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JAVIER KOVACS M.D.
NPI 1487094553
Obstetrics & Gynecology - Maternal & Fetal Medicine in Sioux Falls, SD

Active since July 03, 2013PECOS EnrolledAccepts Medicare Assignment
1417 S CLIFF AVE STE 100, SIOUX FALLS, SD 57105(605) 322-8937 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2025, Jul 21, 2022, May 31, 2017 (3 updates tracked since 2017).

About Javier Kovacs M.d. NPPES

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

JAVIER KOVACS M.D. (NPI 1487094553) is an individual maternal & fetal medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (12050) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1487094553
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameJAVIER KOVACSCredential: M.D.
Location Address1417 S CLIFF AVE STE 100Sioux Falls, SD 57105-1063
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(605) 322-8937
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 3, 2013
Last NPPES UpdateFebruary 21, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1487094553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in SD · 12050
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
1417 S CLIFF AVE STE 100, Sioux Falls, SD 57105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Javier Kovacs 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 ID2961700125
PECOS Enrollment IDI20200731000201
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

2

Medicare enrollment records show Javier Kovacs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan
Same address
Maternal & Fetal Medicine
1417 S. CLIFF AVE., STE. 100
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1205808748 (605) 322-8937
Madison Community Hospital
38 mi
Critical Access
323 SW 10TH ST
Madison, SD 57042
  • Reassigned Medicare billing, South Dakota enrollment
  • 84 clinicians in this Medicare group
NPI 1588644058 (605) 256-6551

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 4

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
43 services41 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
36 services34 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
21 services20 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

Other Providers at the Same Location NPPES 6

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

KELLI MERCEDES GLISAR
Genetic Counselor, MS
1417 S CLIFF AVE STE 100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6758
NICOLE M MATTILA CGC
Genetic Counselor, MS
1417 S CLIFF AVE STE 100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6777
KAYLA MARIE MARTENS CNP
Nurse Practitioner (Family)
1417 S CLIFF AVE STE 100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8937
DR. OSCAR ANDRES VITERI MOLINA M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1417 S CLIFF AVE STE 100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8937
KARINA ERICKSON
Genetic Counselor, MS
1417 S CLIFF AVE STE 100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8937
MRS. JESSICA MARIE KUIPERS NP-C
Nurse Practitioner (Family)
1417 S CLIFF AVE STE 100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8937

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 Javier Kovacs's NPI number?

The NPI number for Javier Kovacs is 1487094553. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is Javier Kovacs located?

Javier Kovacs practices at 1417 S Cliff Ave Ste 100, Sioux Falls, SD 57105. The listed phone number is (605) 322-8937.

What is Javier Kovacs's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Javier Kovacs enrolled in Medicare?

Yes. Javier Kovacs 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 Javier Kovacs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Javier Kovacs reassigns Medicare benefits to 2 organizations: Avera Mckennan (Sioux Falls, SD) and Madison Community Hospital (Madison, SD). 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 Javier Kovacs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Javier Kovacs accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Javier Kovacs 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 Javier Kovacs affiliated with any hospitals?

According to CMS data, Javier Kovacs is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Javier Kovacs was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.