EDWARD H. KOVNAR M.D.
NPI 1366472524
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Milwaukee, WI

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209(414) 352-3100(414) 247-4597 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2021, Apr 17, 2019 (2 updates tracked since 2019).

About Edward H. Kovnar M.d. NPPES

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

EDWARD H. KOVNAR M.D. (NPI 1366472524) is an individual neurology with special qualifications in child neurology provider in Milwaukee, Wisconsin, licensed in Wisconsin (24320) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1366472524
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameEDWARD H. KOVNARCredential: M.D.
Location Address3003 W GOOD HOPE RDMilwaukee, WI 53209-2042
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(414) 247-4597
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
NPI 1366472524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License Licensed in WI · 24320
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
3003 W GOOD HOPE RD, Milwaukee, WI 53209

Other Identifiers 2

Medicaid1366472524WI
Medicaid30463000WI

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

Edward H. Kovnar 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 ID6800810615
PECOS Enrollment IDI20060119000706
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

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.
19 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53209 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Pharmacist
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Family Medicine
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Physician Assistant
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Family Medicine
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209

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 Edward Kovnar's NPI number?

The NPI number for Edward Kovnar is 1366472524. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Edward Kovnar located?

Edward Kovnar practices at 3003 W Good Hope Rd, Milwaukee, WI 53209. The listed phone number is (414) 352-3100.

What is Edward Kovnar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Edward Kovnar enrolled in Medicare?

Yes. Edward Kovnar 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 Edward Kovnar accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Edward Kovnar 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.

When was this NPI record last updated?

The NPPES record for Edward Kovnar was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.