COVENANT MEDICAL GROUP
NPI 1376598904
Family Medicine in Lubbock, TX
About Covenant Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COVENANT MEDICAL GROUP (NPI 1376598904) is a healthcare organization registered as a family medicine in Lubbock, Texas and active in the NPI registry since May 2006. The organization holds 9 active CLIA laboratory certificates and lists Kristen Kothmann, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Covenant Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
324Medicare enrollment records show 324 clinicians reassign Medicare billing to Covenant Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 238 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 29
Nearest to this location (20)
See all 324Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 11
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2309911
Covenant Medical Group Schaub · Lubbock, TXCertificate of Waiver 45D2345975
Covenant Medical Group - Layher · Lubbock, TXCertificate of Waiver 45D2343679
Covenant Medical Group-Blann · Lubbock, TXCertificate of Waiver 45D2006931
Covenant Medical Group Prenatal Care Center · Lubbock, TXCertificate of Waiver 45D2300577
Covenant Medical Group-Westfall · Lubbock, TXCertificate of Waiver 45D2298278
Covenant Medical Group · Lubbock, TXFrequently 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 Covenant Medical Group's NPI number?
The NPI number for Covenant Medical Group is 1376598904. It was assigned to this organization in the NPPES registry on May 23, 2006.
Where is Covenant Medical Group located?
Covenant Medical Group is located at 2215 Nashville Ave, Lubbock, TX 79410. The listed phone number is (806) 725-4800.
What is Covenant Medical Group's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Covenant Medical Group enrolled in Medicare?
Yes. Covenant Medical Group is registered in the Medicare PECOS enrollment system.
When is Covenant Medical Group's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Covenant Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 324 clinicians in 29 Medicare specialties reassign their Medicare billing to Covenant Medical Group. A 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 the clinician's services. The largest specialties are Nurse Practitioner (120), Pediatric Medicine (44) and Family Practice (35). Of these, 1 practice at this address and 238 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Covenant Medical Group hold CLIA laboratory certificates?
Yes. 9 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Covenant Medical Group accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Covenant Medical Group 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 Covenant Medical Group was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Covenant Medical Group · NPI 1376598904
Family Medicine organization in Lubbock, Texas. Organization record, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1376598904 (Entity type: Organization)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kristen Kothmann, COO
## Practice location
- **Address:** 2215 NASHVILLE AVE, Lubbock, TX 79410-1105
- **Phone:** (806) 725-4800 · **Fax:** (806) 723-6532
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 324 clinicians in 29 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (120), Pediatric Medicine (44), Family Practice (35); 1 practice at this address and 238 within 10 miles; [full list](https://npiprofile.com/npi/1376598904/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2020
- **Other identifiers:** Other 0038GH (TX); Medicaid 141656201 (TX); Medicaid G1594 (NM); and 2 more
- **CLIA laboratory certificates:** 11 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376598904) · Data from the CMS NPPES public registry.