Active NPI 1336222017 Individual Practitioner Male Practitioner

Dr. William Covell , MD

Internal Medicine • Middletown, DE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. William Covell, MD is a certified Internal Medicine practicing in Middletown, DE. With approximately 30 years of clinical experience since graduating from Virginia Commonwealth University, School Of Medicine in 1996, Dr. Covell delivers high-quality medical care to the local community at 212 CARTER DR.

Dr. Covell is affiliated with Rocky Mountain Primary Care , Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

212 Carter Dr
Suite A

Middletown, DE 197095837

Telephone 3023784407

Fax 3023784610

Associated Practice Facility / Clinic

🏢 Physiotherapy Associates - Union Rehab Llc Facility NPI 1568560266

Medicare Profile & Education

Medical School

Virginia Commonwealth University, School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Middletown, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +11.6 yrs vs City Avg

City Avg: 18.4 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Middletown, DE (625 Statewide)

Telehealth Adoption Rate

55.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Covell (30 Years) 30 Yrs

Middletown Specialty Average (18.4 Years) 18.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	133	$300.00	$84.02
99213 Established patient office or other outpatient visit, typically 15 minutes	249	168	$211.00	$57.95
G2211 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's	142	91	$30.00	$16.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	115	115	$307.00	$42.60
90662 Influenza vaccine split virus, preservative free	33	33	$120.00	$81.82
G0008 Administration of influenza virus vaccine	33	33	$41.00	$32.58
G0009 Administration of pneumococcal vaccine	21	21	$41.00	$32.58
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	21	21	$518.00	$289.02
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	16	16	$85.00	$68.88
90480 Admn sarscov2 vacc 1 dose	15	14	$60.00	$43.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$388.00	$167.99
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$34.00	$13.60
81002 Urinalysis, manual test	12	12	$8.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	266	157	$300.00	$89.07
99213 Established patient office or other outpatient visit, typically 15 minutes	253	163	$206.83	$61.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$307.00	$45.78
G0008 Administration of influenza virus vaccine	54	53	$41.00	$31.04
90662 Influenza vaccine split virus, preservative free	53	52	$120.00	$71.87
G0009 Administration of pneumococcal vaccine	41	41	$41.00	$31.04
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	40	40	$518.00	$281.56
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	25	24	$85.00	$58.68
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$34.00	$14.64
81002 Urinalysis, manual test	14	13	$8.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$388.00	$167.33
11104 Punch biopsy, first skin growth	11	11	$303.00	$130.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	187	$300.00	$95.22
99213 Established patient office or other outpatient visit, typically 15 minutes	272	191	$211.00	$73.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	102	102	$307.00	$19.79
G0008 Administration of influenza virus vaccine	73	73	$41.00	$30.24
90662 Influenza vaccine split virus, preservative free	64	64	$120.00	$68.49
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	40	40	$85.00	$30.55
G0444 Annual depression screening, 5 to 15 minutes	32	32	$44.00	$19.38
G0009 Administration of pneumococcal vaccine	28	28	$41.00	$30.30
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	28	28	$518.00	$278.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$388.00	$171.50
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$34.00	$14.22
81002 Urinalysis, manual test	14	12	$8.00	$3.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	156	$246.30	$121.94
99213 Established patient office or other outpatient visit, typically 15 minutes	116	100	$176.12	$87.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$275.81	$137.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$376.36	$166.83
G0444 Annual depression screening, 5 to 15 minutes	30	30	$44.00	$19.64
G0008 Administration of influenza virus vaccine	23	23	$41.00	$16.77
G0009 Administration of pneumococcal vaccine	21	21	$40.24	$16.70
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$285.91	$119.62
90662 Influenza vaccine split virus, preservative free	20	20	$120.00	$62.00
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	12	11	$85.00	$73.49
81002 Urinalysis, manual test	11	11	$8.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	213	$146.13	$81.77
99213 Established patient office or other outpatient visit, typically 15 minutes	175	153	$92.60	$53.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	140	$240.69	$120.45
99442 Telephone medical discussion with physician, 11-20 minutes	129	117	$127.54	$53.26
99441 Telephone medical discussion with physician, 5-10 minutes	46	45	$82.50	$26.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$260.00	$134.45
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	17	$18.00	$8.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$356.54	$178.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	535	307	$147.11	$80.97
99213 Established patient office or other outpatient visit, typically 15 minutes	266	202	$94.11	$52.89
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	40	40	$18.00	$8.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$245.20	$119.51
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$363.00	$176.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$260.00	$133.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	16	$112.00	$54.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$215.00	$114.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	464	269	$146.75	$79.30
99213 Established patient office or other outpatient visit, typically 15 minutes	253	190	$92.55	$52.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$215.00	$113.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$260.00	$132.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$246.00	$118.71
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	19	$18.00	$8.64
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$363.00	$174.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$340.00	$172.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	177	$161.47	$96.58
99213 Established patient office or other outpatient visit, typically 15 minutes	252	177	$106.94	$67.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	120	120	$239.07	$145.35
93000 Routine ekg using at least 12 leads including interpretation and report	60	60	$35.00	$17.34

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C10005656

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MD D0054584

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0000943001 (DE)

Commercial Insurance / Payer ID Railroad Medicare

P00035301 (DE)

Hospital & Practice Group Affiliations

Rocky Mountain Primary Care , Pc

7625 W 92nd Ave, Westminster, CO 800214567

Phone: 3036503427

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Shannon Laird , PT

Physical Therapist

NPI 1285749580

Physical Therapist

William Wessells , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1659427714

Certified Athletic Trainer, Licensed Athletic Trainer

Samantha Kelley , ATC

Specialist/Technologist - Athletic Trainer

NPI 1679767024

Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 27, 2015

Registered at 212 CARTER DR, SUITE A, MIDDLETOWN, DE 197095837 (Tel: 3023784407)

📍

Updated Business Mailing Address October 27, 2015

Registered at 212 CARTER DR, SUITE A, MIDDLETOWN, DE 197095837 (Tel: 3023769058)

👤

Provider Name / Credentials Updated October 27, 2015

Recorded as WILLIAM COVELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2015

Internal Medicine (License #C10005656 in DE)

🟢

Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336222017

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 24, 2006

Last Update: October 27, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

212 Carter Dr, Suite A

Middletown, DE 197095837

Phone: 3023769058

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.