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Andre Covacha , PA-C

Physician Assistant โ€ข Cumberland, RI

Active NPI 1265800023 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2140 Mendon Rd
Cumberland, RI 02864

Call 4016422072 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2140 Mendon Rd

Cumberland, RI 02864

Telephone 4016422072
Fax 4013053958
Organization at the Same NPPES Address or Phone
Primary Care Of Northern Rhode Island Facility NPI 1568669869

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 5 distinct additional practice-address records in Attleboro, MA; Barrington, RI; Middletown, RI and 2 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Rhode Island Medical Imaging Inc; Silver Spring Health Care Management Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2015

Medicare patients

204 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $19,201 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $14,248 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

54 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$379 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Andre Covacha has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Andre Covacha as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cumberland and Rhode Island

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: 233. Middle half: 78 to 486.

Too few clinicians listed under Physician Assistant in Cumberland have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: $17,396. Middle half: $6,065 to $31,744.

Too few clinicians listed under Physician Assistant in Cumberland have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: $13,448. Middle half: $4,267 to $23,050.

Too few clinicians listed under Physician Assistant in Cumberland have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Rhode Island (2024, 413 clinicians with data). Median for this group: 244. Middle half: 75 to 768.

Too few clinicians listed under Physician Assistant in Cumberland have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 80% of clinicians listed under Physician Assistant in Rhode Island (2024, 413 clinicians with data). Median for this group: $3,036. Middle half: $627 to $42,746.

Too few clinicians listed under Physician Assistant in Cumberland have Medicare Part D data for 2024 to compare.

10 active clinicians are listed under Physician Assistant with a practice address in Cumberland, RI (684 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance
44 18 $895.00 $88.18
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
31 31 $194.16 $78.04
77001 Fluoroscopic guidance for insertion or removal of central vein access device
25 24 $75.00 $14.89
32555 Aspiration of fluid from chest cavity using imaging guidance
23 11 $940.00 $90.20
76942 Ultrasonic guidance for needle placement
21 21 $130.00 $25.27
76937 Ultrasonic guidance for blood vessel access
19 19 $55.00 $11.53
36561 Insertion of central venous tube with port (5 years or older)
17 17 $3175.00 $275.07
77012 Review by radiologist of ct guidance for needle placement
16 16 $240.00 $58.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 14 $276.79 $109.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $241.83 $95.45
20610 Aspiration and/or injection of fluid from large joint
11 11 $190.00 $38.40
77002 Fluoroscopic guidance for needle placement
11 11 $105.00 $21.92
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
11 11 $136.27 $68.88

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 17 131 $156.17 17
Methylprednisolone Methylprednisolone 14 56 $100.10 11
Amoxicillin Amoxicillin 12 120 $66.23 12
Azithromycin Azithromycin 11 55 $56.85 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES RI CPA00837

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MA PA7807

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20201124001703

Enrollment State Jurisdiction

MA

PECOS Control ID

4385953181

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Silver Spring Health Care Management Inc

120 Centerville Rd, Warwick, RI 028864336

Phone: 4015621017

Silver Spring Health Care Management Inc

3461 S County Trl, East Greenwich, RI 028181465

Phone: 4014716740

Rhode Island Medical Imaging Inc

200 High Service Ave, North Providence, RI 029045113

Phone: 4014563000

Rhode Island Medical Imaging Inc

1 Kettle Point Ave, East Providence, RI 029145375

Phone: 4016263900

Secondary Practice Locations

400 Putnam Pike

Smithfield, RI 029172408

Phone: 4017576160

67 Valley Rd

Middletown, RI 028427274

Phone: 4018474950

310 Maple Ave

Barrington, RI 028063430

Phone: 4019030300

125 Metro Center Blvd Fl 2

Warwick, RI 028861768

Phone: 4014322500

211 Park St

Attleboro, MA 027033137

Phone: 5082225200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Amanda Laflamme , PA-C

Physician Assistant

NPI 1780316315

Physician Assistant (Certified)

Dr. Gina La Prova , MD

Family Medicine

NPI 1184690299

Doctor of Medicine (M.D.)

Jordan Raheb

Physician Assistant

NPI 1821650136
Sarah Shaw , NP

Nurse Practitioner - Family

NPI 1275350696

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2020

Physician Assistant (license number reported to NPPES: MA PA7807)

๐Ÿ‘ค
Provider Name / Credentials Updated September 28, 2018

Recorded as ANDRE COVACHA, PA-C

๐Ÿ“
Updated Practice Location August 08, 2018

Registered at 2140 MENDON RD, CUMBERLAND, RI 02864 (Tel: 4016422072)

๐Ÿ“
Updated Business Mailing Address August 08, 2018

Registered at 2140 MENDON RD, CUMBERLAND, RI 028643843 (Tel: 4016422072)

โœ…
NPI Profile Active September 10, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Business Mailing Address (Initial Record) September 10, 2015

Registered at 111 BREWSTER ST, PAWTUCKET, RI 028604474

๐Ÿ“
Practice Location (Initial Record) September 10, 2015

Registered at 111 BREWSTER ST, PAWTUCKET, RI 028604474 (Tel: 4017292000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 10, 2015

Recorded as ANDRE COVACHA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2015

Physician Assistant (license number reported to NPPES: RI CPA00837)

๐ŸŸข
Initial NPI Registration & Enumeration September 10, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265800023
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2015
Last Update: October 30, 2020
Sole Proprietor: Yes

Other Physician Assistants in Cumberland

Mailing Address

2140 Mendon Rd

Cumberland, RI 028643843

Phone: 4016422072

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.