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DR. MARY TRACE GOVER MD
NPI 1861770521
Internal Medicine in Bronx, NY

Active since July 29, 2011PECOS Enrolled
100/100
CMS Quality Rating
111 EAST 210TH STREET, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Trace Gover Md NPPES

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

DR. MARY TRACE GOVER MD (NPI 1861770521) is an individual internal medicine provider in Bronx, New York, licensed in New York (275039) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (2011).

NPPES Registry Identity

NPI1861770521
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARY TRACE GOVERCredential: MD
Location Address111 EAST 210TH STREETBronx, NY 10467-1005
Mailing Address111 East 210th StreetBronx, NY 10467-1005
Phone(718) 920-4321
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2011
Enumeration DateJuly 29, 2011
Last NPPES UpdateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1861770521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 275039
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
111 EAST 210TH STREET, Bronx, NY 10467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Trace Gover Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294951372
PECOS Enrollment IDI20140725000894
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

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 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.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

MS. AMY F ROWE F.N.P.
Nurse Practitioner
111 EAST 210TH STREET, MONTEFIORE SCHOOL HEALTH PROGRAM
BRONX, NY 10467
Bronx County (718) 696-4060
SHAMSU SAHALU BELLO MBBS
Student in an Organized Health Care Education/Training Program
111 EAST 210TH STREET, DEPARTMENT OF PATHOLOGY
BRONX, NY 10467
Bronx County (347) 518-0831
DANIEL LOCKETT LABOVITZ M.D.
Psychiatry & Neurology (Neurology)
111 EAST 210TH STREET, STERN STROKE CENTER
BRONX, NY 10467
Bronx County (718) 920-6444
LAURENCE J ADAMS PA
Physician Assistant
111 EAST 210TH STREET, MMC - DEPT. OF MEDICINE
BRONX, NY 10467
Bronx County (718) 920-2961
MS. CLEMENCIA SOLORZANO RPH
Pharmacist
111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-8354
MONTEFIORE MEDICAL CENTER
Clinic/Center (Primary Care)
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (914) 377-4722
MONTEFIORE MEDICAL CENTER
General Acute Care Hospital
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (914) 377-4722
BARBARA C MCMILLION RNP
Nurse Practitioner
111 EAST 210TH STREET, MMC - DEPT. OF MEDICINE
BRONX, NY 10467
Bronx County (718) 920-7373

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 Mary Gover's NPI number?

The NPI number for Mary Gover is 1861770521. It was assigned to this individual provider in the NPPES registry on July 29, 2011.

Where is Mary Gover located?

Mary Gover practices at 111 East 210th Street, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Mary Gover's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Gover enrolled in Medicare?

Yes. Mary Gover is registered in the Medicare PECOS enrollment system.

Is Mary Gover affiliated with any hospitals?

According to CMS data, Mary Gover is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Gover was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.