DR. WERNHER OVALLE MD
NPI 1417901661
Internal Medicine in Huntington Beach, CA

Q: What is Wernher Ovalle's NPI number?

The NPI number for Wernher Ovalle is 1417901661. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is Wernher Ovalle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Wernher Ovalle was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 May 20, 2006PECOS EnrolledAccepts Medicare Assignment

9131 ADAMS AVE, HUNTINGTON BEACH, CA 92646(714) 845-5900(714) 845-5922 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2024, Nov 8, 2023, Sep 26, 2019 (3 updates tracked since 2019).

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About Dr. Wernher Ovalle Md NPPES

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

DR. WERNHER OVALLE MD (NPI 1417901661) is an individual internal medicine provider in Huntington Beach, California, licensed in California (A68507) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of California, San Diego School Of Medicine (1996).

NPPES Registry Identity

NPI1417901661

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. WERNHER OVALLECredential: MD

Location Address9131 ADAMS AVEHuntington Beach, CA 92646-3462

Mailing AddressPo Box 15775Newport Beach, CA 92659-5775 · (657) 241-3600 · Fax (657) 241-7708

Phone(714) 845-5900

Fax(714) 845-5922

Sole ProprietorYes

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1996

Enumeration DateMay 20, 2006

Last NPPES UpdateApril 4, 20243 updates tracked since enumeration

NPPES CertifiedApril 4, 2024

✔ NPI 1417901661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A68507

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

9131 ADAMS AVE, Huntington Beach, CA 92646

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Secondary Practice Locations 3

Location 1520 Superior Ave Ste 200Newport Beach, CA 92663-3642 · Phone (949) 642-0900 · Fax (949) 642-0022

Location 2366 San Miguel Dr Ste 200Newport Beach, CA 92660-7810 · Phone (949) 642-0900 · Fax (949) 642-0022

Location 32001 Westcliff Dr Ste 200Newport Beach, CA 92660-5552 · Phone (714) 845-5900 · Fax (714) 845-5920

Other Identifiers 1

OtherWA68507CCA · Medicare

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

Dr. Wernher Ovalle 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 ID1456440593

PECOS Enrollment IDI20071127000867

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 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.

71 services48 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.

40 services31 patients

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.

27 services21 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92646 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

45%134 patients2/55-star benchmark: 92%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

94%1,262 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

42%254 patients2/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

88%254 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

5%254 patients1/55-star benchmark: 79%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…

69%157 patients3/55-star benchmark: 89%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers11 claims11 services$44.89 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 15

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

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