Douglas J. Covert, MD, MPH
Retina Specialist (Ophthalmology) Physician · Traverse City, MI
Douglas J. Covert, MD, MPH is a retina specialist (ophthalmology) physician with a practice address in Traverse City, Michigan, and NPI 1194897017, issued on Nov 15, 2006. Check the license (Michigan 4301097132, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Douglas J. Covert
- Credential
- MD, MPH
- Primary taxonomy
- Retina Specialist (Ophthalmology) Physician 207WX0107X
- License number
- 4301097132 MI
Self-reported in NPPES; status is on the state search - Practice location
- 860 E Front St, Traverse City, MI 49686
- Phone
- (231) 938-0710
- Enumerated
- Nov 15, 2006
- Record last updated
- Jan 26, 2022
- Fax
- (231) 938-0264
- Medicare enrollment
- Enrolled (PECOS I20101111001500); accepts Medicare assignment
- Medical or professional school
- University Of North Carolina At Chapel Hill School Of Medicine, 2004
- Entity
- Type 1 · individual
8 nearest retina specialist (ophthalmology) physician records → All 49 in Michigan → Look up another NPI →
Also registered at 860 E Front St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nathan Farley, MDRetina Specialist (Ophthalmology) Physician1427476035
- Diane Fiander, MDRetina Specialist (Ophthalmology) Physician1295092971
- Scott Sneed, MDRetina Specialist (Ophthalmology) Physician1740281948
- Yichun Teng, MB BCHIROphthalmology Physician1396373650
Verify Douglas J. Covert in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 4301097132Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
13% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024
538 Medicare Part D claims for 177 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 32% of claims.
Most prescribed
- Prednisolone Acetate133 claims
- Ketorolac Tromethamine126 claims
- Gentamicin Sulfate58 claims
- Difluprednate46 claims
- Timolol Maleate45 claims
- Brimonidine Tartrate34 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.
The practice group's MIPS final score for 2023 (Medicare payment program): 95.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,288.20
18 payments; by number, the most common kind was food and beverage; the largest payer was Alimera Sciences, Inc. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Associated Retinal Consultants PCTraverse City, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Douglas J. Covert among 49 retina specialist (ophthalmology) physician records in Michigan
Douglas J. Covert, MD, MPH is one of 49 retina specialist (ophthalmology) physician records with a practice address in Michigan. 96% 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 16% of them.
- NPI issued2006 · 16% of these records are older, 51% newer
- In a Medicare fileYes · 96% of these records are
- In the CMS Doctors and Clinicians fileYes · 90% of these records are
- Graduated2004 · median 2003 among the 44 with a school on file
- Record last updated2022 · 33% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Retina Specialist (Ophthalmology) Physician providers in Michigan
There are 49 retina specialist (ophthalmology) physician records in Michigan.
All 49 in Michigan → Every provider in Traverse City → Retina Specialist (Ophthalmology) Physician nationwide →
The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes
- Nathan Farley, MDTraverse City, MI 496861427476035
- Diane Fiander, MDTraverse City, MI 496861295092971
- Kean Oh, M.D.Traverse City, MI 496861780686485
- Scott Sneed, MDTraverse City, MI 496861740281948
- Thomas Aaberg, MDGrand Rapids, MI 495461194753186
- Greg Bever, M.D.Grand Rapids, MI 495461114366440
- Edward Korot, M.D.Grand Rapids, MI 495461669853768
- Alan Margherio, MDGrand Rapids, MI 495461598793614
Common questions
What is Douglas J. Covert, MD, MPH's NPI number?
Douglas J. Covert, MD, MPH's National Provider Identifier (NPI) is 1194897017, issued on Nov 15, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Douglas J. Covert, MD, MPH located?
The NPPES record lists a practice address at 860 E Front St, Traverse City, MI, 49686. Phone: (231) 938-0710. Providers update this record themselves, so call before visiting.
How can I verify Douglas J. Covert, MD, MPH's license?
NPPES lists Michigan license number 4301097132, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Douglas J. Covert, MD, MPH prescribe under Medicare Part D?
In 2024, Douglas J. Covert, MD, MPH had 538 Medicare Part D claims for 177 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.
What is Douglas J. Covert, MD, MPH's MIPS final score?
The 2023 MIPS final score is 95.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.
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.