DR. GABOR L KOVACS M.D.
NPI 1215081575
Internal Medicine - Hematology & Oncology in Laguna Beach, CA

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
83.94/100
CMS Quality Rating
31852 COAST HWY, STE #305, LAGUNA BEACH, CA 92651(949) 499-3085(949) 499-4095 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2019, Feb 15, 2017 (2 updates tracked since 2017).

About Dr. Gabor L Kovacs M.d. NPPES

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

DR. GABOR L KOVACS M.D. (NPI 1215081575) is an individual hematology & oncology provider in Laguna Beach, California, licensed in California (A34788) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1215081575
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. GABOR L KOVACSCredential: M.D.
Location Address31852 COAST HWY, STE #305Laguna Beach, CA 92651-6764
Mailing Address31852 Coast Hwy, Ste #305Laguna Beach, CA 92651-6764 · (949) 499-3085 · Fax (949) 499-4095
Fax(949) 499-4095
Sole ProprietorNo
Medical School CMSOtherGraduated 1971
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMay 8, 20192 updates tracked since enumeration
NPI 1215081575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in CA · A34788
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
31852 COAST HWY, Laguna Beach, CA 92651

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. Gabor L Kovacs 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 ID9931118932
PECOS Enrollment IDI20060419000832
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.

Areas of Expertise CMS Part B claims 10

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 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.
682 services163 patients
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366
This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.
90 services13 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
77 services12 patients
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.
71 services48 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
40 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92651 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

83.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95
Improvement Activities40
Cost46.37

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$57.02 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 18

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

Internal Medicine (Infectious Disease)
31852 COAST HWY, STE 201
LAGUNA BEACH, CA 92651
Acupuncturist
31852 COAST HWY, STE 307
LAGUNA BEACH, CA 92651
Specialist
31852 COAST HWY, SUITE 300
LAGUNA BEACH, CA 92651
Podiatrist (Foot & Ankle Surgery)
31852 COAST HWY, SUITE 105
LAGUNA BEACH, CA 92651
Internal Medicine (Infectious Disease)
31852 COAST HWY, SUITE 301
LAGUNA BEACH, CA 92651
Obstetrics & Gynecology (Gynecology)
31852 COAST HWY, SUITE 203
LAGUNA BEACH, CA 92651
Clinic/Center (Primary Care)
31852 COAST HWY, 400
LAGUNA BEACH, CA 92651
Physiological Laboratory
31852 COAST HWY, SUITE 201
LAGUNA BEACH, CA 92651

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 Gabor Kovacs's NPI number?

The NPI number for Gabor Kovacs is 1215081575. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Gabor Kovacs located?

Gabor Kovacs practices at 31852 Coast Hwy Ste #305, Laguna Beach, CA 92651. The listed phone number is (949) 499-3085.

What is Gabor Kovacs's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Gabor Kovacs enrolled in Medicare?

Yes. Gabor Kovacs 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.

When was this NPI record last updated?

The NPPES record for Gabor Kovacs was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.