What is Douglas Covert's specialty?

Douglas Covert (NPI 1194897017) is a Medicare-billing provider whose primary specialty is Ophthalmology in Traverse City, MI.

Where does Douglas Covert practice?

Douglas Covert practices in Traverse City, MI, based on the location reported in the CMS Medicare provider datasets for NPI 1194897017.

How much does Medicare pay Douglas Covert?

Douglas Covert (NPI 1194897017) received approximately $3.1M in total Medicare Part B payments, serving 833 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1194897017

Douglas CovertMD, MPH

OphthalmologyTraverse City, MII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,812

Unique beneficiaries

—

Total services

53,257

Distinct HCPCS

Medicare payment

$3.0M

Peer benchmark

Total Medicare services vs. 608 Ophthalmology providers in MI — top quintile (cohort median 1,582).

PRESCRIBING · PART D · 2024

Total Rx claims

484

Beneficiaries

—

Total drug cost

$18K

Distinct drugs

Brand share

2.3%

Top prescribed drugs

Prednisolone Acetate133 claims

Ketorolac Tromethamine126 claims

Gentamicin Sulfate58 claims

Difluprednate46 claims

Timolol Maleate45 claims

QUALITY · MIPS · 2024

Final MIPS score

95.3

Quality

91.4

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.85%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Top paying entities

Food and Beverage$2K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 230097

Hospital

REFERRAL NETWORK

Where Douglas Covert's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 27 inbound referrers · 51 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL	48	114
QUEST DIAGNOSTICS INCORPORATED MI	36	84
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL	33	90
MUNSON HEALTHCARE GRAYLING	31	55
MYMICHIGAN MEDICAL CENTER SAULT	27	66
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL	22	34
KALKASKA MEMORIAL HEALTH CENTER	16	29
Clark Phelps Diagnostic Radiology · Traverse City, MI	15	19
William Shouldice Optometry · Gaylord, MI	15	23
PHYSICIAN SUPPORT SERVICES PLLC	15	31
GADOWSKI, GERALD	14	34
CADILLAC FAMILY PHYSICIANS, P.C.	14	45

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MUNSON MEDICAL CENTER	191	498
REGENTS OF THE UNIVERSITY OF MICHIGAN	151	398
MCLAREN NORTHERN MICHIGAN	122	326
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL	45	109
QUEST DIAGNOSTICS INCORPORATED MI	40	79
MYMICHIGAN MEDICAL CENTER ALPENA	38	91
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL	37	77
MUNSON HEALTHCARE CADILLAC	34	97
MYMICHIGAN MEDICAL CENTER SAULT	30	63
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL	29	94
MUNSON HEALTHCARE GRAYLING	24	47
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL	22	34

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history