MICHELLE ANNE KOVALASKE M.D.
NPI 1306023882
Internal Medicine - Endocrinology, Diabetes & Metabolism in Columbus, OH

Active since January 27, 2008PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
7630 RIVERS EDGE DR, COLUMBUS, OH 43235(614) 533-4000(614) 540-3979 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 5, 2022, Jun 18, 2019 (2 updates tracked since 2019).

About Michelle Anne Kovalaske M.d. NPPES

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

MICHELLE ANNE KOVALASKE M.D. (NPI 1306023882) is an individual endocrinology, diabetes & metabolism provider in Columbus, Ohio, licensed in Ohio (35090908) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of University Of Toledo College Of Medicine (2005).

NPPES Registry Identity

NPI1306023882
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMICHELLE ANNE KOVALASKECredential: M.D.
Location Address7630 RIVERS EDGE DRColumbus, OH 43235-1329
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141
Fax(614) 540-3979
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2005
Enumeration DateJanuary 27, 2008
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPI 1306023882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in OH · 35090908
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35.090908 (OH)
7630 RIVERS EDGE DR, Columbus, OH 43235

Other Identifiers 1

Medicaid3082640OH

Accepted 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

Michelle Anne Kovalaske M.d. 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 ID2769558642
PECOS Enrollment IDI20100927001194
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
215 services123 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.
109 services50 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
107 services62 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
89 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services36 patients
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.
33 services33 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

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43235 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
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
35 suppliers110 claims427 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers40 claims77 services$0.97 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers243 claims243 services$188.53 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
6 suppliers12 claims12 services$204.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinical Nurse Specialist
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Family Medicine
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Psychiatry & Neurology (Neurology)
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Internal Medicine (Cardiovascular Disease)
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Internal Medicine
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Internal Medicine
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Family Medicine
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7630 RIVERS EDGE DR
COLUMBUS, OH 43235

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306023882, enumerated as an "individual" on January 27, 2008.

The provider is located at 7630 RIVERS EDGE DR COLUMBUS, OH 43235 and the phone number is (614) 533-4000.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to verify.

Michelle Kovalaske is affiliated with: RIVERSIDE METHODIST HOSPITAL, GRANT MEDICAL CENTER, GRADY MEMORIAL HOSPITAL and DUBLIN METHODIST HOSPITAL.