HEATHER C KOVICH MD
NPI 1972615912
Family Medicine in Shiprock, NM

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
55.65/100
CMS Quality Rating
US HIGHWAY 491 NORTH, SHIPROCK, NM 87420(505) 368-6001(505) 368-7011 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2021, May 3, 2019 (2 updates tracked since 2019).

About Heather C Kovich Md NPPES

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

HEATHER C KOVICH MD (NPI 1972615912) is an individual family medicine provider in Shiprock, New Mexico, licensed in Colorado (49599) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Temple University School Of Medicine (2005).

NPPES Registry Identity

NPI1972615912
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER C KOVICHCredential: MD
Location AddressUS HIGHWAY 491 NORTHShiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6001 · Fax (505) 368-7011
Fax(505) 368-7011
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2005
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
NPI 1972615912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · 49599
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
US HIGHWAY 491 NORTH, Shiprock, NM 87420

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

Heather C Kovich Md 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 ID9032265624
PECOS Enrollment IDI20090923000499
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 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.
148 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services17 patients
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.
19 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM
OwnershipGovernment - Federal
CMS Certification Number320059
LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

55.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.51
Promoting Interoperability0
Improvement Activities40
Cost51.32

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers17 claims17 services$61.65 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$14.43 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers13 claims13 services$28.98 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$47.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers36 claims36 services$77.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
US HIGHWAY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER
SHIPROCK, NM 87420
Surgery
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
General Acute Care Hospital
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Dietitian, Registered
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Optometrist
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Clinic/Center (Dental)
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Pharmacist
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Counselor (Addiction (Substance Use Disorder))
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420

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 Heather Kovich's NPI number?

The NPI number for Heather Kovich is 1972615912. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Heather Kovich located?

Heather Kovich practices at Us Highway 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is Heather Kovich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heather Kovich enrolled in Medicare?

Yes. Heather Kovich 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.

Is Heather Kovich affiliated with any hospitals?

According to CMS data, Heather Kovich is affiliated with San Juan Regional Medical Center Inc and Northern Navajo Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Kovich was last updated on April 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.