CARTER KOVALCIK PT
NPI 1659024974
Physical Therapist in Macomb, MI
About Carter Kovalcik Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARTER KOVALCIK PT (NPI 1659024974) is an individual physical therapist in Macomb, Michigan, licensed in Michigan (5501301872) and active in the NPI registry since January 2022. He is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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
Carter Kovalcik Pt 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.
Medicare Billing Reassignments
21Medicare enrollment records show Carter Kovalcik reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Macomb, MI 48042
- Reassigned Medicare billing, Michigan enrollment
- 50 clinicians in this Medicare group
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 41 clinicians in this Medicare group
Shelby Township, MI 48315
- Reassigned Medicare billing, Michigan enrollment
- 45 clinicians in this Medicare group
Sterling Heights, MI 48313
- Reassigned Medicare billing, Michigan enrollment
- 25 clinicians in this Medicare group
Romeo, MI 48065
- Reassigned Medicare billing, Michigan enrollment
- 35 clinicians in this Medicare group
Troy, MI 48083
- Reassigned Medicare billing, Michigan enrollment
- 22 clinicians in this Medicare group
Troy, MI 48085
- Reassigned Medicare billing, Michigan enrollment
- 42 clinicians in this Medicare group
Clawson, MI 48017
- Reassigned Medicare billing, Michigan enrollment
- 41 clinicians in this Medicare group
Algonac, MI 48001
- Reassigned Medicare billing, Michigan enrollment
- 22 clinicians in this Medicare group
Ferndale, MI 48220
- Reassigned Medicare billing, Michigan enrollment
- 18 clinicians in this Medicare group
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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Carter Kovalcik's NPI number?
The NPI number for Carter Kovalcik is 1659024974. It was assigned to this individual provider in the NPPES registry on January 27, 2022.
Where is Carter Kovalcik located?
Carter Kovalcik practices at 23211 21 Mile Rd, Macomb, MI 48042. The listed phone number is (586) 231-0043.
What is Carter Kovalcik's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Carter Kovalcik enrolled in Medicare?
Yes. Carter Kovalcik 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 Carter Kovalcik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carter Kovalcik reassigns Medicare benefits to 21 organizations: Vms Of Macomb Twp LLC (Macomb, MI), Cks Of Mt Clemens LLC (Mount Clemens, MI), Kss Of Shelby LLC (Shelby Township, MI), 1st Choice Physical Therapy, LLC (Sterling Heights, MI), Aks Of Romeo LLC (Romeo, MI) and 16 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 Carter Kovalcik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carter Kovalcik was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.