WILLIAM J COVE DO
NPI 1396766150
Family Medicine in Waterbury, VT

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
130 S MAIN ST, WATERBURY MEDICAL ASSOCIATES, WATERBURY, VT 05676(802) 224-7874(802) 244-4106 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About William J Cove Do NPPES

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

WILLIAM J COVE DO (NPI 1396766150) is an individual family medicine provider in Waterbury, Vermont, licensed in Vermont (032-0000310) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (1982).

NPPES Registry Identity

NPI1396766150
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM J COVECredential: DO
Location Address130 S MAIN ST, WATERBURY MEDICAL ASSOCIATESWaterbury, VT 05676-1519
Mailing AddressPo Box 547, Att: Cvmc Finance DeptBarre, VT 05641-0547 · (802) 244-7874 · Fax (802) 244-4106
Fax(802) 244-4106
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1982
Enumeration DateJuly 21, 2006
Last NPPES UpdateDecember 4, 2014
NPI 1396766150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VT · 032-0000310
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X · License 032-0000310 (VT)
130 S MAIN ST, Waterbury, VT 05676

Other Identifiers 4

Medicaid0009799VT
Medicare PINOX1082VT
Medicare UPINE69516
Medicaid3091432NH

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

William J Cove Do 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 ID2466496385
PECOS Enrollment IDI20050613000331
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 2

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 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.
121 services114 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.
37 services36 patients

Hospital Affiliations CMS Care Compare

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

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05676 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 10

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

Nurse Practitioner (Family)
130 S MAIN ST, WATERBURY MEDICAL ASSOCIATES
WATERBURY, VT 05676
Family Medicine
130 S MAIN ST
WATERBURY, VT 05676
Family Medicine
130 S MAIN ST
WATERBURY, VT 05676
Family Medicine
130 S MAIN ST, CVMC FAMILY MEDICINE-WATEBURY
WATERBURY, VT 05676
Family Medicine
130 S MAIN ST
WATERBURY, VT 05676
Nurse Practitioner (Family)
130 S MAIN ST
WATERBURY, VT 05676
Family Medicine
130 S MAIN ST, WATERBURY MEDICAL ASSOCIATES
WATERBURY, VT 05676
Family Medicine
130 S MAIN ST, WATERBURY MEDICAL ASSOCIATES
WATERBURY, VT 05676

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 William Cove's NPI number?

The NPI number for William Cove is 1396766150. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is William Cove located?

William Cove practices at 130 S Main St Waterbury Medical Associates, Waterbury, VT 05676. The listed phone number is (802) 224-7874.

What is William Cove's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Cove enrolled in Medicare?

Yes. William Cove 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 William Cove accept?

Health plans from Anthem Blue Cross and Blue Shield list William Cove 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 William Cove affiliated with any hospitals?

According to CMS data, William Cove is affiliated with Central Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for William Cove was last updated on December 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.