Medicare Enrolled

Dr. Stephen Covington, MD

Gastroenterology · Ventura, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
168 N BRENT ST, Ventura, CA 93003
8056416525
In practice since 2006 (19 years)
NPI: 1154353456 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Covington from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Covington? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Covington

Dr. Stephen Covington is a gastroenterology specialist in Ventura, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Covington performed 37 Medicare services across 36 unique beneficiaries.

Between the years covered by Open Payments, Dr. Covington received a total of $1,202 from 18 pharmaceutical and/or device companies across 72 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Covington is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 37 Medicare services $1,202 industry payments

Medicare Practice Summary

Medicare Utilization ↗
37
Medicare services
Bottom 3% in CA for gastroenterology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
36
Unique beneficiaries
$85
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~2 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
 14 $81 $160
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
 12 $64 $180
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
 11 $113 $240
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2023 ↗
$1,202
Total received (2018-2023)
Avg $200/year across 6 years
Bottom 44% in CA for gastroenterology
18
Companies
72
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,087 (90.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$99 (8.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$16 (1.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$14
2022
$417
2021
$251
2020
$154
2019
$130
2018
$236

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$14
Top 3 companies account for 100.0% of 2023 payments
All-time payments by company (2018-2023) ›
ABBVIE INC.
$223
AbbVie Inc.
$203
Janssen Biotech, Inc.
$160
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$107
Takeda Pharmaceuticals U.S.A., Inc.
$87
AbbVie, Inc.
$86
Gilead Sciences, Inc.
$52
Boston Scientific Corporation
$51
Allergan Inc.
$44
Celgene Corporation
$34
PFIZER INC.
$34
RedHill Biopharma Inc.
$24
Ironwood Pharmaceuticals, Inc
$18
Alexion Pharmaceuticals, Inc.
$18
Intercept Pharmaceuticals, Inc.
$18
INTERCEPT PHARMACEUTICALS, INC.
$16
Novo Nordisk Inc
$14
Alfasigma USA, Inc.
$11
Top 3 companies account for 48.8% of all-time payments
Associated products mentioned in payments ›
ANDEXXA · Amitiza · CREON · Creon · ENTYVIO · Entyvio · HUMIRA · Humira · LINZESS · Linzess · OCALIVA · REMICADE · RINVOQ · SPYGLASS · STELARA · Talicia · VIBERZI · XELJANZ · XIFAXAN · ZEPOSIA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (90%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a gastroenterology specialist in Ventura?
Compare gastroenterologists in the Ventura area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologists within 10 mi
22
Per 100K population
2.6
County median income
$107,327
Nearest hospital
VENTURA COUNTY MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2023
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Covington is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Covington experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Covington performed 14 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Covington receive payments from pharmaceutical companies?
Yes. Dr. Covington received a total of $1,202 from 18 companies across 72 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Covington's costs compare to other gastroenterologists in Ventura?
Dr. Covington's average Medicare payment per service is $85. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Covington) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

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About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →