NPPES file of Aug 9, 2026

Don A. Kovalsky, M.D.

Orthopaedic Surgery of the Spine Physician · Mount Vernon, IL

Don A. Kovalsky, M.D. is an orthopaedic surgery of the spine physician with a practice address in Mount Vernon, Illinois, and NPI 1700853272, issued on Mar 3, 2006. Check the license (Illinois 036105282, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1700853272
Name
Don A. Kovalsky
Credential
M.D.
Primary taxonomy
Orthopaedic Surgery of the Spine Physician 207XS0117X
License number
036105282 IL
Self-reported in NPPES; status is on the state search
Practice location
4121 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone
(618) 242-3778
Enumerated
Mar 3, 2006
Record last updated
Dec 23, 2009 (not updated in 17 years: call before relying on the address or phone)
Fax
(618) 242-2551
Medicaid ID
036105282 IL
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest orthopaedic surgery of the spine physician records → All 68 in Illinois → Look up another NPI →

Also registered at 4121 Veterans Memorial Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Joon Ahn, M.D.Orthopaedic Hand Surgery Physician1083681027
  2. Sherri Bailey, MS PTPhysical Therapist1821041658
  3. Lindsey Bearden, RNRegistered Nurse1932920717
  4. Stacie Chambliss, PTPhysical Therapist1780832253
  5. James Chow, M.D.Orthopaedic Surgery Physician1396712436
  6. Melanie Cross, FNPFamily Nurse Practitioner1093197410

Verify Don A. Kovalsky in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036105282    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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9% more Medicare Part D claims than the average orthopaedic surgery of the spine physician in 2024

417 Medicare Part D claims for 140 beneficiaries, against an average of 381 among the 1,714 providers of this specialty who prescribed in Part D. 184 claims were for opioids.

  1. Don Kovalsky417
  2. Specialty average381

Most prescribed

  1. Tramadol Hcl129 claims
  2. Gabapentin63 claims
  3. Tizanidine Hcl30 claims
  4. Oxycodone-Acetaminophen29 claims
  5. Cyclobenzaprine Hcl24 claims
  6. Hydrocodone-Acetaminophen22 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $37.78

2 payments; by number, the most common kind was food and beverage; the largest payer was SI-Bone, Inc. The 1,726 providers of this specialty with any payment received $34,071.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Don Kovalsky$38
  2. Specialty average$34,072

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Don A. Kovalsky among 68 orthopaedic surgery of the spine physician records in Illinois

Don A. Kovalsky, M.D. is one of 68 orthopaedic surgery of the spine physician records with a practice address in Illinois. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.

  • NPI issued2006 · 15% of these records are older, 44% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileNo · 69% of these records are
  • Record last updated2009 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0117X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery of the Spine Physician providers in Illinois

There are 68 orthopaedic surgery of the spine physician records in Illinois.

All 68 in Illinois → Every provider in Mount Vernon → Orthopaedic Surgery of the Spine Physician nationwide →

The 8 orthopaedic surgery of the spine physician records with the nearest ZIP codes

  1. Robert Dow, MDMount Vernon, IL 628641699272732
  2. Christopher Graves, MDSpringfield, IL 627111235458399
  3. Timothy Vanfleet, MDSpringfield, IL 627111629057419
  4. Joseph Williams, MDSpringfield, IL 627111497794390
  5. William Payne, M.D.Springfield, IL 627021740282847
  6. Stephen Pineda, MDSpringfield, IL 627021528178654
  7. Philip Meinhardt, M.D.Quincy, IL 623011356592919
  8. Daniel Mulconrey, MDPeoria, IL 616141710914064

Common questions

What is Don A. Kovalsky, M.D.'s NPI number?

Don A. Kovalsky, M.D.'s National Provider Identifier (NPI) is 1700853272, issued on Mar 3, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Don A. Kovalsky, M.D. located?

The NPPES record lists a practice address at 4121 Veterans Memorial Dr, Mount Vernon, IL, 62864. Phone: (618) 242-3778. Providers update this record themselves, so call before visiting.

How can I verify Don A. Kovalsky, M.D.'s license?

NPPES lists Illinois license number 036105282, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Don A. Kovalsky, M.D. prescribe under Medicare Part D?

In 2024, Don A. Kovalsky, M.D. had 417 Medicare Part D claims for 140 beneficiaries; the average among orthopaedic surgery of the spine physician prescribers was 381. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.