DR. MARK W KOVACH M.D.
NPI 1336128222
Internal Medicine - Clinical Cardiac Electrophysiology in Saint Peters, MO

Q: What is Mark Kovach's NPI number?

The NPI number for Mark Kovach is 1336128222. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Q: What is Mark Kovach's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Kovach was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment

201 BJC SAINT PETERS DR STE 200, SAINT PETERS, MO 63376(636) 916-9615(636) 916-9850 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2026, Dec 24, 2025, Jul 2, 2025 and 4 more (7 updates tracked since 2017).

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About Dr. Mark W Kovach M.d. NPPES

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

DR. MARK W KOVACH M.D. (NPI 1336128222) is an individual clinical cardiac electrophysiology provider in Saint Peters, Missouri, licensed in Illinois (036098054) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1336128222

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameDR. MARK W KOVACHCredential: M.D.

Location Address201 BJC SAINT PETERS DR STE 200Saint Peters, MO 63376-3386

Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (636) 916-9615 · Fax (636) 916-9850

Phone(636) 916-9615

Fax(636) 916-9850

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJanuary 10, 2006

Last NPPES UpdateMarch 2, 20267 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1336128222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

Licenses✔ Licensed in IL · 036098054✔ Licensed in KY · C5035✔ Licensed in MO · 2025044853✔ Licensed in TX · V4257✔ Licensed in MT · 159182

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

201 BJC SAINT PETERS DR STE 200, Saint Peters, MO 63376

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Secondary Practice Locations 3

Location 11230 E 1st StCasper, WY 82601-2704 · Phone (800) 445-3501 · Fax (307) 266-3177

Location 21300 28th St S Fl 2Great Falls, MT 59405-5296 · Phone (406) 455-5000

Location 32401 S 31st StTemple, TX 76508-2704 · Phone (254) 724-2111

Other Identifiers 3

Medicaid2416040IA

OtherP00062332Medicare Railroad

Medicaid036098054IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Dr. Mark W Kovach 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 ID1850293366

PECOS Enrollment IDI20040124000148, I20241220003531, I20251014003065, I20260227000299, I20260312000435

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

Medicare enrollment records show Mark Kovach reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Heights Medical Group Sc

12 mi

Multi-Specialty

670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141

Reassigned Medicare billing, Illinois and Missouri enrollments
507 clinicians in this Medicare group

NPI 1679503668 (314) 996-7644

Owensboro Health Medical Group, Inc.

176 mi

Family Medicine

1997 BARRET CT, SUITE B
Henderson, KY 42420

Reassigned Medicare billing, Kentucky enrollment
643 clinicians in this Medicare group

NPI 1588019186 (270) 827-8708

Genesis Health System

186 mi

General Acute Care Hospital

801 ILLINI DR
Silvis, IL 61282

Reassigned Medicare billing, Illinois enrollment
198 clinicians in this Medicare group

NPI 1427132604 (309) 281-4000

Genesis Health System

189 mi

Anatomic Pathology & Clinical Pathology

1227 E RUSHOLME ST
Davenport, IA 52803

Reassigned Medicare billing, Iowa enrollment
300 clinicians in this Medicare group

NPI 1295196798 (563) 355-9200

Cardiovascular Medicine PLLC

190 mi

Cardiovascular Disease

1236 E. RUSHOLME STREET, SUITE 300
Davenport, IA 52803

Reassigned Medicare billing, Iowa and Illinois enrollments
55 clinicians in this Medicare group

NPI 1982632907 (563) 324-2992

Cgh Medical Center

213 mi

General Acute Care Hospital

100 E LE FEVRE RD
Sterling, IL 61081

Reassigned Medicare billing, Illinois enrollment
356 clinicians in this Medicare group

NPI 1902854623 (815) 625-0400

Central Iowa Hospital Corporation

248 mi

Family Medicine

800 COLONIAL CIR, STE 200
Norwalk, IA 50211

Reassigned Medicare billing, Iowa enrollment
545 clinicians in this Medicare group

NPI 1659322410 (515) 285-3200

Scott & White Clinic

541 mi

Internal Medicine

3500 GASTON AVE
Dallas, TX 75246

Reassigned Medicare billing, Texas enrollment
2,795 clinicians in this Medicare group

NPI 1649820796 (214) 820-1933

Houston County Healthcare Authority

549 mi

Internal Medicine

889 ELBA HWY
Troy, AL 36079

Reassigned Medicare billing, Alabama enrollment
514 clinicians in this Medicare group

NPI 1295065811 (334) 347-3404

Acclaim Physician Group, Inc

564 mi

Internal Medicine

1500 S MAIN ST
Fort Worth, TX 76104

Reassigned Medicare billing, Texas enrollment
985 clinicians in this Medicare group

NPI 1780076562 (817) 702-6770

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 13

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.

82 services75 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

63 services63 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

55 services37 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.

51 services37 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.

41 services41 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

38 services36 patients

Insertion of pacemaker and upper and lower heart chamber electrode 33208

A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.

35 services35 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

33 services32 patients

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

24 services24 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services16 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

18 services15 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

18 services15 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260180

Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County

Emergency services

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63376 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606

DME-Other DME · category DE013N

1 supplier14 claims14 services$2,120.57 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 19

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

DR. XIMENA SOLEDAD SCHNURR M.D.

Family Medicine