DR. CINTHIA GUZMAN COVEY M.D.
NPI 1174714117
Ophthalmology in Waterbury, CT

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
89.39/100
CMS Quality Rating
1201 W MAIN ST, WATERBURY, CT 06708(203) 597-9100(203) 595-4758 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Cinthia Guzman Covey M.d. NPPES

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

DR. CINTHIA GUZMAN COVEY M.D. (NPI 1174714117) is an individual ophthalmology provider in Waterbury, Connecticut, licensed in Connecticut (046303) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2008).

NPPES Registry Identity

NPI1174714117
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. CINTHIA GUZMAN COVEYCredential: M.D.
Location Address1201 W MAIN STWaterbury, CT 06708-3105
Mailing Address4 Cocheco AveBranford, CT 06405-5209 · (203) 488-8876
Fax(203) 595-4758
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2008
Enumeration DateAugust 6, 2007
Last NPPES UpdateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1174714117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CT · 046303
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1201 W MAIN ST, Waterbury, CT 06708

Other Identifiers 1

Other1174714117CT · Medicare Ptan

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

Dr. Cinthia Guzman Covey 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 ID8123195591
PECOS Enrollment IDI20080926000304
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 Cinthia Covey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
1201 W MAIN ST, SUITE 100
Waterbury, CT 06708
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: The Eye Care Group
  • 22 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 16

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
338 services327 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
231 services198 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
214 services162 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
196 services167 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.
174 services154 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
165 services156 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06708 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

89.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost64.65

Other Providers at the Same Location NPPES 13

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

Ophthalmology (Retina Specialist)
1201 W MAIN ST, SUITE 100
WATERBURY, CT 06708
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
1201 W MAIN ST
WATERBURY, CT 06708
Ophthalmology (Retina Specialist)
1201 W MAIN ST, SUITE 100
WATERBURY, CT 06708
Ophthalmology (Retina Specialist)
1201 W MAIN ST, SUITE 100
WATERBURY, CT 06708
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1201 W MAIN ST, SUITE 100
WATERBURY, CT 06708
Ophthalmology (Glaucoma Specialist)
1201 W MAIN ST, SUITE 100
WATERBURY, CT 06708
Ophthalmology (Neuro-ophthalmology)
1201 W MAIN ST, SUITE 100
WATERBURY, CT 06708
Ophthalmology (Cornea and External Diseases Specialist)
1201 W MAIN ST, SUITE 100
WATERBURY, CT 06708

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 Cinthia Covey's NPI number?

The NPI number for Cinthia Covey is 1174714117. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Cinthia Covey located?

Cinthia Covey practices at 1201 W Main St, Waterbury, CT 06708. The listed phone number is (203) 597-9100.

What is Cinthia Covey's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Cinthia Covey enrolled in Medicare?

Yes. Cinthia Covey 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 Cinthia Covey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cinthia Covey reassigns Medicare benefits to The Eye Care Group, P.C. (Waterbury, CT). 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 Cinthia Covey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cinthia Covey accept?

Health plans from Anthem Blue Cross and Blue Shield list Cinthia Covey 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 Cinthia Covey was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.