THERESA A. COVELLO D.O.
NPI 1407965619
Family Medicine in San Carlos, AZ

Q: What is Theresa Covello's NPI number?

The NPI number for Theresa Covello is 1407965619. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Theresa Covello's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Covello was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 30, 2006PECOS EnrolledAccepts Medicare Assignment

223 CIBEQUE CIRCLE ROAD, SAN CARLOS, AZ 85550(928) 475-7219(928) 475-7370 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Theresa A. Covello D.o. NPPES

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

THERESA A. COVELLO D.O. (NPI 1407965619) is an individual family medicine provider in San Carlos, Arizona, licensed in Pennsylvania (OS010257L) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Erie, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1995).

NPPES Registry Identity

NPI1407965619

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTHERESA A. COVELLOCredential: D.O.

Location Address223 CIBEQUE CIRCLE ROADSan Carlos, AZ 85550

Mailing AddressPo Box 208San Carlos, AZ 85550-0208 · (928) 475-7219 · Fax (928) 475-7370

Phone(928) 475-7219

Fax(928) 475-7370

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1995

Enumeration DateAugust 30, 2006

Last NPPES UpdateMay 15, 2024

NPPES CertifiedMay 15, 2024

✔ NPI 1407965619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS010257L

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.

223 CIBEQUE CIRCLE ROAD, San Carlos, AZ 85550

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Secondary Practice Location 1

Location 15039 Peach StErie, PA 16509-2032 · Phone (814) 866-1443

Other Identifiers 1

Medicaid827321AZ

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

Theresa A. Covello D.o. 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 ID8325937261

PECOS Enrollment IDI20170522001380

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 Theresa Covello reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

San Carlos Apache Healthcare Corporation

4.0 mi

Critical Access Hospital

103 MEDICINE WAY ROAD
Peridot, AZ 85542

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

NPI 1265813075 (928) 475-1200

Medexpress Urgent Care, PC-Pennsylvania

1,729 mi

Urgent Care

1729 E STATE ST
Hermitage, PA 16148

Reassigned Medicare billing, Pennsylvania enrollment
214 clinicians in this Medicare group

NPI 1124318043 (724) 347-2083

Ucmg LLC

1,750 mi

Urgent Care

4655 WILLIAM FLYNN HWY STE 110
Allison Park, PA 15101

Reassigned Medicare billing, Pennsylvania enrollment
190 clinicians in this Medicare group

NPI 1972300622 (412) 486-3027

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 6

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.

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.

46 services46 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.

29 services27 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.

27 services27 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

24 services23 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services13 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85550 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 $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 9

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

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