GREGORY J KOVACEVICH MD
NPI 1164498275
Obstetrics & Gynecology in Barberton, OH
NPI Status: Active since February 28, 2006
- Individual
- Male
- Years of Experience 31
- Obstetrics & Gynecology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About GREGORY KOVACEVICH
This page provides the complete NPI Profile along with additional information for Gregory Kovacevich, a women's health care provider established in Barberton, Ohio with a medical specialization in Obstetrics & Gynecology and more than 31 years of experience. He graduated from Northeastern Ohio University College Of Medicine in 1995. The healthcare provider is registered in the NPI registry with number 1164498275 assigned on February 2006. The practitioner's primary taxonomy code is 207V00000X with license number 35-072171 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1164498275
- Provider Name
- GREGORY J KOVACEVICH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 155 5TH ST NE BARBERTON, OH 44203
- Location Phone
- (330) 745-1611
- Mailing Address
- PO BOX 30633 CLEVELAND, OH 44130
- Mailing Phone
- (440) 879-0081
- Mailing Fax
- Medical School Name
- NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
- Graduation Year
- 1995
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-28-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Women's health care providers like Gregory Kovacevich treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35-072171
- License State
- OH
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5400 for HSA - HMO
- Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- AultCare Bronze 5500 - PPO
- AultCare Bronze 7050 - PPO
- AultCare Gold 1000 - PPO
- AultCare Gold 1200 - PPO
- AultCare Gold 1800 - PPO
- AultCare Gold 2850 - PPO
- AultCare Gold 3150 - PPO
- AultCare Platinum 1200 - PPO
- AultCare Platinum 1800 Health Savings 500 - PPO
- AultCare Platinum 300 - PPO
- AultCare Platinum 500 - PPO
- AultCare Silver 2550 - PPO
- AultCare Silver 3000 - PPO
- AultCare Silver 4300 - PPO
- AultCare Silver 5100 - PPO
- AultCare Silver 6450 - PPO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
- SummaCare Bronze 8000 - HMO
- SummaCare Bronze 8000 with Adult Vision Exam - HMO
- SummaCare Bronze 9200 with 3 Free PCP Visits - HMO
- SummaCare Bronze 9200 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Gold 2000 with 3 Free PCP Visits - HMO
- SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits - HMO
- SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision Exam - HMO
- SummaCare Silver 7000 with 3 Free PCP Visits - HMO
- SummaCare Standard Bronze - HMO
- SummaCare Standard Bronze with Adult Vision - HMO
- SummaCare Standard Gold - HMO
- SummaCare Standard Gold with Adult Vision - HMO
- SummaCare Standard Silver - HMO
- SummaCare Standard Silver with Adult Vision - HMO
- SummaCare Value with 3 Free PCP Visits + Adult Vision - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Gold Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000311275 | OTHER (01) | OH | ANTHEM |
| G93488 | MEDICARE UPIN (02) | ||
| 2127353 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Gregory Kovacevich is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Gregory Kovacevich is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 648231779
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20041022000198
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
This service was performed 13 times for 13 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.53 for a new patient copayment and $17.01 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 44203 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.12
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gregory Kovacevich is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| SUMMA HEALTH SYSTEM | 525 EAST MARKET STREET AKRON, OH 44309 | (330) 375-3000 | Acute Care Hospitals |
Reviews for GREGORY J KOVACEVICH MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 4 | 9 | 8 | 2 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 8 | 9 | 16 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 8 + 9 + 1 + 6 + 2 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1164498275 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427034743 | PAUL JOSEPH LENZ M.D. Individual | Family Medicine | 155 5TH ST NE BARBERTON, OH 44203 (330) 615-3205 |
| 1518933621 | MOHAMED M AL-MADANI M.D. Individual | Obstetrics & Gynecology | 155 5TH ST NE BARBERTON, OH 44203 (330) 745-1611 |
| 1134189558 | GREGORY MCDANIEL MD Individual | Internal Medicine | 155 5TH ST NE BARBERTON, OH 44203 (330) 615-3249 |
| 1972566255 | DR. LAURA L NOVAK MD Individual | Family Medicine | 155 5TH ST NE BARBERTON, OH 44203 (330) 615-3205 |
| 1841241825 | BARBERTON HEALTH SYSTEM, LLC Organization | General Acute Care Hospital | 155 5TH ST NE BARBERTON, OH 44203 (330) 745-1611 |
| 1023060951 | BARBERTON HEALTH SYSTEM LLC Organization | Skilled Nursing Facility | 155 5TH ST NE BARBERTON, OH 44203 (330) 745-1611 |
| 1134175078 | HUDSON PHYSICIANS ASSOC INC Organization | Anesthesiology | 155 5TH ST NE BARBERTON, OH 44203 (330) 745-1611 |
| 1447299615 | JANET SCHWAN PA-C Individual | Physician Assistant | 155 5TH ST NE BARBERTON, OH 44203 (330) 615-3000 |
| 1154360089 | EMERGENCY MEDICINE PHYSICIANS OF BARBERTON, LTD Organization | Emergency Medicine | 155 5TH ST NE BARBERTON, OH 44203 (330) 493-4443 |
| 1386684454 | REBECCA M SMITH CRNA Individual | Nurse Anesthetist, Certified Registered | 155 5TH ST NE BARBERTON, OH 44203 (330) 745-1611 |
| 1285650929 | BARBERTON HEALTH SYSTEM LLC Organization | Rehabilitation Unit | 155 5TH ST NE BARBERTON, OH 44203 (330) 745-1611 |
| 1760409221 | BARBERTON HEALTH SYSTEM LLC Organization | Psychiatric Unit | 155 5TH ST NE BARBERTON, OH 44203 (330) 745-1611 |
| 1508979840 | WILLIAM REISINGER DO Individual | Emergency Medicine | 155 5TH ST NE BARBERTON, OH 44203 (330) 493-4443 |
| 1306957188 | WESTERN RESERVE REHAB GROUP, LLC Organization | Physical Medicine & Rehabilitation | 155 5TH ST NE 6TH FLOOR REHAB BARBERTON, OH 44203 (216) 702-6944 |
| 1215035431 | ERIN L SIMON DO Individual | Emergency Medicine | 155 5TH ST NE BARBERTON, OH 44203 (330) 493-4443 |
| 1588753321 | RUNGSIMA S KUNTAKOM CRNA Individual | Nurse Anesthetist, Certified Registered | 155 5TH ST NE BARBERTON, OH 44203 (330) 745-1611 |
| 1073602819 | ANNETTE NIGRO CRNA Individual | Nurse Anesthetist, Certified Registered | 155 5TH ST NE BARBERTON, OH 44203 (330) 745-1611 |
| 1689763435 | HENRY T PRIJATEL CRNA Individual | Nurse Anesthetist, Certified Registered | 155 5TH ST NE BARBERTON, OH 44203 (330) 745-1611 |
| 1124102629 | ROBERT J FAFLIK JR. DO Individual | Emergency Medicine | 155 5TH ST NE BARBERTON, OH 44203 (330) 493-4443 |
| 1649343617 | ELIZABETH FERGUSON MD Individual | Emergency Medicine | 155 5TH ST NE BARBERTON, OH 44203 (330) 493-4443 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164498275, enumerated in the NPI registry as an "individual" on February 28, 2006
The provider is located at 155 5th St Ne Barberton, Oh 44203 and the phone number is (330) 745-1611
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider has more than 31 years of experience. He graduated from Northeastern Ohio University College Of Medicine in 1995.
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.12 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina.
The practitioner is affiliated to the following hospital(s): SUMMA HEALTH SYSTEM. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on February 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.