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KRISTA M DUVAL DO
NPI 1063740090
Family Medicine in Athens, OH

Active since December 02, 2009PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
2 HEALTH CENTER DR, ATHENS, OH 45701(740) 593-1660(740) 593-0179 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Sep 10, 2021, Nov 22, 2019 and 1 more (4 updates tracked since 2018).

About Krista M Duval Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTA M DUVAL DO (NPI 1063740090) is an individual family medicine provider in Athens, Ohio, licensed in Ohio (34009953) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, is affiliated with Ohiohealth O'bleness Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (2008).

NPPES Registry Identity

NPI1063740090
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTA M DUVALCredential: DO
Location Address2 HEALTH CENTER DRAthens, OH 45701-2907
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (614) 544-6155 · Fax (614) 544-6370
Phone(740) 593-1660
Fax(740) 593-0179
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2008
Enumeration DateDecember 2, 2009
Last NPPES UpdateJanuary 25, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
✔ NPI 1063740090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34009953
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2 HEALTH CENTER DR, Athens, OH 45701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krista M Duval Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416134895
PECOS Enrollment IDI20110613000337
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
34 services14 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
19 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services11 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
22%23 patients1/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
57%21 patients3/55-star benchmark: 100%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
58%174 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,293 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,454 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
32%149 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%126 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
21%1,479 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 460 patients
Patients tobacco: 16% · 49 patients
88%460 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,479 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
51%1,479 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
60%1,479 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH ALLEN HOLTEL D.O.
Family Medicine
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 593-1660
MR. JAMES ZACHARY ODENTHAL PT
Physical Therapist
2 HEALTH CENTER DR, 014
ATHENS, OH 45701
Athens County (740) 593-4722
DR. PAUL CASTELINO PH.D.
Counselor (Professional)
2 HEALTH CENTER DR, HUDSON HEALTH CENTER, 3RD FLOOR
ATHENS, OH 45701
Athens County (740) 593-1616
ANNA MARIE CLEM-BADHWAR DO
Family Medicine
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 592-7100
MR. ROGER F BARNHOUSE RPH
Pharmacist
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 286-3575
KATHRYN M BERNENS PA-C
Physician Assistant (Surgical)
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 592-7100
JANE THERESE BALBO DO
Family Medicine
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 593-1660
MS. AUDREY LARRIMER R.N., C.N.P.
Nurse Practitioner (Family)
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 593-1660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krista Duval's NPI number?

The NPI number for Krista Duval is 1063740090. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Where is Krista Duval located?

Krista Duval practices at 2 Health Center Dr, Athens, OH 45701. The listed phone number is (740) 593-1660.

What is Krista Duval's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Krista Duval enrolled in Medicare?

Yes. Krista Duval is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Krista Duval accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Krista Duval as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Krista Duval affiliated with any hospitals?

According to CMS data, Krista Duval is affiliated with Ohiohealth O'bleness Hospital.

When was this NPI record last updated?

The NPPES record for Krista Duval was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.