Kenneth Koval enrolled in Medicare?

Yes. Kenneth Koval 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 Kenneth Koval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Koval reassigns Medicare benefits to 9 organizations: Orlando Health Medical Group Inc (Orlando, FL), Health First Medical Group, LLC (Melbourne, FL), Health First Physician Specialties Inc (Melbourne, FL), Baycare Medical Group, Inc. (Clearwater, FL), The Orthopaedic Institute PA (Gainesville, FL) and 4 more organizations, listed in the Medicare section above. 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 Kenneth Koval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Koval accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Taro Health list Kenneth Koval 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 Kenneth Koval affiliated with any hospitals?

According to CMS data, Kenneth Koval is affiliated with Uf Health Leesburg Hospital, Marion Communtiy Hospital, Villages Regional Hospital, The and Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Koval was last updated on May 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.