Active NPI 1427058130 Individual Practitioner Male Practitioner

Dr. Donald Scott Covington , MD

Surgery • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donald Covington, MD is a certified Surgery practicing in Jacksonville, FL. With approximately 37 years of clinical experience since graduating from University Of North Carolina At Chapel Hill School Of Medicine in 1989, Dr. Covington delivers high-quality medical care to the local community at 1 SHIRCLIFF WAY.

Dr. Covington is affiliated with Halifax Healthcare Systems Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of tissue from wound, 20.0 sq cm or less, removal of tissue from wound, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Shircliff Way

Jacksonville, FL 322044748

Telephone 3522502650

Fax 9042819806

Associated Practice Facility / Clinic

🏢 Emergency Medical Specialists Of Jacksonville Facility NPI 1295738367

Medicare Profile & Education

Medical School

University Of North Carolina At Chapel Hill School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jacksonville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +14.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

138 Specialists

Practicing in Jacksonville, FL (2030 Statewide)

Telehealth Adoption Rate

14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Covington (37 Years) 37 Yrs

Jacksonville Specialty Average (22.4 Years) 22.4 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
97597 Removal of tissue from wound, 20.0 sq cm or less	335	98	$75.00	$34.38
97598 Removal of tissue from wound, each additional 20.0 sq cm	176	34	$63.00	$24.38
99213 Established patient office or other outpatient visit, typically 15 minutes	120	71	$182.00	$64.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	42	$256.00	$94.91
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	62	11	$118.00	$55.20
11042 Removal of skin and tissue, 20.0 sq cm or less	54	34	$180.00	$54.21
97606 Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm	40	30	$56.00	$25.54
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	35	11	$56.00	$19.45
99183 Management and supervision of oxygen chamber therapy per session	35	11	$222.00	$98.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	25	$114.00	$34.64
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	30	19	$85.00	$23.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$273.00	$127.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$363.00	$140.89
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	17	13	$516.00	$134.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$399.00	$148.69
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	16	11	$227.00	$60.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$338.00	$131.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$144.00	$76.79
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$205.00	$81.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$206.00	$115.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	459	111	$75.00	$35.41
97598 Removal of tissue from wound, each additional 20.0 sq cm	320	37	$63.00	$24.83
99183 Management and supervision of oxygen chamber therapy per session	279	22	$222.00	$106.84
99213 Established patient office or other outpatient visit, typically 15 minutes	150	82	$182.00	$65.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	51	$256.00	$96.50
11042 Removal of skin and tissue, 20.0 sq cm or less	96	55	$180.00	$56.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	53	$114.00	$35.36
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	64	17	$56.00	$25.87
97606 Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm	30	25	$56.00	$26.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$338.00	$132.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	21	$79.00	$49.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$273.00	$129.62
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	26	22	$227.00	$59.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$227.00	$82.93
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$205.00	$83.43
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	20	18	$85.00	$24.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	14	$144.00	$78.57
15931 Removal of pressure sore tissue of sacrum with closure	11	11	$1475.00	$657.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	526	133	$53.13	$36.72
97598 Removal of tissue from wound, each additional 20.0 sq cm	361	38	$63.00	$26.02
99183 Management and supervision of oxygen chamber therapy per session	330	16	$201.52	$109.61
99213 Established patient office or other outpatient visit, typically 15 minutes	169	90	$133.41	$67.12
11042 Removal of skin and tissue, 20.0 sq cm or less	131	59	$180.00	$58.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	65	$181.16	$97.00
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	78	18	$49.33	$27.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$264.15	$135.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	27	$65.92	$38.85
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	38	26	$227.00	$69.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	30	$125.06	$68.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	35	$96.54	$36.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$223.13	$130.78
99221 Initial hospital inpatient care per day, typically 30 minutes	28	27	$168.04	$101.49
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	26	21	$46.08	$24.99
97606 Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm	25	21	$47.16	$26.26
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	18	11	$516.00	$135.79
15931 Removal of pressure sore tissue of sacrum with closure	16	16	$1446.81	$658.61
11104 Punch biopsy, first skin growth	13	12	$201.38	$38.26
11044 Removal of bone, 20.0 sq cm or less	12	11	$699.00	$231.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	337	97	$48.00	$36.11
99183 Management and supervision of oxygen chamber therapy per session	252	13	$193.00	$111.24
11042 Removal of skin and tissue, 20.0 sq cm or less	191	77	$180.00	$60.43
99213 Established patient office or other outpatient visit, typically 15 minutes	114	68	$113.00	$67.33
97598 Removal of tissue from wound, each additional 20.0 sq cm	114	19	$63.00	$25.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	33	$62.00	$38.27
99221 Initial hospital inpatient care per day, typically 30 minutes	48	47	$160.00	$103.75
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	44	17	$227.00	$81.69
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	32	13	$48.00	$25.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	19	$113.00	$73.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$166.00	$102.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$168.00	$86.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$257.00	$133.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$216.00	$126.46
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	17	13	$516.00	$158.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97032 Application of electrical stimulation with therapist present, each 15 minutes	1,595	54	$17.48	$13.49
11042 Removal of skin and tissue, 20.0 sq cm or less	185	57	$211.83	$63.53
99213 Established patient office or other outpatient visit, typically 15 minutes	113	45	$80.31	$76.15
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	78	14	$81.93	$29.05
0110T Measurement of sensory impairment of arm or leg	73	31	$48.56	$48.31
99183 Management and supervision of oxygen chamber therapy per session	60	15	$219.21	$117.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$166.95	$168.12
99213 Established patient office or other outpatient visit, typically 15 minutes	44	31	$130.43	$53.26
93923 Complete ultrasound study of arm and leg arteries	43	41	$144.00	$131.19
64450 Injection of anesthetic agent, other peripheral nerve or branch	33	14	$119.79	$92.46
97597 Removal of tissue from wound, 20.0 sq cm or less	20	16	$113.72	$38.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$179.90	$81.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$274.39	$134.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	307	107	$182.05	$24.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	68	$126.70	$25.71
11042 Removal of skin and tissue, 20.0 sq cm or less	103	68	$284.42	$62.29
99213 Established patient office or other outpatient visit, typically 15 minutes	86	53	$177.03	$51.31
97598 Removal of tissue from wound, each additional 20.0 sq cm	56	11	$98.14	$11.36
99221 Initial hospital inpatient care per day, typically 30 minutes	53	50	$301.00	$102.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	34	$200.00	$73.01
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	44	13	$102.25	$27.66
99183 Management and supervision of oxygen chamber therapy per session	36	12	$743.97	$112.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$276.33	$78.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	15	$154.00	$39.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$255.67	$77.22
11104 Punch biopsy, first skin growth	11	11	$639.55	$51.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	263	84	$176.00	$23.23
11042 Removal of skin and tissue, 20.0 sq cm or less	135	62	$271.64	$60.76
99183 Management and supervision of oxygen chamber therapy per session	105	20	$761.83	$109.19
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	86	12	$80.12	$26.65
99213 Established patient office or other outpatient visit, typically 15 minutes	77	50	$171.88	$49.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	47	$122.00	$24.79
97598 Removal of tissue from wound, each additional 20.0 sq cm	27	12	$93.11	$10.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$263.00	$76.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$247.00	$74.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	154	61	$176.00	$22.88
11042 Removal of skin and tissue, 20.0 sq cm or less	62	40	$265.00	$60.69
99213 Established patient office or other outpatient visit, typically 15 minutes	48	33	$166.27	$50.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	25	$117.91	$25.08
99183 Management and supervision of oxygen chamber therapy per session	38	18	$750.00	$110.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$240.00	$75.94

