PHILIP COVERDALE (MD) – Emergency Medicine Physician, NPI 1740225911

PHILIP COVERDALE (MD) is a healthcare provider. based in Shaker heights, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35048557C (OH). The NPI Number for PHILIP COVERDALE (MD) is 1740225911

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP COVERDALE (MD)
NPI
1740225911
Phone
Not provided
Address
24049 SHAKER BLVD
Enumeration Date
19 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
4409972262
Graduation Year
1982 (44 years ago)
PAC ID
4486605722
Group Practice PAC ID
7214832435
Professional Enrollment ID
I20050203000907
Address ID
OH440044954AS2420XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

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Provider Addresses for PHILIP COVERDALE (MD)

  • Shaker Boulevard, Mercer, Shaker Heights, Cuyahoga County, Ohio, 44122, United States

    SHAKER HEIGHTS, OH 441222684

    Phone:

    Type: Mailing

  • Southwest General Health Center, 18697, Bagley Road, Middleburg Heights, Cuyahoga County, Ohio, 44130, United States

    MIDDLEBURG HEIGHTS, OH 441303417

    Phone: (440) 816-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-02-03

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
I20050203000907IEmergency MedicineOHTBD

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
99285Emergency department visit with high level of medical decision making336308$0
99284Emergency department visit with moderate level of medical decision making180173$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only179138$0
99291Critical care, first 30-74 minutes4745$0
99283Emergency department visit with low level of medical decision making2929$0
View full utilization report →

Insurance plans in this area (ZIP 44122)

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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: 7214832435View full group profile

Reviews

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Frequently asked questions

What is the standard ID for PHILIP COVERDALE (MD) in the U.S.?
In the U.S., PHILIP COVERDALE (MD) is identified by NPI 1740225911.
Quick check: is PHILIP COVERDALE (MD) active?
Public NPPES data shows PHILIP COVERDALE (MD) with an active NPI status right now.
How should patients interpret PHILIP COVERDALE (MD)'s specialty?
The extract shows Emergency Medicine Physician for PHILIP COVERDALE (MD). Clinical services aligned with this taxonomy classification.
Is PHILIP COVERDALE (MD) tied to Shaker Heights, Ohio?
If you are local to Shaker Heights, Ohio, PHILIP COVERDALE (MD) may be relevant to your search.
Who maintains PHILIP COVERDALE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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