DR. MICHAEL A. KOVALICK D.O. NPI 1063472389

NPI Information

  • NPI: 1063472389
  • Provider Name: DR. MICHAEL A. KOVALICK, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 114 LT MICHAEL CLEARY DR
    DALLAS, PA
    ZIP 18612
  • Phone: (570) 675-2000

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NPI Details

DR. Michael A. Kovalick, D.O. is a family medicine in Dallas, PA with 31 years of experience. The provider is 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. DR. Michael A. Kovalick, D.O. NPI is 1063472389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1995

The provider's business location address is:

114 LT MICHAEL CLEARY DR
DALLAS, PA
ZIP 18612-649
Phone: (570) 675-2000
Fax: (570) 675-1806

The NPI 1063472389 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood test, clotting time (HCPCS:85610)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Sarscov2 vac 30 mcg trs-sucr (HCPCS:91305)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Anticoagulant management of patient taking warfarin (HCPCS:93793)
  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)

The enumeration date for this NPI number is 3/23/2006 and was last updated on 8/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS009120LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001705959MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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