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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CARLTON JAMES COVEY M.D.
NPI 1629265020
Family Medicine - Sports Medicine in Pittsford, NY

Active since September 28, 2007Opted out of Medicare · through May 18, 2028
30 OFFICE PARK WAY, PITTSFORD, NY 14534(585) 662-5510 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 3, 2026, Jan 12, 2026, Feb 10, 2020 (3 updates tracked since 2020).

About Dr. Carlton James Covey M.d. NPPES

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

DR. CARLTON JAMES COVEY M.D. (NPI 1629265020) is an individual sports medicine provider in Pittsford, New York, licensed in New York (343269) and active in the NPI registry since September 2007. He has opted out of Medicare through May 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629265020
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. CARLTON JAMES COVEYCredential: M.D.
Location Address30 OFFICE PARK WAYPittsford, NY 14534-1734
Mailing Address30 Office Park WayPittsford, NY 14534-1734 · (585) 662-5510
Phone(585) 662-5510
Sole ProprietorNo
Enumeration DateSeptember 28, 2007
Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1629265020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in NY · 343269
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
30 OFFICE PARK WAY, Pittsford, NY 14534
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Carlton James Covey M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 18, 2026 through May 18, 2028.

Opt-Out Effective DateMay 18, 2026
Opt-Out In Effect ThroughMay 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14534 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$58.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DR. LAURA PETRESCU M.D.
Internal Medicine
30 OFFICE PARK WAY
PITTSFORD, NY 14534
Monroe County (585) 662-5510
PITTSFORD SPEECH LANGUAGE THERAPY
Speech-Language Pathologist
30 OFFICE PARK WAY
PITTSFORD, NY 14534
Monroe County (585) 419-7010
DR. DONALD PITCHER D.D.S.
Dentist (Oral and Maxillofacial Surgery)
30 OFFICE PARK WAY
PITTSFORD, NY 14534
Monroe County (585) 586-9063
DR. HOWARD LEE SILVER D.D.S.
Dentist (General Practice)
30 OFFICE PARK WAY
PITTSFORD, NY 14534
Monroe County (585) 381-1940
LAUREN PITCHER CCC-SLP
Speech-Language Pathologist
30 OFFICE PARK WAY
PITTSFORD, NY 14534
Monroe County (631) 258-3747
DR. NEIL M GOLDSTEIN DDS
Dentist (General Practice)
30 OFFICE PARK WAY, TOBEY VILLAGE OFFICE PARK
PITTSFORD, NY 14534
Monroe County (585) 348-9132
DD PITCHER LLC
Clinic/Center (Oral and Maxillofacial Surgery)
30 OFFICE PARK WAY
PITTSFORD, NY 14534
Monroe County (585) 586-9063
JAMES D AMBORSKI DDS
Dentist (Oral and Maxillofacial Surgery)
30 OFFICE PARK WAY
PITTSFORD, NY 14534
Monroe County (585) 586-9063

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 Carlton Covey's NPI number?

The NPI number for Carlton Covey is 1629265020. It was assigned to this individual provider in the NPPES registry on September 28, 2007.

Where is Carlton Covey located?

Carlton Covey practices at 30 Office Park Way, Pittsford, NY 14534. The listed phone number is (585) 662-5510.

What is Carlton Covey's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Carlton Covey enrolled in Medicare?

No. Carlton Covey has opted out of Medicare through May 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carlton Covey was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.