Medical Specialties & State Licenses

CMS Verified: 2022-05-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME114887

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Preventive Medicine - Undersea and Hyperbaric Medicine

NUCC Taxonomy Code: 2083P0011X

State License FL ME 114887

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Surgery

NUCC Taxonomy Code: 208600000X

State License FL ME14887

Surgery

NUCC Taxonomy Code: 208600000X

State License NC 95-00541

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

State License NC 95-00541

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

009556500 (FL)

Hospital & Practice Group Affiliations

Halifax Healthcare Systems Inc

311 N Clyde Morris Blvd, Daytona Beach, FL 321142766

Phone: 3862537644

Practice Associates & Co-Workers

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

7 Associated Practitioners

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Doctor of Medicine (M.D.)

Dr. Steve Beiser , MD

Internal Medicine

NPI 1447262274

Doctor of Medicine (M.D.)

Dr. Aisha Amin , MD

Internal Medicine

NPI 1689957482

Doctor of Medicine (M.D.)

Jeanna Rangbaran , ARNP

Nurse Practitioner - Family

NPI 1699115436

Advanced Registered Nurse Practitioner

Dr. Yasser Hussain , MD

Internal Medicine - Critical Care Medicine

NPI 1821321134

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2022

Surgery (License #ME114887 in FL)

📍

Updated Business Mailing Address May 04, 2021

Registered at 1650 MARGARET ST STE 302-187, JACKSONVILLE, FL 322043868 (Tel: 3522502650)

📍

Updated Practice Location September 18, 2020

Registered at 1 SHIRCLIFF WAY, JACKSONVILLE, FL 322044748 (Tel: 9194171980)

📍

Updated Practice Location June 09, 2020

Registered at 3101 UNIVERSITY BLVD S STE 100, JACKSONVILLE, FL 322162750 (Tel: 9045531017)

📍

Updated Business Mailing Address June 09, 2020

Registered at PO BOX 311, PONTE VEDRA BEACH, FL 320040311 (Tel: 9194171980)

📍

Updated Business Mailing Address February 08, 2019

Registered at 2100 OAK HAMMOCK DR, PONTE VEDRA BEACH, FL 320823725 (Tel: 9194171980)

✅

NPI Profile Active February 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 18, 2015

Registered at 800 PRUDENTIAL DR, JACKSONVILLE, FL 322078202 (Tel: 9043968673)

📍

Updated Business Mailing Address February 18, 2015

Registered at 5220 BELFORT RD, SUITE 130, JACKSONVILLE, FL 322566017 (Tel: 9044463407)

👤

Provider Name / Credentials Updated February 18, 2015

Recorded as DONALD COVINGTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2015

Preventive Medicine (License #ME 114887 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2015

Surgery (License #95-00541 in NC)

🟢

Initial NPI Registration & Enumeration July 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1427058130

Entity Type:

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

Enumeration Date: July 22, 2005

Last Update: May 16, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1650 Margaret St Ste 302-187

Jacksonville, FL 322043868

Phone: 9194171980

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.