DR. JESSE MICHAEL EWALD M.D.
NPI 1104196591
Hospitalist in Newark, OH

Q: What is Jesse Ewald's NPI number?

The NPI number for Jesse Ewald is 1104196591. It was assigned to this individual provider in the NPPES registry on January 3, 2012.

Q: What is Jesse Ewald's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Ewald was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since January 03, 2012PECOS Enrolled

79.35/100

CMS Quality Rating

1320 W. MAIN ST, NEWARK, OH 43055(220) 564-1791(220) 564-1790 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 7, 2025, Sep 30, 2024, Mar 24, 2023 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Jesse Michael Ewald M.d. NPPES

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

DR. JESSE MICHAEL EWALD M.D. (NPI 1104196591) is an individual hospitalist provider in Newark, Ohio, licensed in Ohio (35.124055) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2011).

NPPES Registry Identity

NPI1104196591

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. JESSE MICHAEL EWALDCredential: M.D.

Location Address1320 W. MAIN STNewark, OH 43055

Mailing Address1320 W. Main StNewark, OH 43055 · (220) 564-1791 · Fax (220) 564-1790

Phone(220) 564-1791

Fax(220) 564-1790

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2011

Enumeration DateJanuary 3, 2012

Last NPPES UpdateMarch 7, 20254 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1104196591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in OH · 35.124055

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35.124055 (OH)

1320 W. MAIN ST, Newark, OH 43055

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jesse Michael Ewald M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062638877

PECOS Enrollment IDI20140730001757

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.

Medicare Billing Reassignments

Medicare enrollment records show Jesse Ewald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Licking Memorial Health Professionals

Same address

Family Medicine

1320 W MAIN ST
Newark, OH 43055

Reassigned Medicare billing, Ohio enrollment
280 clinicians in this Medicare group

NPI 1326072265 (220) 564-4027

NW Ohio Hospital Medicine Physicians LLC

95 mi

Emergency Medicine

1900 S MAIN ST
Findlay, OH 45840

Reassigned Medicare billing, Ohio enrollment
109 clinicians in this Medicare group

NPI 1023794377 (419) 423-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

49 services47 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

49 services30 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360095

Location1900 South Main StreetFindlay, OH 45840 · Hancock County

Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360218

Location1320 West Main StreetNewark, OH 43055 · Licking County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

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.

79.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.02

Promoting Interoperability

100

Improvement Activities

Cost

57.85

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 Jesse Ewald's NPI number?

The NPI number for Jesse Ewald is 1104196591. It was assigned to this individual provider in the NPPES registry on January 3, 2012.

Where is Jesse Ewald located?

Jesse Ewald practices at 1320 W. Main St, Newark, OH 43055. The listed phone number is (220) 564-1791.

What is Jesse Ewald's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jesse Ewald enrolled in Medicare?

Yes. Jesse Ewald is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jesse Ewald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Ewald reassigns Medicare benefits to 2 organizations: Licking Memorial Health Professionals (Newark, OH) and NW Ohio Hospital Medicine Physicians LLC (Findlay, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Ewald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jesse Ewald affiliated with any hospitals?

According to CMS data, Jesse Ewald is affiliated with Riverside Methodist Hospital, Blanchard Valley Hospital and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jesse Ewald was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.