EDUARDO IVAN AVENA AREVALO MD
NPI 1215564893
Hospitalist in Marion, OH

Q: What is Eduardo Avena Arevalo's NPI number?

The NPI number for Eduardo Avena Arevalo is 1215564893. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Eduardo Avena Arevalo's specialty?

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

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment

81.3/100

CMS Quality Rating

1000 MCKINLEY PARK DR, MARION, OH 43302(740) 383-8473(740) 383-8695 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, Aug 10, 2023, Mar 24, 2020 (3 updates tracked since 2020).

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About Eduardo Ivan Avena Arevalo Md NPPES

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

EDUARDO IVAN AVENA AREVALO MD (NPI 1215564893) is an individual hospitalist provider in Marion, Ohio, licensed in Ohio (35.147880) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215564893

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameEDUARDO IVAN AVENA AREVALOCredential: MD

Location Address1000 MCKINLEY PARK DRMarion, OH 43302-6399

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(740) 383-8473

Fax(740) 383-8695

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 24, 2020

Last NPPES UpdateApril 7, 20263 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1215564893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in OH · 35.147880

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.

1000 MCKINLEY PARK DR, Marion, OH 43302

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Eduardo Ivan Avena Arevalo 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 ID840612545

PECOS Enrollment IDI20230621002420

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

300 services128 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.

95 services89 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

93 services89 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.

29 services19 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

14 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Marion General Hospital

Acute Care Hospitals · Marion, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360011

Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County

Emergency services Birthing friendly

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number361315

Location921 East Franklin StreetKenton, OH 43326 · Hardin County

Emergency services

Wyandot Memorial Hospital

Critical Access Hospitals · Upper Sandusky, OH

OwnershipGovernment - Hospital District or Authority

CMS Certification Number361329

Location885 North Sandusky AvenueUpper Sandusky, OH 43351 · Wyandot County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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.

81.3/100

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

Scored as part of a group practice

Quality

73.58

Promoting Interoperability

Improvement Activities

Cost

65.77

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.

JENNIFER BIANCA COFFEY CNP

Nurse Practitioner (Acute Care)