Raymond Kovalski, M.D
NPI 1861588006 · Pulmonary Disease Physician · Phoenixville, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raymond Kovalski, M.D is a Pulmonary Disease Physician provider in Phoenixville, PA (NPI 1861588006).
Provider details
- NPI number
- 1861588006
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- MD030431E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,339 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 979 | $17 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 688 | $93 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 685 | $79 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 472 | $130 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 220 | $174 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 98 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 566 | 96 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 486 | 184 |
| Prednisone | 249 | 110 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 225 | 34 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 169 | 36 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 151 | 36 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$103 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2022-02-11
- Certified
- 2022-02-11
Frequently asked questions
- What is Raymond Kovalski's NPI number?
- Raymond Kovalski's National Provider Identifier (NPI) is 1861588006, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raymond Kovalski's specialty?
- Raymond Kovalski is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Raymond Kovalski located?
- Raymond Kovalski's practice location on file with NPPES is 826 Main Street, Phoenixville, PA 19460-4478.
- What is Raymond Kovalski's phone number?
- The practice phone number listed in the NPPES registry for Raymond Kovalski is (610) 933-8484.
- Does Raymond Kovalski accept Medicare?
- Raymond Kovalski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raymond Kovalski's NPI active?
- Yes — Raymond Kovalski's NPI (1861588006) is active in the NPPES registry as of the last update on 2022-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.