JAMES DAVID COVELLI MD
NPI 1467794164
Radiology - Diagnostic Radiology in Mount Pleasant, TX

Q: What is James Covelli's NPI number?

The NPI number for James Covelli is 1467794164. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Q: What is James Covelli's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for James Covelli was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment

76.5/100

CMS Quality Rating

2001 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455(903) 577-6000 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2026, Nov 11, 2025, May 9, 2025 and 3 more (6 updates tracked since 2018).

On this page

About James David Covelli Md NPPES

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

JAMES DAVID COVELLI MD (NPI 1467794164) is an individual diagnostic radiology provider in Mount Pleasant, Texas, licensed in Texas (U9727) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1467794164

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJAMES DAVID COVELLICredential: MD

Location Address2001 N JEFFERSON AVEMount Pleasant, TX 75455-2338

Mailing Address5555 W Las Positas BlvdPleasanton, CA 94588-4000 · (925) 847-3000 · Fax (650) 724-2051

Phone(903) 577-6000

Sole ProprietorYes

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2013

Enumeration DateMarch 20, 2013

Last NPPES UpdateApril 27, 20266 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1467794164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in TX · U9727✔ Licensed in CA · A153914

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 28085 (NE)

2001 N JEFFERSON AVE, Mount Pleasant, TX 75455

Open in Google Maps ↗

Secondary Practice Locations 3

Location 13551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234 · Phone (210) 916-3290

Location 25555 W Las Positas BlvdPleasanton, CA 94588-4000 · Phone (925) 847-3000 · Fax (650) 724-2051

Location 3300 Pasteur DrStanford, CA 94305-2200 · Phone (650) 723-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

James David Covelli Md 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 ID4688903164

PECOS Enrollment IDI20190909002282, I20240921000298

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 James Covelli reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Titus County Hospital District

Same address

Multi-Specialty

2001 N JEFFERSON AVE
Mount Pleasant, TX 75455

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

NPI 1063548881 (903) 577-6000

Riverside Radiology And Interventional Associates Inc

814 mi

Diagnostic Radiology

3525 OLENTANGY RIVER RD, STE 5360
Columbus, OH 43214

Reassigned Medicare billing, California enrollment
25 clinicians in this Medicare group

NPI 1093718496 (614) 340-7747

Modesto Radiological Medical Group, Inc

1,283 mi

Diagnostic Radiology

4525 YERBA SANTA DR
San Diego, CA 92115

Reassigned Medicare billing, California enrollment
102 clinicians in this Medicare group

NPI 1629424486 (559) 455-4009

Adventist Health Tulare

1,399 mi

General Acute Care Hospital

869 N CHERRY ST
Tulare, CA 93274

Reassigned Medicare billing, California enrollment
119 clinicians in this Medicare group

NPI 1801366711 (559) 688-0821

Reedley Community Hospital

1,406 mi

General Acute Care Hospital

372 W. CYPRESS AVE
Reedley, CA 93654

Reassigned Medicare billing, California enrollment
315 clinicians in this Medicare group

NPI 1336167550 (559) 638-8155

Hanford Community Hospital

1,418 mi

General Acute Care Hospital

115 MALL DR
Hanford, CA 93230

Reassigned Medicare billing, California enrollment
139 clinicians in this Medicare group

NPI 1538141627 (559) 582-9000

Silicon Valley Diagnostic Imaging, Inc.

1,554 mi

Radiology

2500 GRANT RD
Mountain View, CA 94040

Reassigned Medicare billing, California enrollment
109 clinicians in this Medicare group

NPI 1629265806 (650) 940-7000

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 13

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.

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

85 services85 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

77 services77 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

71 services71 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

63 services63 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

48 services48 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

37 services37 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

31 services31 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

20 services20 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

16 services16 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

16 services16 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

14 services14 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

13 services13 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360118

Location335 Glessner AvenueMansfield, OH 44903 · Richland County

Emergency services Birthing friendly

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450080

Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75455 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

76.5/100

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

Scored as part of a group practice

Quality

74.31

Promoting Interoperability

100

Improvement Activities

Cost

43.95

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.

DR. JOEL D. CHAPMAN M.D.

Pediatrics

2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455

Titus County (903) 572-9823

MS. LINDA MARIE MCDERMOTT-GONZALEZ PNP

Nurse Practitioner (Pediatrics)

2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455

Titus County (903) 572-9823

GUADALUPE CABRERA

Nurse Practitioner (Family)

2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455

Titus County (903) 577-6000

HUSSAIN HAIDERI M.D.

Internal Medicine (Nephrology)

2001 N JEFFERSON AVE
MT PLEASANT, TX 75455

Titus County (903) 577-6000

TITUS COUNTY HOSPITAL DISTRICT

Clinic/Center (Multi-Specialty)

2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455

Titus County (903) 577-6000

TITUS COUNTY HOSPITAL DISTRICT

Ambulance (Land Transport)

2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455

Titus County (903) 577-6000

CLINICAL PARTNERS - MT PLEASANT

Anesthesiology

2001 N JEFFERSON AVE
MT PLEASANT, TX 75455

Titus County (903) 663-3600

MOTHER FRANCES HOSPITAL-WINNSBORO

Psychiatric Unit

2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455

Titus County (903) 577-6000

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 James Covelli's NPI number?

The NPI number for James Covelli is 1467794164. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is James Covelli located?

James Covelli practices at 2001 N Jefferson Ave, Mount Pleasant, TX 75455. The listed phone number is (903) 577-6000.

What is James Covelli's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Covelli enrolled in Medicare?

Yes. James Covelli 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.

Which organizations bill Medicare for James Covelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Covelli reassigns Medicare benefits to 7 organizations: Titus County Hospital District (Mount Pleasant, TX), Riverside Radiology And Interventional Associates Inc (Columbus, OH), Modesto Radiological Medical Group, Inc (San Diego, CA), Adventist Health Tulare (Tulare, CA), Reedley Community Hospital (Reedley, CA) and 2 more organizations, listed in the Medicare section above. Each 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 James Covelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Covelli accept?

Health plans from Blue Cross and Blue Shield of Texas list James Covelli 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 James Covelli affiliated with any hospitals?

According to CMS data, James Covelli is affiliated with Riverside Methodist Hospital, Ohiohealth Mansfield Hospital and Titus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Covelli was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.