MICHAEL A COVLIN M.D.
NPI 1780641852
Obstetrics & Gynecology in Marion, IL

Q: What is Michael Covlin's NPI number?

The NPI number for Michael Covlin is 1780641852. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Michael Covlin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Covlin was last updated on December 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment

3408 OFFICE PARK DR, MARION, IL 62959(618) 997-5266(618) 997-5285 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael A Covlin M.d. NPPES

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

MICHAEL A COVLIN M.D. (NPI 1780641852) is an individual obstetrics & gynecology provider in Marion, Illinois, licensed in Illinois (036114761) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of University Of North Dakota School Of Medicine (1994).

NPPES Registry Identity

NPI1780641852

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMICHAEL A COVLINCredential: M.D.

Location Address3408 OFFICE PARK DRMarion, IL 62959-6477

Mailing Address3408 Office Park DrMarion, IL 62959-6477 · (618) 997-5266 · Fax (618) 997-5285

Phone(618) 997-5266

Fax(618) 997-5285

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1994

Enumeration DateMay 1, 2006

Last NPPES UpdateDecember 27, 2011

✔ NPI 1780641852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036114761

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3408 OFFICE PARK DR, Marion, IL 62959

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Other Identifiers 4

Other208042001IL · Medicare Ptan

Medicare ID-Type UnspecifiedK23496IL

Medicare UPINH03383IL

Medicaid036114761IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Michael A Covlin M.d. 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 ID1557327095

PECOS Enrollment IDI20051222000475

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 4

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 low level od decision making, if using time, 20 minutes or more 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.

44 services36 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.

29 services21 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

17 services14 patients

Detection test by nucleic acid for human papillomavirus (hpv), high-risk types 87624

This test detects high-risk types of HPV, a common virus. It's done by analyzing a small sample of cells for the presence of HPV DNA. The aim is to identify any high-risk types early, as they may increase the risk of certain health issues.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140187

LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

DONNA R WALTERS CNM

Advanced Practice Midwife

3408 OFFICE PARK DR
MARION, IL 62959

Williamson County (618) 997-5266

KRYSTLE RUSH

Advanced Practice Midwife

3408 OFFICE PARK DR
MARION, IL 62959

Williamson County (844) 872-6249

HEARTLAND WOMEN'S HEALTHCARE LTD

Clinic/Center (Rural Health)

3408 OFFICE PARK DR
MARION, IL 62959

Williamson County (618) 997-5266

MARION REYES

Advanced Practice Midwife

3408 OFFICE PARK DR
MARION, IL 62959

Williamson County (618) 997-5266

KALI RAE JAMES FNP-BC

Nurse Practitioner

3408 OFFICE PARK DR
MARION, IL 62959

Williamson County (844) 872-6249

ANJA B SCHIFANO DNP, PMHNP, WHNP

Nurse Practitioner (Psychiatric/Mental Health)

3408 OFFICE PARK DR, SUITE 301
MARION, IL 62959

Williamson County (618) 997-5266

ELISABETH GAIL BEYER-NOLEN M.D.

Obstetrics & Gynecology

3408 OFFICE PARK DR
MARION, IL 62959

Williamson County (618) 997-5266

KATHRYN ELIZABETH MOWERY CNM

Midwife

3408 OFFICE PARK DR
MARION, IL 62959

Williamson County (618) 997-5266

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 Michael Covlin's NPI number?

The NPI number for Michael Covlin is 1780641852. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Michael Covlin located?

Michael Covlin practices at 3408 Office Park Dr, Marion, IL 62959. The listed phone number is (618) 997-5266.

What is Michael Covlin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Covlin enrolled in Medicare?

Yes. Michael Covlin 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 Michael Covlin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Michael Covlin 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 Michael Covlin affiliated with any hospitals?

According to CMS data, Michael Covlin is affiliated with Memorial Hospital and Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Michael Covlin was last updated on December 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.