ANDREW J. KOVAL D.O.
NPI 1689620858
Emergency Medicine in Stuart, FL

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
300 SE HOSPITAL AVE, STUART, FL 34994(772) 223-5945 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew J. Koval D.o. NPPES

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

ANDREW J. KOVAL D.O. (NPI 1689620858) is an individual emergency medicine provider in Stuart, Florida, licensed in Florida (OS6781) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1689620858
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANDREW J. KOVALCredential: D.O.
Location Address300 SE HOSPITAL AVEStuart, FL 34994-2338
Mailing Address2868 Sw Lake TerPalm City, FL 34990-1925
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1689620858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in FL · OS6781
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

300 SE HOSPITAL AVE, Stuart, FL 34994

Other Identifiers 1

Medicare UPINE93291

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

Andrew J. Koval D.o. 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 ID3779523055
PECOS Enrollment IDI20050505000751
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 12

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, 30-39 minutes 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.
277 services272 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
63 services62 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
52 services26 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
52 services13 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services48 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
300 SE HOSPITAL AVE
STUART, FL 34994
Radiology (Diagnostic Radiology)
300 SE HOSPITAL AVE
STUART, FL 34994
Radiology (Diagnostic Radiology)
300 SE HOSPITAL AVE
STUART, FL 34994
Radiology (Diagnostic Radiology)
300 SE HOSPITAL AVE
STUART, FL 34994
Radiology (Diagnostic Radiology)
300 SE HOSPITAL AVE
STUART, FL 34994
Radiology (Diagnostic Radiology)
300 SE HOSPITAL AVE
STUART, FL 34994
Emergency Medicine
300 SE HOSPITAL AVE
STUART, FL 34994
Emergency Medicine
300 SE HOSPITAL AVE
STUART, FL 34994

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 Andrew Koval's NPI number?

The NPI number for Andrew Koval is 1689620858. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Andrew Koval located?

Andrew Koval practices at 300 SE Hospital Ave, Stuart, FL 34994. The listed phone number is (772) 223-5945.

What is Andrew Koval's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Koval enrolled in Medicare?

Yes. Andrew Koval 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 Andrew Koval accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Andrew Koval 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.

When was this NPI record last updated?

The NPPES record for Andrew Koval was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.