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

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: August 09, 2026.

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

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 Blanchard Valley 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
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

Medicare Participation & PECOS CMS

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

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.

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.

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

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361322
Location139 Garau StreetBluffton, OH 45817 · Allen County
Emergency services

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
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

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.

Is Jesse Ewald affiliated with any hospitals?

According to CMS data, Jesse Ewald is affiliated with Blanchard Valley Hospital, Licking Memorial Hospital and Bluffton 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 17 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.