Cassondra Lynn Kovach, MD
Individual provider Active NPI Family Medicine Physician · Windsor, WI
NPI 1043201338 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1043201338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 56450-20 (WI)
- Practice address
- 4131 Meridian Dr
Windsor, WI 53598-9699 - Phone
- (608) 846-3741
- Fax
- (608) 846-7898
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Wisconsin Medical Foundation Inc
Practice addresses (Care Compare)
4131 Meridian Dr
Windsor, WI 53598-9699
Phone (608) 846-3741
Hospital & facility affiliations
- Uw Health Care Direct
- Agrace Hospicecare
- University of Wi Hospitals & Clinics Authority
- Unitypoint Health - Meriter
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 13 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Fair View Nursing Home |
Skilled nursing facility | Corporate Director | Jan 1, 2013 |
| Crest View Nursing Home |
Skilled nursing facility | Corporate Director W-2 Managing Employee |
Jan 1, 2013 Jan 1, 2003 |
| Necedah Family Medical Center |
Rural health clinic | Corporate Director W-2 Managing Employee |
Jan 1, 2013 Jan 1, 2013 |
| Mile Bluff Clinic |
Rural health clinic | Corporate Director | Jan 1, 2023 |
| New Lisbon Family Medical Center |
Rural health clinic | Corporate Director | Jan 1, 2013 |
| Delton Family Medical Center |
Rural health clinic | Corporate Director W-2 Managing Employee |
Jan 1, 2013 Jan 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120207000204 | WI | Practitioner - Family Practice | 7315918265 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56450-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Emergency Physicians of Indiana PC | Past | Accepting new patients | |
| University of Wisconsin Medical Foundation Inc | Past | Accepting new patients |
Locations
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
1040 Division St
Mauston, WI 53948
Phone (608) 847-5000
1050 Division St
Mauston, WI 53948
Phone (608) 847-6161
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
4131 Meridian Dr
Windsor, WI 53598
Phone (608) 846-3741
28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888
Interoperability endpoints
- ckovach1019612@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 56450-20 | WI | Yes |
Addresses
Primary practice location
4131 Meridian Dr
Windsor, WI 53598-9699
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK083274 | Other | MI | STATE LICENSE # |
| P00160742 | Other | RAILROAD MEDICARE | |
| 31354 | Other | MI | HEALTH PLAN OF MI |
| 0800311522 | Other | MI | BCBS MI PROV # |
| 1043201338 | Medicaid | WI | |
| 4615612 | Medicaid | MI | |
| 2397259 | Other | UNITED HEALTHCARE | |
| P31738F | Other | MI | BLUE CARE NETWORK |
| 01-30787 | Other | PHP PROV # |
Other providers in Windsor, WI
- Bethany Morehouse Howlett
- Sheila Karls
- Benjamin R Kempfer
- S A Khan
- Keith Klinger
- Kristina Marie Kurtz
- Sandra McCloskey
- Scott Howard Nettum
- Bray Landon Plomb
- Premise Health of Wisconsin Medical SC
All providers in Windsor, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.