Kylin Kovac, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901002356 Issued in MI

Practice address

3830 Woodking Dr
Idaho Falls, ID 83404-4736

Phone

(208) 529-8393

Fax

(208) 529-8398

NPI assigned

Jul 28, 2010

Last updated

Jan 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kylin Kovac DPM PLLCGroup PAC ID 4284873480, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018

Merit-based Incentive Payment System (MIPS)

Final score

88.05 of 100Reported as group

Quality

76.1

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkovac@ifaac.emadirect.md

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

• Kylin Kovac DPM PLLC

  dba Idaho Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Idaho Falls, ID
  • NPI 1023451598
  Medicare reassignment Care Compare group NPD Authorized official
• Kylin Kovac DPM PLLC

  • Podiatrist
  • Rexburg, ID
  • NPI 1871103499
  NPD Authorized official
• Kovac Foot Surgery Center PLLC

  dba Idaho Foot Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Idaho Falls, ID
  • NPI 1922442805
  NPD (past) Authorized official
• Bruce G. Tolman, DMP

  dba Idaho Foot Surgery Center

  • Podiatric Clinic/Center
  • Idaho Falls, ID
  • NPI 1205021714
  NPD (past)

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

• Eastern Idaho Health Services Inc

  dba Eastern Idaho Regional Medical Center

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1225082209
  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1417261744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "208-529-8393",
            "fax_number": "208-529-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 WOODKING DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044736",
            "telephone_number": "208-529-8393",
            "fax_number": "208-529-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAC",
        "first_name": "KYLIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "ID",
            "license": "P221",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Tetsuo Komoda, PHARMACIST
• Izabella Koon
• Brooke Kortekaas
• Cathy S Kotter, LPC
• Kovac Foot Surgery Center PLLC (Idaho Foot Surgery Center)
• Kelsie Krahenbuhl
• Brianna Krainchich, PA-C
• Leland K Krantz II, M.D.
• Andrew Krause
• Kreed Bowman OD PLLC (Bowman Eye Care)

• Foot & Ankle Surgery Podiatrist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Foot & Ankle Surgery Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.