KEVIN J KOVACH M.D.
NPI 1386643658
Ophthalmology in Elmhurst, IL

Q: What is Kevin Kovach's NPI number?

The NPI number for Kevin Kovach is 1386643658. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Q: What is Kevin Kovach's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Kovach was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 19, 2005PECOS EnrolledAccepts Medicare Assignment

76.19/100

CMS Quality Rating

152 N ADDISON AVE, ELMHURST, IL 60126(630) 833-9621(630) 833-9465 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kevin J Kovach M.d. NPPES

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

KEVIN J KOVACH M.D. (NPI 1386643658) is an individual ophthalmology provider in Elmhurst, Illinois, licensed in Illinois (036090975) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1992).

NPPES Registry Identity

NPI1386643658

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameKEVIN J KOVACHCredential: M.D.

Location Address152 N ADDISON AVEElmhurst, IL 60126

Mailing Address152 N Addison AveElmhurst, IL 60126-2821 · (630) 833-9621 · Fax (630) 833-9465

Phone(630) 833-9621

Fax(630) 833-9465

Sole ProprietorYes

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1992

Enumeration DateJuly 19, 2005

Last NPPES UpdateMay 17, 2018

✔ NPI 1386643658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IL · 036090975

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

152 N ADDISON AVE, Elmhurst, IL 60126

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Other Identifiers 1

Other180037523IL · Railroad Palmetto Gba

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, 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

Kevin J 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 ID5193612828

PECOS Enrollment IDI20071110000094

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 19

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.

943 services704 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.

792 services448 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

575 services509 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

511 services266 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

440 services247 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.

339 services339 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

301 services277 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

265 services261 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

237 services216 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

236 services148 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

61 services35 patients

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

46 services21 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

42 services26 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

30 services18 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

24 services12 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

24 services21 patients

Injection of medication into eye 66030

This procedure involves administering medication directly into your eye. A tiny needle is used to deliver the drug into the vitreous, a jelly-like substance in the eye. It helps treat conditions like macular degeneration or diabetic retinopathy. It's generally safe and effective.

22 services12 patients

Partial removal of eye fluid between lens and retina with mechanical removal of eye fluid 67010

This procedure involves reducing the fluid between your lens and retina. A special device is used to extract some of this fluid, aiding in improved eye function and potentially alleviating discomfort or vision issues.

19 services19 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Edward Hospital

Acute Care Hospitals · Naperville, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140231

Location801 South WashingtonNaperville, IL 60540 · Du Page County

Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

76.19/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

20.63

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Other Providers at the Same Location NPPES 11

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

JEANETTE EDWARDS MD

Pediatrics

152 N ADDISON AVE, STE 200
ELMHURST, IL 60126

Dupage County (630) 832-3100

DR. MARIUS DORIN GRADIANU D.O.

Ophthalmology

152 N ADDISON AVE
ELMHURST, IL 60126

Dupage County (630) 833-9621

DAVID J HAYDEN M.D.

Ophthalmology

152 N ADDISON AVE
ELMHURST, IL 60126

Dupage County (630) 833-9621

7 HILLS HEALTHCARE CENTER P.C.

Internal Medicine

152 N ADDISON AVE, SUITE 202
ELMHURST, IL 60126

Dupage County (847) 428-2273

DR. FATIMA HADI ALI M.D.

Ophthalmology

152 N ADDISON AVE
ELMHURST, IL 60126

Dupage County (630) 833-9621

KIMBERLY WEYNETH D.D.S.

Dentist (General Practice)

152 N ADDISON AVE, SUITE 201
ELMHURST, IL 60126

Dupage County (630) 530-8852

KOVACH EYE INSTITUTE, LTD

Ophthalmology

152 N ADDISON AVE
ELMHURST, IL 60126

Dupage County (630) 833-9621

ELMHURST EYE SURGERY CENTER

Clinic/Center (Ophthalmologic Surgery)

152 N ADDISON AVE
ELMHURST, IL 60126

Dupage County (630) 833-9621

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 Kevin Kovach's NPI number?

The NPI number for Kevin Kovach is 1386643658. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Kevin Kovach located?

Kevin Kovach practices at 152 N Addison Ave, Elmhurst, IL 60126. The listed phone number is (630) 833-9621.

What is Kevin Kovach's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin Kovach enrolled in Medicare?

Yes. Kevin 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 Kevin Kovach accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kevin 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 Kevin Kovach affiliated with any hospitals?

According to CMS data, Kevin Kovach is affiliated with Edward Hospital and Alexian Brothers Medical Center 1.

When was this NPI record last updated?

The NPPES record for Kevin Kovach was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.