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SANDY F KOVACS CNP
NPI 1295090272
Nurse Practitioner - Family in Cardington, OH

Active since July 06, 2012PECOS EnrolledAccepts Medicare Assignment
116 E MAIN ST, CARDINGTON, OH 43315(419) 718-8130(614) 533-1441 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2026, Jan 25, 2022, Jun 7, 2019 and 1 more (4 updates tracked since 2019).

About Sandy F Kovacs Cnp NPPES

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

SANDY F KOVACS CNP (NPI 1295090272) is an individual family provider in Cardington, Ohio, licensed in Ohio (APRN.CNP.134) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1295090272
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDY F KOVACSCredential: CNP
Location Address116 E MAIN STCardington, OH 43315-1170
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141
Phone(419) 718-8130
Fax(614) 533-1441
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 6, 2012
Last NPPES UpdateAugust 20, 20264 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1295090272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.134
116 E MAIN ST, Cardington, OH 43315
Open in Google Maps ↗

Secondary Practice Location 1

Location 11069 Delaware Ave, Suite 200Marion, OH 43302-1400 · Phone (740) 387-4578

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandy F Kovacs Cnp 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 ID4183842131
PECOS Enrollment IDI20140904001126
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

3

Medicare enrollment records show Sandy Kovacs reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Urgent Care LLC
31 mi
Urgent Care
6905 HOSPITAL DR STE 130
Dublin, OH 43016
  • Reassigned Medicare billing, Ohio enrollment
  • 388 clinicians in this Medicare group
NPI 1811207160 (614) 923-0300
Ohiohealth Corporation
33 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772
The Little Clinic Of Ohio LLC
124 mi
Family
7132 HAMILTON AVE
Cincinnati, OH 45231
  • Reassigned Medicare billing, Ohio enrollment
  • 537 clinicians in this Medicare group
NPI 1982761896 (513) 728-2780

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

Areas of Expertise CMS Part B claims 7

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.
153 services81 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.
120 services77 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
68 services68 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
48 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services31 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
33 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Morrow County Hospital

Critical Access Hospitals · Mount Gilead, OH
OwnershipGovernment - Local
CMS Certification Number361313
Location651 West Marion RoadMount Gilead, OH 43338 · Morrow County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43315 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers39 claims66 services$5.47 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers12 claims12 services$37.75 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
2 suppliers17 claims20 services$69.46 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers29 claims29 services$200.74 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 2

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

MORROW COUNTY HOSPITAL
Clinic/Center (Rural Health)
116 E MAIN ST
CARDINGTON, OH 43315
Morrow County (419) 864-4440
DR. MATTHEW ALLAN HINTZ M.D.
Family Medicine
116 E MAIN ST
CARDINGTON, OH 43315
Morrow County (419) 718-8130

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 Sandy Kovacs's NPI number?

The NPI number for Sandy Kovacs is 1295090272. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Where is Sandy Kovacs located?

Sandy Kovacs practices at 116 E Main St, Cardington, OH 43315. The listed phone number is (419) 718-8130.

What is Sandy Kovacs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sandy Kovacs enrolled in Medicare?

Yes. Sandy 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.

Which organizations bill Medicare for Sandy Kovacs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandy Kovacs reassigns Medicare benefits to 3 organizations: Ohiohealth Urgent Care LLC (Dublin, OH), Ohiohealth Corporation (Columbus, OH) and The Little Clinic Of Ohio LLC (Cincinnati, OH). 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 Sandy Kovacs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandy Kovacs accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Sandy Kovacs 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 Sandy Kovacs affiliated with any hospitals?

According to CMS data, Sandy Kovacs is affiliated with Riverside Methodist Hospital, Marion General Hospital, Grady Memorial Hospital and Morrow County Hospital.

When was this NPI record last updated?

The NPPES record for Sandy Kovacs was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.