DR. STEPHEN JOHN KOVACH III MD
NPI 1255463683
Plastic Surgery in Philadelphia, PA

Q: What is Stephen Kovach's NPI number?

The NPI number for Stephen Kovach is 1255463683. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Stephen Kovach's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Kovach was last updated on December 22, 2020. 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.

Active since March 12, 2007PECOS EnrolledAccepts Medicare Assignment

85.63/100

CMS Quality Rating

3400 CIVIC CENTER BLVD, 1ST FLOOR EAST PAVILLION, PHILADELPHIA, PA 19104(215) 662-7300(215) 349-5895 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Stephen John Kovach Iii Md NPPES

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

DR. STEPHEN JOHN KOVACH III MD (NPI 1255463683) is an individual plastic surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD432250) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of George Washington University School Of Medicine (1997).

NPPES Registry Identity

NPI1255463683

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. STEPHEN JOHN KOVACH IIICredential: MD

Location Address3400 CIVIC CENTER BLVD, 1ST FLOOR EAST PAVILLIONPhiladelphia, PA 19104-5161

Mailing Address3400 Civic Center Blvd, 1st Floor East PavillionPhiladelphia, PA 19104-5161 · (215) 662-7300 · Fax (215) 349-5895

Phone(215) 662-7300

Fax(215) 349-5895

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 1997

Enumeration DateMarch 12, 2007

Last NPPES UpdateDecember 22, 2020

NPPES CertifiedDecember 22, 2020

✔ NPI 1255463683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in PA · MD432250

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Stephen John Kovach Iii Md 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 ID1052408622

PECOS Enrollment IDI20071029000516

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 14

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.

Repair of wound by transferring skin, each additional 30.0 sq cm 14302

This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.

167 services39 patients

Creation of muscle graft to trunk 15734

The creation of a muscle graft to the trunk is a surgical procedure where healthy muscle tissue is moved from one part of the body to another. This helps to repair damaged areas, improve function, and enhance appearance. It's a common procedure in reconstructive surgery.

91 services48 patients

Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less 15003

This procedure involves preparing a specific area of your body (trunk, arms, or legs) for a skin graft. The area is cleaned and treated to receive new skin, usually to aid in healing from a burn or wound. The size of the area treated is up to 100.0 sq cm or 1% of a child's body area.

78 services39 patients

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002

This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.

60 services51 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

55 services45 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.

43 services39 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

42 services42 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.

37 services34 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.

30 services25 patients

Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less 15101

This is a procedure where a thin layer of skin is taken from a healthy area of your body and placed onto a wound on your trunk, arms, or legs. It is used to promote healing and reduce scarring. The measurement mentioned refers to the size of the graft.

19 services12 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

16 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15100

A partial thickness self skin graft involves taking a thin layer of healthy skin from one area of your body and transplanting it to a damaged area on your trunk, arms, or legs. This procedure is used to treat a variety of skin conditions and injuries. It covers a maximum of 100.0 sq cm or 1% of body area for infants and children.

14 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

85.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

99.31

Improvement Activities

Cost

86.69

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.

PHILIPPE OLIVIER SZAPARY MD

Internal Medicine (Cardiovascular Disease)

3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 615-4949

UNIVERSITY OF PENNSYLVANIA

Psychiatric Unit

3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-1828

CAREY MCDOUGALL M.S.

Genetic Counselor, MS

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-2920

KELSEY ELIZABETH SPIELMAN

Genetic Counselor, MS

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8479

STEVEN S SCHERER MD

Psychiatry & Neurology (Neurology)

3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3606

KEITH CENGEL MD, PHD

Radiology (Radiation Oncology)

3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2428

BRIAN FRIEL MD

Urology

3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-5042

RICHARD KRISKA

Pharmacist

3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6260

LESLIE HANLON VNENCHAK

Speech-Language Pathologist

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4000

KATHY A LAWLER PHD

Clinical Neuropsychologist

3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3606

MRS. JENNIFER M SIEGLE RN, CPNP

Nurse Practitioner (Pediatrics)

3400 CIVIC CENTER BLVD, 5TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-4075

MICHELE ANN AMBROSINO CRNP

Nurse Practitioner (Neonatal, Critical Care)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-5657

NAWAR D ABDUL LATIF M.D.

Obstetrics & Gynecology (Gynecologic Oncology)

3400 CIVIC CENTER BLVD, 3RD FLOOR WEST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3318

MRS. ALICIA RAE MCLEISH CRNP

Nurse Practitioner (Primary Care)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4000

TENITA C KNOTTS NP

Radiology (Radiation Oncology)

3400 CIVIC CENTER BLVD, 2 TRC
PHILADELPHIA, PA 19104

Philadelphia County (215) 615-6767

MR. OMKAR S. ANASPURE

Student in an Organized Health Care Education/Training Program

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4000

LAWRENCE FISHER BRASS MD

Internal Medicine (Hematology & Oncology)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 615-5858

DR. NDUKA MGBECHINYERE AMANKULOR MD

Neurological Surgery

3400 CIVIC CENTER BLVD, 2ND FLR SOUTH PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3487

RAOUL J APONTE PA-C

Physician Assistant

3400 CIVIC CENTER BLVD, 2ND FLR. SOUTH PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3487

UNIVERSITY OF PENN-MEDICAL GROUP

Surgery

3400 CIVIC CENTER BLVD, 4 WEST PAVILLION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2626

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 Stephen Kovach's NPI number?

The NPI number for Stephen Kovach is 1255463683. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Stephen Kovach located?

Stephen Kovach practices at 3400 Civic Center Blvd 1st Floor East Pavillion, Philadelphia, PA 19104. The listed phone number is (215) 662-7300.

What is Stephen Kovach's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Stephen Kovach enrolled in Medicare?

Yes. Stephen Kovach 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 Stephen Kovach accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Stephen Kovach 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 Stephen Kovach affiliated with any hospitals?

According to CMS data, Stephen Kovach is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Kovach was last updated on December 22, 2020. 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.