THERESA S. COVERT M.D.
NPI 1972581148
Obstetrics & Gynecology in Maple Grove, MN

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
9855 HOSPITAL DR STE 275, MAPLE GROVE, MN 55369(952) 993-3282(952) 993-1425 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa S. Covert M.d. NPPES

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

THERESA S. COVERT M.D. (NPI 1972581148) is an individual obstetrics & gynecology provider in Maple Grove, Minnesota, licensed in Minnesota (46745) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of University Of North Dakota School Of Medicine (2003).

NPPES Registry Identity

NPI1972581148
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTHERESA S. COVERTCredential: M.D.
Location Address9855 HOSPITAL DR STE 275Maple Grove, MN 55369-4778
Mailing Address8170 33rd Ave S, Po Box 1309 Mail Stop 21110qMinneapolis, MN 55425-4516 · (952) 993-1440
Fax(952) 993-1425
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2003
Enumeration DateJanuary 6, 2006
Last NPPES UpdateFebruary 29, 2016
NPI 1972581148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MN · 46745
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.
9855 HOSPITAL DR STE 275, Maple Grove, MN 55369

Other Identifiers 3

Medicare ID-Type Unspecified160002358MN
Medicare UPINI11717
Medicaid896428900MN

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

Theresa S. Covert 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 ID6901879105
PECOS Enrollment IDI20040816001436
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.

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 5

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

Obstetrics & Gynecology
9855 HOSPITAL DR STE 275
MAPLE GROVE, MN 55369
Nurse Practitioner (Women's Health)
9855 HOSPITAL DR STE 275
MAPLE GROVE, MN 55369
Obstetrics & Gynecology
9855 HOSPITAL DR STE 275
MAPLE GROVE, MN 55369
Midwife
9855 HOSPITAL DR STE 275
MAPLE GROVE, MN 55369
Obstetrics & Gynecology
9855 HOSPITAL DR STE 275
MAPLE GROVE, MN 55369

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 Theresa Covert's NPI number?

The NPI number for Theresa Covert is 1972581148. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Theresa Covert located?

Theresa Covert practices at 9855 Hospital Dr Ste 275, Maple Grove, MN 55369. The listed phone number is (952) 993-3282.

What is Theresa Covert's specialty?

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

Is Theresa Covert enrolled in Medicare?

Yes. Theresa Covert 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 Theresa Covert accept?

Health plans from HealthPartners and Medica list Theresa Covert 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 Theresa Covert affiliated with any hospitals?

According to CMS data, Theresa Covert is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Covert was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.