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

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: August 09, 2026.

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

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
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

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

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

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.

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

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
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

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.

Pediatrics
2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455
Physician Assistant
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Nurse Practitioner (Pediatrics)
2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455
Internal Medicine (Nephrology)
2001 N JEFFERSON AVE
MT PLEASANT, TX 75455
Clinic/Center (Multi-Specialty)
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Ambulance (Land Transport)
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Anesthesiology
2001 N JEFFERSON AVE
MT PLEASANT, TX 75455
Psychiatric Unit
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455

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.

What insurance does James Covelli accept?

Health plans from Blue Cross and Blue Shield of Texas and CareSource 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 3 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.