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DR. KEVIN JAMES KAWALEC M.D.
NPI 1912430141
Family Medicine in Avon, OH

Active since April 05, 2017PECOS Enrolled
79.48/100
CMS Quality Rating
36040 DETROIT RD STE A, AVON, OH 44011(312) 219-2230 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2025, Jan 14, 2021, Aug 24, 2017 (3 updates tracked since 2017).

About Dr. Kevin James Kawalec M.d. NPPES

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

DR. KEVIN JAMES KAWALEC M.D. (NPI 1912430141) is an individual family medicine provider in Avon, Ohio, licensed in Ohio (35.139639) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912430141
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEVIN JAMES KAWALECCredential: M.D.
Location Address36040 DETROIT RD STE AAvon, OH 44011-1686
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723
Phone(312) 219-2230
Sole ProprietorNo
Enumeration DateApril 5, 2017
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1912430141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.139639
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
36040 DETROIT RD STE A, Avon, OH 44011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin James Kawalec M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Kawalec reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Cleveland Clinic Foundation
Same address
Family Medicine
36040 DETROIT RD, STE A
Avon, OH 44011
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1184428336 (886) 636-3318
University Hospitals Medical Group Inc
22 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
44 services41 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.
36 services12 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44011 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Other Providers at the Same Location NPPES

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

DR. POOJA GOEL KAMATH M.D.
Family Medicine
36040 DETROIT RD STE A
AVON, OH 44011
Lorain County (312) 219-2230

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 Kevin Kawalec's NPI number?

The NPI number for Kevin Kawalec is 1912430141. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Kevin Kawalec located?

Kevin Kawalec practices at 36040 Detroit Rd Ste A, Avon, OH 44011. The listed phone number is (312) 219-2230.

What is Kevin Kawalec's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Kawalec enrolled in Medicare?

Yes. Kevin Kawalec is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Kawalec's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Kawalec reassigns Medicare benefits to 2 organizations: The Cleveland Clinic Foundation (Avon, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Kawalec's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Kawalec accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and Oscar Insurance Corporation of Ohio list Kevin Kawalec 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.

When was this NPI record last updated?

The NPPES record for Kevin Kawalec was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.