2026 NPPES data Radiation Oncology Physician NPI 1568562379 M.D.
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JEFFREY KOVALIC, M.D.

Radiation Oncology Physician in JACKSON, Tennessee. 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
402
Medicare Part D claims · 141 beneficiaries · Radiation Oncology Physician avg: 186
Generic prescribing
68%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
32.4787/100
▼ 51 pts below national avg 83.1 · [object Object]
Industry payments
$59.29
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JEFFREY KOVALIC, M.D. reported a CMS MIPS final score of 32.4787/100 — below the 83.1 national average — and filed 402 Medicare Part D claims in 2023.

32.4787/100
MIPS score · -51 vs avg
402
Part D claims, 2023
68%
generic prescribing
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.

JEFFREY KOVALIC, 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

32 3rd percentile higher than 3% 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%). This entry sits in this band. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

JEFFREY KOVALIC, 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 JEFFREY KOVALIC, M.D.?

Below national average

NPI registry status

Active

Issued 09/22/2006

NPI 1568562379

Primary specialty

Radiation Oncology Physician

Mid-sized

6,018 US NPIs in this specialty

Medicare Part D claims

402 116% vs specialty avg

2023 prescription claims

Specialty avg: 186

MIPS final score

32.4787/100 50.62129999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in Tennessee

How Radiation Oncology Physician compares to other specialties among Tennessee providers

Tennessee providers

Radiation Oncology Physician share within Tennessee

1. Radiation Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Radiation Oncology Physician share within Tennessee

Medicare quality performance — MIPS

JEFFREY KOVALIC, M.D.'s 2023 MIPS final score plotted against the Radiation Oncology Physician national average

Below national average
MIPS Final Score
32.4787/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Radiation Oncology Physician) — 32.4787/100 vs national avg 83.1

0%100%National avg83%32.5%
MIPS final score (Radiation Oncology Physician) — 32.4787/100 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).

JEFFREY KOVALIC, M.D. appears in the CMS NPPES registry as a Radiation Oncology Physician provider holding M.D. credentials at 620 SKYLINE DR, JACKSON, TN, 38301, with a listed phone of (731) 541-6250. NPI 1568562379 was issued on 09/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOVALIC 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 402 prescription claims written by this provider, covering 141 Medicare beneficiaries and totaling roughly $9K in drug spend, split 32% brand-name and 68% generic by claim count, with an opioid prescribing rate of 10.2%. 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 32.4787/100 for the 2023 performance year (Quality 47.3805, Cost 38.0269), compared with the national average of 83.1.

Radiation Oncology Physician is a mid-sized specialty nationwide, with 6,018 enrolled providers across 52 states and an average of 186 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

620 SKYLINE DR
JACKSON, TN 38301

Provider Details

NPI 1568562379
Specialty Radiation Oncology Physician
Credentials M.D.
Gender Male
NPI Issued 09/22/2006

CMS Quality Score (MIPS)

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

32.4787
Final Score
Avg: 83.1
47.3805
Quality
38.0269
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where JEFFREY KOVALIC, 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.

ONCOLOGY CONSULTANTS PC
JACKSON, TN

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 JEFFREY KOVALIC, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$59

Largest payer

SpringWorks Therapeutics, 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.

Brand vs generic prescribing mix · Above average

JEFFREY KOVALIC, M.D. — brand share 32.0%
Specialty average (est.)

32% brand-name claims vs 68% generic, on 402 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

402
Total Claims
$9K
Total Drug Cost
141
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
503
Total Day Supply
12,891
Brand vs Generic
32% brand / 68% generic
Brand Drug Cost
$3K
Generic Drug Cost
$6K
Opioid Claims
41 (10.2% rate)

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
2.12
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

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

What JEFFREY KOVALIC, 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
Levothyroxine Sodium
137
Lidocaine Hcl Viscous
Lidocaine Hcl
47
Oxycodone Hcl
40
Pilocarpine Hcl
31
Dexamethasone
25
Silver Sulfadiazine
20
Hydrocortisone
11
Ssd
Silver Sulfadiazine
11

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

Radiation Oncology Physician Overview

How JEFFREY KOVALIC, M.D. fits within the Radiation Oncology Physician landscape nationally.

6,018
Radiation Oncology Physician Providers in US
52
States with Radiation Oncology Physician
186
Avg Claims per Provider

JEFFREY KOVALIC, M.D.'s 402 claims are above the specialty average of 186.

Nearby Radiation Oncology Physician Providers in Tennessee

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

Compare Radiation Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JEFFREY KOVALIC, M.D.'s specialty?
JEFFREY KOVALIC, M.D. specializes in Radiation Oncology Physician and practices in JACKSON, Tennessee. Credentials: M.D..
How much does JEFFREY KOVALIC, M.D. prescribe under Medicare Part D?
In 2023, JEFFREY KOVALIC, M.D. wrote 402 Medicare Part D claims totaling $9K in drug costs for 141 beneficiaries.
What is JEFFREY KOVALIC, M.D.'s Medicare quality score?
JEFFREY KOVALIC, M.D. has a CMS MIPS Final Score of 32.4787/100 (Quality: 47.3805, Cost: 38.0269). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JEFFREY KOVALIC, M.D. located?
JEFFREY KOVALIC, M.D. is located at 620 SKYLINE DR, JACKSON, TN, 38301. Phone: (731) 541-6250.
What is JEFFREY KOVALIC, M.D.'s NPI number?
JEFFREY KOVALIC, M.D.'s National Provider Identifier (NPI) is 1568562379, issued on 09/22/2006.
Does JEFFREY KOVALIC, M.D. prescribe more brand-name or generic drugs?
JEFFREY KOVALIC, M.D.'s prescribing is 32% brand-name and 68% generic drugs by claim count, with $3K in brand drug costs.
Does JEFFREY KOVALIC, M.D. prescribe opioids?
Yes, JEFFREY KOVALIC, M.D. had 41 opioid claims in 2023 with an opioid prescribing rate of 10.2%.
How many Radiation Oncology Physician providers are there in the US?
There are 6,018 Radiation Oncology Physician providers across 52 states in the US. The average Radiation Oncology Physician provider writes 186 Medicare Part D claims per year.
What drugs does JEFFREY KOVALIC, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JEFFREY KOVALIC, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Lidocaine Hcl Viscous, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JEFFREY KOVALIC, M.D. accept Medicare?
JEFFREY KOVALIC, M.D. appears in CMS Medicare data with 402 Part D claims and 141 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEFFREY KOVALIC, M.D.'s credentials?
JEFFREY KOVALIC, M.D.'s NPI is 1568562379 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