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KRISTIAN HAROLD WALL M.D.
NPI 1669764916
Internal Medicine - Gastroenterology in Ravenna, OH

Active since May 04, 2011PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
6847 N CHESTNUT ST STE 210, RAVENNA, OH 44266(330) 297-6060(216) 201-7846 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristian Harold Wall M.d. NPPES

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

KRISTIAN HAROLD WALL M.D. (NPI 1669764916) is an individual gastroenterology provider in Ravenna, Ohio, licensed in Ohio (35.131005) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with University Hospitals Portage Medical Center, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1669764916
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKRISTIAN HAROLD WALLCredential: M.D.
Location Address6847 N CHESTNUT ST STE 210Ravenna, OH 44266-3929
Mailing Address6847 N Chestnut St Ste 210Ravenna, OH 44266-3929 · (330) 297-6060 · Fax (216) 201-7846
Phone(330) 297-6060
Fax(216) 201-7846
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2011
Enumeration DateMay 4, 2011
Last NPPES UpdateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1669764916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OH · 35.131005
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6847 N CHESTNUT ST STE 210, Ravenna, OH 44266
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Secondary Practice Location 1

Location 1800 Rose St, Room MN 649Lexington, KY 40536-0001 · Phone (859) 323-4937 · Fax (859) 257-9287

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kristian Harold Wall 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 ID2466693197
PECOS Enrollment IDI20170815002693
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
51 services51 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
39 services39 patients
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.
34 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 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.
29 services26 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
28 services27 patients

Hospital Affiliations CMS Care Compare 2

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

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44266 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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. EMMANUEL CHUJEKWU OKAFOR M.D.
Internal Medicine (Gastroenterology)
6847 N CHESTNUT ST STE 210
RAVENNA, OH 44266
Portage County (330) 297-6060
KIMBERLY R KAVULLA CNP
Nurse Practitioner
6847 N CHESTNUT ST STE 210
RAVENNA, OH 44266
Portage County (330) 297-6060
MRS. STEPHANY INDORF PA-C
Physician Assistant
6847 N CHESTNUT ST STE 210
RAVENNA, OH 44266
Portage County (330) 297-6060

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 Kristian Wall's NPI number?

The NPI number for Kristian Wall is 1669764916. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is Kristian Wall located?

Kristian Wall practices at 6847 N Chestnut St Ste 210, Ravenna, OH 44266. The listed phone number is (330) 297-6060.

What is Kristian Wall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kristian Wall enrolled in Medicare?

Yes. Kristian Wall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristian Wall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Kristian Wall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristian Wall affiliated with any hospitals?

According to CMS data, Kristian Wall is affiliated with University Hospitals Portage Medical Center and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Kristian Wall was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.