DR. DOUGLAS J COVERT MD, MPH
NPI 1194897017
Ophthalmology - Retina Specialist in Traverse City, MI
About Dr. Douglas J Covert Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS J COVERT MD, MPH (NPI 1194897017) is an individual retina specialist in Traverse City, Michigan, licensed in Michigan (4301097132) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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. Douglas J Covert Md, Mph 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.
Areas of Expertise CMS Part B claims 13
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Munson Medical Center
Acute Care Hospitals · Traverse City, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Douglas Covert's NPI number?
The NPI number for Douglas Covert is 1194897017. It was assigned to this individual provider in the NPPES registry on November 15, 2006.
Where is Douglas Covert located?
Douglas Covert practices at 860 E Front St, Traverse City, MI 49686. The listed phone number is (231) 938-0710.
What is Douglas Covert's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Douglas Covert enrolled in Medicare?
Yes. Douglas Covert 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 Douglas Covert accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Douglas Covert 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 Douglas Covert affiliated with any hospitals?
According to CMS data, Douglas Covert is affiliated with Munson Medical Center.
When was this NPI record last updated?
The NPPES record for Douglas Covert was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
