KERRI ANNE MCGOVERN MD
NPI 1538587696
Internal Medicine - Medical Oncology in Cincinnati, OH

Active since April 04, 2014PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
3151 BELLEVUE AVE, CINCINNATI, OH 45219(513) 584-7848(513) 584-4281 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2023, Jul 9, 2020 (2 updates tracked since 2020).

About Kerri Anne Mcgovern Md NPPES

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

KERRI ANNE MCGOVERN MD (NPI 1538587696) is an individual medical oncology provider in Cincinnati, Ohio, licensed in Ohio (35.148646) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538587696
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameKERRI ANNE MCGOVERNCredential: MD
Location Address3151 BELLEVUE AVECincinnati, OH 45219-2370
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 585-6200 · Fax (513) 245-3672
Fax(513) 584-4281
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 4, 2014
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1538587696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in OH · 35.148646
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 2020-02630 (NC)
3151 BELLEVUE AVE, Cincinnati, OH 45219

Secondary Practice Locations 2

Location 121 Hospital DrAsheville, NC 28801-4550 · Phone (828) 213-4830 · Fax (828) 418-0932
Location 2800 Spruce StPhiladelphia, PA 19107-6130 · Phone (215) 829-5410

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

Kerri Anne Mcgovern 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 ID6305181785
PECOS Enrollment IDI20230929001211
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 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.
15 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Internal Medicine (Hematology & Oncology)
3151 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Practitioner (Gerontology)
3151 BELLEVUE AVE
CINCINNATI, OH 45219
Internal Medicine (Hematology & Oncology)
3151 BELLEVUE AVE
CINCINNATI, OH 45219
Radiology (Radiation Oncology)
3151 BELLEVUE AVE
CINCINNATI, OH 45219
Internal Medicine (Hematology & Oncology)
3151 BELLEVUE AVE
CINCINNATI, OH 45219
Otolaryngology
3151 BELLEVUE AVE
CINCINNATI, OH 45219
Radiology (Radiation Oncology)
3151 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Practitioner
3151 BELLEVUE AVE
CINCINNATI, OH 45219

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 Kerri Mcgovern's NPI number?

The NPI number for Kerri Mcgovern is 1538587696. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Where is Kerri Mcgovern located?

Kerri Mcgovern practices at 3151 Bellevue Ave, Cincinnati, OH 45219. The listed phone number is (513) 584-7848.

What is Kerri Mcgovern's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Kerri Mcgovern enrolled in Medicare?

Yes. Kerri Mcgovern 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 Kerri Mcgovern accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Kerri Mcgovern 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 Kerri Mcgovern affiliated with any hospitals?

According to CMS data, Kerri Mcgovern is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Kerri Mcgovern was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.