DR. JEFFREY ARNOLD KOVNICK M.D.
NPI 1770701609
Psychiatry & Neurology - Child & Adolescent Psychiatry in Ketchum, ID

Q: What is Jeffrey Kovnick's NPI number?

The NPI number for Jeffrey Kovnick is 1770701609. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Jeffrey Kovnick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: Is Jeffrey Kovnick enrolled in Medicare?

No. Jeffrey Kovnick has opted out of Medicare through September 30, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Kovnick was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 24, 2007Opted out of Medicare · through Sep 30, 2026

PO BOX 6106, KETCHUM, ID 83340(801) 910-5822 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jeffrey Arnold Kovnick M.d. NPPES

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

DR. JEFFREY ARNOLD KOVNICK M.D. (NPI 1770701609) is an individual child & adolescent psychiatry provider in Ketchum, Idaho, licensed in Idaho (M-17191) and active in the NPI registry since April 2007. He has opted out of Medicare through September 30, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770701609

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. JEFFREY ARNOLD KOVNICKCredential: M.D.

Location AddressPO BOX 6106Ketchum, ID 83340-6106

Mailing AddressPo Box 6106Ketchum, ID 83340-6106 · (801) 910-5822

Phone(801) 910-5822

Sole ProprietorYes

Enumeration DateApril 24, 2007

Last NPPES UpdateMarch 19, 2025

NPPES CertifiedMarch 19, 2025

✔ NPI 1770701609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in ID · M-17191✔ Licensed in UT · 184995-1205

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

PO BOX 6106, Ketchum, ID 83340

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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. Jeffrey Arnold Kovnick 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 September 30, 2024 through September 30, 2026.

Opt-Out Effective DateSeptember 30, 2024

Opt-Out In Effect ThroughSeptember 30, 2026Opt-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.

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 Jeffrey Kovnick's NPI number?

The NPI number for Jeffrey Kovnick is 1770701609. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Jeffrey Kovnick located?

Jeffrey Kovnick practices at PO Box 6106, Ketchum, ID 83340. The listed phone number is (801) 910-5822.

What is Jeffrey Kovnick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jeffrey Kovnick enrolled in Medicare?

No. Jeffrey Kovnick has opted out of Medicare through September 30, 2026. 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 Jeffrey Kovnick was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.