2026 NPPES data Colon & Rectal Surgery Physician NPI 1134128622 M.D.
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DARELL COVINGTON, M.D.

Colon & Rectal Surgery Physician in EAST STROUDSBURG, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
713
Medicare Part D claims · 383 beneficiaries · Colon & Rectal Surgery Physician avg: 196
MIPS score
95.6426/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$957.27
51 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DARELL COVINGTON, M.D. reported a CMS MIPS final score of 95.6426/100 — above the 83.1 national average — and filed 713 Medicare Part D claims in 2023.

95.6426/100
MIPS score · +13 vs avg
713
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DARELL COVINGTON, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

96 Top 21% higher than 79% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

DARELL COVINGTON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DARELL COVINGTON, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/18/2005

NPI 1134128622

Primary specialty

Colon & Rectal Surgery Physician

Niche

1,608 US NPIs in this specialty

Medicare Part D claims

713 264% vs specialty avg

2023 prescription claims

Specialty avg: 196

MIPS final score

95.6426/100 12.542600000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Colon & Rectal Surgery Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Colon & Rectal Surgery Physician share within Pennsylvania

1. Colon & Rectal Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Colon & Rectal Surgery Physician share within Pennsylvania

Medicare quality performance — MIPS

DARELL COVINGTON, M.D.'s 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average

High performer (top quartile)
MIPS Final Score
95.6426/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Colon & Rectal Surgery Physician) — 95.6426/100 vs national avg 83.1

0%100%National avg83%95.6%
MIPS final score (Colon & Rectal Surgery Physician) — 95.6426/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DARELL COVINGTON, M.D. appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding M.D. credentials at 9090 FRANKLIN HILL RD STE 201, EAST STROUDSBURG, PA, 18301, with a listed phone of (484) 526-6545. NPI 1134128622 was issued on 07/18/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COVINGTON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 713 prescription claims written by this provider, covering 383 Medicare beneficiaries and totaling roughly $134K in drug spend, with an opioid prescribing rate of 4.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.6426/100 for the 2023 performance year (Quality 80.5735), compared with the national average of 83.1.

Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

9090 FRANKLIN HILL RD STE 201
EAST STROUDSBURG, PA 18301

Provider Details

NPI 1134128622
Specialty Colon & Rectal Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 07/18/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

95.6426
Final Score
Avg: 83.1
80.5735
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where DARELL COVINGTON, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ST LUKES PHYSICIAN GROUP INC
STROUDSBURG, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for DARELL COVINGTON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$957

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to DARELL COVINGTON, M.D.. To verify DARELL COVINGTON, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

713
Total Claims
$134K
Total Drug Cost
383
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
949
Total Day Supply
17,923
Generic Drug Cost
$71K
Opioid Claims
30 (4.2% rate)
Antibiotic Claims
36

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.02
Gender Split
55% female / 45% male
Age Distribution
<65: 28, 65-74: 248, 75-84: 94, 85+: 13

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What DARELL COVINGTON, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Mesalamine
85
Clenpiq
Sod Picosulf/Mag Ox/Citric Ac
76
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
45
Budesonide Ec
Budesonide
33
Diphenoxylate-Atropine
Diphenoxylate Hcl/Atropine
22
Oxycodone Hcl
20
Pantoprazole Sodium
17
Balsalazide Disodium
12
Folic Acid
12
Gavilyte-G
"Peg3350/Sod Sulf
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Colon & Rectal Surgery Physician Overview

How DARELL COVINGTON, M.D. fits within the Colon & Rectal Surgery Physician landscape nationally.

1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider

DARELL COVINGTON, M.D.'s 713 claims are above the specialty average of 196.

Nearby Colon & Rectal Surgery Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as COVINGTON.

Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DARELL COVINGTON, M.D.'s specialty?
DARELL COVINGTON, M.D. specializes in Colon & Rectal Surgery Physician and practices in EAST STROUDSBURG, Pennsylvania. Credentials: M.D..
How much does DARELL COVINGTON, M.D. prescribe under Medicare Part D?
In 2023, DARELL COVINGTON, M.D. wrote 713 Medicare Part D claims totaling $134K in drug costs for 383 beneficiaries.
What is DARELL COVINGTON, M.D.'s Medicare quality score?
DARELL COVINGTON, M.D. has a CMS MIPS Final Score of 95.6426/100 (Quality: 80.5735). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DARELL COVINGTON, M.D. located?
DARELL COVINGTON, M.D. is located at 9090 FRANKLIN HILL RD STE 201, EAST STROUDSBURG, PA, 18301. Phone: (484) 526-6545.
What is DARELL COVINGTON, M.D.'s NPI number?
DARELL COVINGTON, M.D.'s National Provider Identifier (NPI) is 1134128622, issued on 07/18/2005.
Does DARELL COVINGTON, M.D. prescribe opioids?
Yes, DARELL COVINGTON, M.D. had 30 opioid claims in 2023 with an opioid prescribing rate of 4.2%.
How many Colon & Rectal Surgery Physician providers are there in the US?
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does DARELL COVINGTON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DARELL COVINGTON, M.D.'s most frequently prescribed drugs include Mesalamine, Clenpiq, Sutab. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DARELL COVINGTON, M.D. accept Medicare?
DARELL COVINGTON, M.D. appears in CMS Medicare data with 713 Part D claims and 383 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DARELL COVINGTON, M.D.'s credentials?
DARELL COVINGTON, M.D.'s NPI is 1134128622 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology