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THEODORE J. HOVICK JR. M.D.
NPI 1255395786
Obstetrics & Gynecology in Altoona, PA

Active since April 13, 2006PECOS Enrolled
2918 6TH AVE, ALTOONA, PA 16602(814) 889-2626(814) 889-3197 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2021, Jul 9, 2021, May 17, 2021 (3 updates tracked since 2021).

About Theodore J. Hovick Jr. M.d. NPPES

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

THEODORE J. HOVICK JR. M.D. (NPI 1255395786) is an individual obstetrics & gynecology provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD064017L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255395786
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTHEODORE J. HOVICK JR.Credential: M.D.
Location Address2918 6TH AVEAltoona, PA 16602-1917
Mailing Address2 Hot Metal St Ste N357Pittsburgh, PA 15203-2348 · (412) 432-5868 · Fax (412) 647-4486
Phone(814) 889-2626
Fax(814) 889-3197
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateJuly 28, 20213 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
✔ NPI 1255395786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD064017L
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2918 6TH AVE, Altoona, PA 16602
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore J. Hovick Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Theodore Hovick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upmc Altoona
1.9 mi
General Acute Care Hospital
501 HOWARD AVE, SUITE F2
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 54 clinicians in this Medicare group
NPI 1487604179 (814) 889-2701
University Of Pittsburgh Physicians
74 mi
Internal Medicine
3436 WILLIAM PENN HWY, SUITE 166
Pittsburgh, PA 15235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1407985674 (412) 823-6222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 13

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

WOMEN'S HEALTH AND LASER CARE PC
Obstetrics & Gynecology
2918 6TH AVE
ALTOONA, PA 16602
Blair County (814) 944-6055
ELIZABETH FRANKS CNM
Advanced Practice Midwife
2918 6TH AVE
ALTOONA, PA 16602
Blair County (814) 889-2626
JESSICA MIELNIK
Physician Assistant
2918 6TH AVE
ALTOONA, PA 16602
Blair County (814) 889-2626
MARINA A OPIDA MD
Obstetrics & Gynecology
2918 6TH AVE
ALTOONA, PA 16602
Blair County (814) 944-6055
MR. JOEL EDWARD MESSOM M.D.
Obstetrics & Gynecology
2918 6TH AVE
ALTOONA, PA 16602
Blair County (814) 889-2626
TYRONE HOSPITAL
Clinic/Center (Radiology, Mammography)
2918 6TH AVE
ALTOONA, PA 16602
Blair County (814) 684-1255
MRS. MARLENE BALDWIN DUNWOODY MSN, WHNP-BC
Nurse Practitioner (Women's Health)
2918 6TH AVE
ALTOONA, PA 16602
Blair County (814) 889-2626
DR. ELIZABETH GORDON D.O
Obstetrics & Gynecology
2918 6TH AVE
ALTOONA, PA 16602
Blair County (814) 944-6055

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 Theodore Hovick's NPI number?

The NPI number for Theodore Hovick is 1255395786. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Theodore Hovick located?

Theodore Hovick practices at 2918 6th Ave, Altoona, PA 16602. The listed phone number is (814) 889-2626.

What is Theodore Hovick's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Theodore Hovick enrolled in Medicare?

Yes. Theodore Hovick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Theodore Hovick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Hovick reassigns Medicare benefits to 2 organizations: Upmc Altoona (Altoona, PA) and University Of Pittsburgh Physicians (Pittsburgh, PA). 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 Theodore Hovick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodore Hovick was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.