MARY A KOVALAK (MD) – Gastroenterology Physician, NPI 1003861030

MARY A KOVALAK (MD) is a healthcare provider. based in Lonetree, Colorado. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 48189 (CO). The NPI Number for MARY A KOVALAK (MD) is 1003861030

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MARY A KOVALAK (MD)
NPI
1003861030
Phone
(303) 788-8888
Address
10103 RIDGEGATE PKWY
Enumeration Date
25 May 2006
Last Update Date
24 August 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
3037888888
Graduation Year
2002 (24 years ago)
PAC ID
9335165398
Group Practice PAC ID
2062302508
Professional Enrollment ID
I20091007000760
Address ID
CO801132794EN499XXAVEX406
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

369 GASTROENTEROLOGY in CO

Provider Addresses for MARY A KOVALAK (MD)

  • 10103 RIDGEGATE PKWY

    SUITE 312

    LONETREE, CO 801245520

    Phone: (303) 788-8888

    Fax: (303) 790-2567

    Type: Mailing

  • 10103 Ridgegate Pkwy Ste 312

    Lone Tree, CO 801245525

    Phone: (303) 788-8888

    Fax: (866) 456-4594

    Type: Location

  • 499 E HAMPDEN AVE STE 420

    ENGLEWOOD, CO 801132794

    Phone: (303) 788-8888

    Fax: (866) 896-1158

    Type: Mailing

  • 88, Inverness Circle East, Englewood, Arapahoe County, Colorado, 80112, United States

    A205

    ENGLEWOOD, CO 801125304

    Phone: (303) 788-8888

    Fax: (303) 768-8774

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $659.

Total Amount is formed as General ($659) + Research ($0) + Ownership ($0) = $659.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($451).

Total Amount

$659

General + Research + Ownership

Payments

14

Total payment records

General Amount

$659

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091007000760IGastroenterologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7552$0
45380Biopsy of large bowel using a flexible endoscope4846$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3229$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare1918$0
43450Dilation of esophagus1818$0
View full utilization report →

Insurance plans in this area (ZIP 80124)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062302508View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
Gastroenterology, Internal MedicineCO
G A S T R O E N T E R O L O G YCO
G A S T R O E N T E R O L O G YCO
-CO
G A S T R O E N T E R O L O G YNY
G A S T R O E N T E R O L O G YCO
Certified Registered Nurse Anesthetist (Crna)CO
Registered Dietitian Or Nutrition ProfessionalCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What identifier follows MARY A KOVALAK (MD) across health systems?
The NPI 1003861030 uniquely identifies MARY A KOVALAK (MD) in U.S. healthcare data.
Should I treat MARY A KOVALAK (MD) as an active provider?
Patients and plans typically see MARY A KOVALAK (MD) as active in the national extract.
What type of care does MARY A KOVALAK (MD) provide?
MARY A KOVALAK (MD)'s profile centers on Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARY A KOVALAK (MD)?
MARY A KOVALAK (MD) is associated with Lonetree, Colorado in the same public data insurers reference.
Who maintains MARY A KOVALAK (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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