Richard R Kovar, DO

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

5101011111 Issued in MI

Practice address

3825 24TH Ave
Fort Gratiot, MI 48059-4100

Phone

(810) 982-0100

Fax

(810) 982-0365

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NeurologyAlso: Osteopathic Manipulative Medicine

Education

Michigan State University College of Human Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Port Huron Neurologic Associates PCGroup PAC ID 1557440245, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beacon Home Care Home health agency, Port Huron, MI, CCN 237440
• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
• McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

Merit-based Incentive Payment System (MIPS)

Final score

72.48 of 100Reported as individual

Quality

44.96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Port Huron Neurologic Associates P.C.

  • Neurology Physician
  • Fort Gratiot, MI
  • NPI 1699946459
  Medicare reassignment Care Compare group Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beacon Home Care, LLC

  • Home Health Agency
  • Port Huron, MI
  • NPI 1871542100
  Care Compare affiliation
• McLaren Macomb

  • Psychiatric Hospital Unit
  • Shelby Township, MI
  • NPI 1184206385
  Care Compare affiliation
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  Care Compare affiliation
• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1235147844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594100",
            "telephone_number": "810-982-0100",
            "fax_number": "810-982-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594100",
            "telephone_number": "810-982-0100",
            "fax_number": "810-982-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAR",
        "first_name": "RICHARD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101011111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307247011",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM/COFINITY",
            "identifier": "383188712",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5740293",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari J Kliemann
• Lou Ann Klinger
• Aspria Knight
• Paige Eileen Koglin
• Phillip A Kohanov, O.D.
• Michael Brian Kreiner
• Randy Krieg, RPH
• Kristen Nicole Kronner
• Melissa Dawn Kruse, LMSW/ACSW
• Philomena Kurzawe-Breault, MA, LLP, BCBA

• Neurology Physician in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.