2026 NPPES data Primary Podiatric Medicine Podiatrist NPI 1316945496 DPM
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KURT KOVALOVICH, DPM

Primary Podiatric Medicine Podiatrist in PINE GROVE, 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
164
Medicare Part D claims · 66 beneficiaries · Primary Podiatric Medicine Podiatrist avg: 322
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
What the federal data reveals: KURT KOVALOVICH, DPM is a Primary Podiatric Medicine Podiatrist ([object Object]) practicing in PINE GROVE, Pennsylvania with a Medicare Part D prescribing footprint of 164 claims across 66 beneficiaries — 20% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KURT KOVALOVICH, DPM reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 164 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KURT KOVALOVICH, DPM at a glance

Below national average

NPI registry status

Active

Issued 07/12/2005

NPI 1316945496

Primary specialty

Primary Podiatric Medicine Podiatrist

Niche

1,077 US NPIs in this specialty

Medicare Part D claims

164 49% vs specialty avg

2023 prescription claims

Specialty avg: 322

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Primary Podiatric Medicine Podiatrist compares to other specialties among Pennsylvania providers

Pennsylvania providers

Primary Podiatric Medicine Podiatrist share within Pennsylvania

1. Primary Podiatric Medicine Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Primary Podiatric Medicine Podiatrist share within Pennsylvania

Medicare quality performance — MIPS

KURT KOVALOVICH, DPM's 2023 MIPS final score plotted against the Primary Podiatric Medicine Podiatrist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Podiatric Medicine Podiatrist) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Primary Podiatric Medicine Podiatrist) — 0/100 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).

KURT KOVALOVICH, DPM is a Primary Podiatric Medicine Podiatrist provider practicing in PINE GROVE, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DPM. NPI: 1316945496. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KURT KOVALOVICH, DPM appears in the CMS NPPES registry as a Primary Podiatric Medicine Podiatrist provider holding DPM credentials at 185 S TULPEHOCKEN ST, PINE GROVE, PA, 17963, with a listed phone of (570) 345-6301. NPI 1316945496 was issued on 07/12/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOVALOVICH 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 164 prescription claims written by this provider, covering 66 Medicare beneficiaries and totaling roughly $2K in drug spend, split 20% brand-name and 80% generic by claim count. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Primary Podiatric Medicine Podiatrist is a narrow specialty nationwide, with 1,077 enrolled providers across 50 states and an average of 322 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

185 S TULPEHOCKEN ST
PINE GROVE, PA 17963

Provider Details

NPI 1316945496
Specialty Primary Podiatric Medicine Podiatrist
Credentials DPM
Gender Male
NPI Issued 07/12/2005

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

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 KURT KOVALOVICH, DPM. To verify KURT KOVALOVICH, DPM'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.

Brand vs generic prescribing mix · Typical

KURT KOVALOVICH, DPM — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 164 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.

164
Total Claims
$2K
Total Drug Cost
66
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
176
Total Day Supply
3,207
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$257
Generic Drug Cost
$1K
Antibiotic Claims
48

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.44
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Terbinafine Hcl
33
Silver Sulfadiazine
20
Allopurinol
12
Cephalexin
11

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

Primary Podiatric Medicine Podiatrist Overview

How KURT KOVALOVICH, DPM fits within the Primary Podiatric Medicine Podiatrist landscape nationally.

1,077
Primary Podiatric Medicine Podiatrist Providers in US
50
States with Primary Podiatric Medicine Podiatrist
322
Avg Claims per Provider

KURT KOVALOVICH, DPM's 164 claims are below the specialty average of 322.

Nearby Primary Podiatric Medicine Podiatrist Providers in Pennsylvania

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

Compare Primary Podiatric Medicine Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KURT KOVALOVICH, DPM's specialty?
KURT KOVALOVICH, DPM specializes in Primary Podiatric Medicine Podiatrist and practices in PINE GROVE, Pennsylvania. Credentials: DPM.
How much does KURT KOVALOVICH, DPM prescribe under Medicare Part D?
In 2023, KURT KOVALOVICH, DPM wrote 164 Medicare Part D claims totaling $2K in drug costs for 66 beneficiaries.
What is KURT KOVALOVICH, DPM's Medicare quality score?
KURT KOVALOVICH, DPM has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KURT KOVALOVICH, DPM located?
KURT KOVALOVICH, DPM is located at 185 S TULPEHOCKEN ST, PINE GROVE, PA, 17963. Phone: (570) 345-6301.
What is KURT KOVALOVICH, DPM's NPI number?
KURT KOVALOVICH, DPM's National Provider Identifier (NPI) is 1316945496, issued on 07/12/2005.
Does KURT KOVALOVICH, DPM prescribe more brand-name or generic drugs?
KURT KOVALOVICH, DPM's prescribing is 20% brand-name and 80% generic drugs by claim count, with $257 in brand drug costs.
How many Primary Podiatric Medicine Podiatrist providers are there in the US?
There are 1,077 Primary Podiatric Medicine Podiatrist providers across 50 states in the US. The average Primary Podiatric Medicine Podiatrist provider writes 322 Medicare Part D claims per year.
What drugs does KURT KOVALOVICH, DPM prescribe most often?
Based on 2023 Medicare Part D data, KURT KOVALOVICH, DPM's most frequently prescribed drugs include Terbinafine Hcl, Silver Sulfadiazine, Allopurinol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KURT KOVALOVICH, DPM accept Medicare?
KURT KOVALOVICH, DPM appears in CMS Medicare data with 164 Part D claims and 66 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KURT KOVALOVICH, DPM's credentials?
KURT KOVALOVICH, DPM's NPI is 1316945496 with credentials DPM. 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