Active NPI 1568614402 Individual Practitioner Male Practitioner

Dr. Ted Armstrong Kovacev , MD

Surgery • Lake Jackson, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ted Kovacev, MD is a certified Surgery practicing in Lake Jackson, TX. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Kovacev delivers high-quality medical care to the local community at 104 CIRCLE WAY ST STE A.

Dr. Kovacev accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, new 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

104 Circle Way St Ste A

Lake Jackson, TX 775665200

Telephone 9797217007

Fax 9797214254

Associated Practice Facility / Clinic

🏢 Dr Ted Kovacev Md Pa Facility NPI 1588215933

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lake Jackson, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -2.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Lake Jackson, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kovacev (21 Years) 21 Yrs

Lake Jackson Specialty Average (23.5 Years) 23.5 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	211	102	$350.00	$126.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	131	18	$400.00	$177.03
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	90	12	$400.00	$145.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$400.00	$163.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	16	$400.00	$168.18
45380 Biopsy of large bowel using an endoscope	17	17	$1100.00	$182.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1100.00	$243.03

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	130	72	$350.00	$127.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	16	$400.00	$178.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$400.00	$165.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$400.00	$171.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1100.00	$247.01

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	144	74	$350.00	$129.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	108	16	$400.00	$183.02
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	89	11	$400.00	$154.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$399.54	$168.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$400.00	$197.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	11	$300.00	$102.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$867.57	$109.61
45380 Biopsy of large bowel using an endoscope	13	13	$1138.00	$172.15

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	168	66	$350.00	$129.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$393.15	$166.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$398.55	$192.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	16	$172.21	$72.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	12	$278.15	$104.84
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$265.38	$91.16
45380 Biopsy of large bowel using an endoscope	14	14	$1206.79	$163.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	81	46	$87.56	$39.88
99213 Established patient office or other outpatient visit, typically 15 minutes	57	30	$272.46	$77.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$370.83	$169.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$334.29	$141.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	21	$189.30	$74.33
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$177.00	$102.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	18	$238.16	$109.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$350.00	$112.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$400.00	$209.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	115	67	$90.02	$38.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$352.05	$134.86
99213 Established patient office or other outpatient visit, typically 15 minutes	36	19	$222.22	$74.59
99221 Initial hospital inpatient care per day, typically 30 minutes	35	35	$177.00	$101.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$286.86	$108.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$161.00	$72.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$130.08	$45.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	31	$99.89	$39.46
99213 Established patient office or other outpatient visit, typically 15 minutes	43	26	$181.56	$73.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	35	$180.50	$72.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$267.42	$108.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$343.26	$137.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$107.83	$43.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	37	$148.61	$73.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	36	$279.20	$137.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$221.11	$108.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$91.79	$43.57

Medical Specialties & State Licenses

CMS Verified: 2022-05-04

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX Q0779

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 01070428A

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3455156-04 (TX)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Business Mailing Address September 25, 2019

Registered at 104 CIRCLE WAY ST STE A, LAKE JACKSON, TX 775665200 (Tel: 9797217007)

👤

Provider Name / Credentials Updated September 25, 2019

Recorded as TED KOVACEV, MD

📍

Updated Practice Location August 17, 2019

Registered at 104 CIRCLE WAY ST STE A, LAKE JACKSON, TX 775665200 (Tel: 9797217007)

📍

Updated Business Mailing Address August 17, 2019

Registered at 104 CIRCLE WAY ST, STE A, LAKE JACKSON, TX 775665200 (Tel: 8322435306)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2019

Surgery (License #01070428A in IN)

📍

Updated Practice Location July 14, 2019

Registered at 208 OAK DR S STE 500, LAKE JACKSON, TX 775665789 (Tel: 9792990011)

📍

Updated Business Mailing Address July 14, 2019

Registered at 301 TIMBERCREEK DR, LAKE JACKSON, TX 775664926 (Tel: 8322435306)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2019

Surgery (License #Q0779 in TX)

✅

NPI Profile Active May 17, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 17, 2013

Registered at 6106 PROMENADE LANE, PEARLAND, TX 77584 (Tel: 8322435306)

📍

Updated Business Mailing Address May 17, 2013

Registered at 6106 PROMENADE LANE, PEARLAND, TX 77584 (Tel: 8322435306)

👤

Provider Name / Credentials Updated May 17, 2013

Recorded as TED KOVACEV, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2013

Surgery (License #01070428A in IN)

🟢

Initial NPI Registration & Enumeration October 22, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568614402

Entity Type:

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

Enumeration Date: October 22, 2008

Last Update: May 04, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

104 Circle Way St Ste A

Lake Jackson, TX 775665200

Phone: 9797217007

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.