DR. PAUL J KOVACK D.O.
NPI 1245221621
Internal Medicine - Cardiovascular Disease in Wyoming, MI

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
2122 HEALTH DR SW, WYOMING, MI 49519(616) 252-5950(616) 252-5956 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2017, Oct 17, 2017, Jan 24, 2017 (3 updates tracked since 2017).

About Dr. Paul J Kovack D.o. NPPES

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

DR. PAUL J KOVACK D.O. (NPI 1245221621) is an individual cardiovascular disease provider in Wyoming, Michigan, licensed in Michigan (5101011064) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1245221621
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PAUL J KOVACKCredential: D.O.
Location Address2122 HEALTH DR SWWyoming, MI 49519-9698
Mailing Address5900 Byron Center Ave Sw, Medical AdministrationWyoming, MI 49519-9606 · (616) 252-3243 · Fax (616) 252-0260
Fax(616) 252-5956
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 3, 2005
Last NPPES UpdateDecember 5, 20173 updates tracked since enumeration
NPI 1245221621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MI · 5101011064
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2122 HEALTH DR SW, Wyoming, MI 49519

Other Identifiers 4

Other060037412MI · Railroad Medicare
Medicaid3222989MI
Other5101011064MI · State License
OtherPK011064MI · Bsbcm Pin

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. Paul J Kovack D.o. 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 ID4385556026
PECOS Enrollment IDI20071012000266
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 35

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
206 services144 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
159 services157 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.
139 services103 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.
115 services96 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
62 services32 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
60 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Sheridan Community Hospital

Critical Access Hospitals · Sheridan, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231312
Location301 N Main StSheridan, MI 48884 · Montcalm County
Emergency services

Sparrow Ionia Hospital

Critical Access Hospitals · Ionia, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number231331
Location3565 S State RoadIonia, MI 48846 · Ionia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Nurse Practitioner (Family)
2122 HEALTH DR SW
WYOMING, MI 49519
Internal Medicine (Pulmonary Disease)
2122 HEALTH DR SW
WYOMING, MI 49519
Nurse Practitioner (Family)
2122 HEALTH DR SW
WYOMING, MI 49519
Physician Assistant (Medical)
2122 HEALTH DR SW
WYOMING, MI 49519
Nurse Practitioner
2122 HEALTH DR SW
WYOMING, MI 49519
Nurse Practitioner
2122 HEALTH DR SW
WYOMING, MI 49519
Nurse Practitioner (Family)
2122 HEALTH DR SW
WYOMING, MI 49519
Nurse Practitioner
2122 HEALTH DR SW, SUITE 133
WYOMING, MI 49519

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 Paul Kovack's NPI number?

The NPI number for Paul Kovack is 1245221621. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Paul Kovack located?

Paul Kovack practices at 2122 Health Dr SW, Wyoming, MI 49519. The listed phone number is (616) 252-5950.

What is Paul Kovack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Kovack enrolled in Medicare?

Yes. Paul Kovack 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 Paul Kovack accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Paul Kovack 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 Paul Kovack affiliated with any hospitals?

According to CMS data, Paul Kovack is affiliated with Spectrum Health United Hospital, Spectrum Health, University Of Michigan Health - West, Sheridan Community Hospital and Sparrow Ionia Hospital.

When was this NPI record last updated?

The NPPES record for Paul Kovack was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.