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NOWELL YORK MD
NPI 1093735425
Family Medicine in New Albany, OH

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
90.5/100
CMS Quality Rating
55 N HIGH ST, NEW ALBANY, OH 43054(614) 855-4878(614) 855-4813 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nowell York Md NPPES

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

NOWELL YORK MD (NPI 1093735425) is an individual family medicine provider in New Albany, Ohio, licensed in Ohio (35087876) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2003).

NPPES Registry Identity

NPI1093735425
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNOWELL YORKCredential: MD
Location Address55 N HIGH STNew Albany, OH 43054-7099
Mailing Address5345 Hendron RdGroveport, OH 43125-1055 · (614) 837-3447 · Fax (614) 837-2272
Phone(614) 855-4878
Fax(614) 855-4813
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2003
Enumeration DateJuly 20, 2006
Last NPPES UpdateDecember 15, 2021
✔ NPI 1093735425 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 · 35087876
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.

55 N HIGH ST, New Albany, OH 43054
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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.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

Nowell York Md 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 ID6406850569
PECOS Enrollment IDI20060831000438
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 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.
82 services81 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
53 services53 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services26 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43054 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.

90.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.75
Promoting Interoperability100
Improvement Activities40
Cost77.59

Other Providers at the Same Location NPPES 12

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

MOUNT CARMEL HEALTH PROVIDERS INC
Family Medicine
55 N HIGH ST
NEW ALBANY, OH 43054
Franklin County (614) 855-4878
DENNIS FRANKLIN RUPPEL MD
Family Medicine
55 N HIGH ST
NEW ALBANY, OH 43054
Franklin County (614) 627-1878
DR. OLUFUNKE BAKARE MD
Family Medicine
55 N HIGH ST
NEW ALBANY, OH 43054
Franklin County (614) 898-8808
PATRICE ANETTE SOUTHARD CNP
Nurse Practitioner (Family)
55 N HIGH ST
NEW ALBANY, OH 43054
Franklin County (614) 855-4878
LISA MAURER
Family Medicine
55 N HIGH ST
NEW ALBANY, OH 43054
Franklin County (614) 855-4878
NEW ALBANY PLAIN LOCAL SCHOOL DISTRICT
Local Education Agency (LEA)
55 N HIGH ST
NEW ALBANY, OH 43054
Franklin County (614) 855-2040
LAURIE ANN SIMON FNP-C
Nurse Practitioner (Family)
55 N HIGH ST
NEW ALBANY, OH 43054
Franklin County (614) 627-1878
INGA JOLLY
Family Medicine
55 N HIGH ST
NEW ALBANY, OH 43054
Franklin County (614) 627-1878

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 Nowell York's NPI number?

The NPI number for Nowell York is 1093735425. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Nowell York located?

Nowell York practices at 55 N High St, New Albany, OH 43054. The listed phone number is (614) 855-4878.

What is Nowell York's specialty?

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

Is Nowell York enrolled in Medicare?

Yes. Nowell York 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 Nowell York accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Nowell York 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.

When was this NPI record last updated?

The NPPES record for Nowell York was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.