DR. JESSE MICHAEL EWALD (M.D.) – Hospitalist Physician, NPI 1104196591

DR. JESSE MICHAEL EWALD (M.D.) is a healthcare provider. based in Newark, Ohio. specializing in HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 35.124055 (OH). The NPI Number for DR. JESSE MICHAEL EWALD (M.D.) is 1104196591

Main info

Male
15 Years Of Experience
Name
DR. JESSE MICHAEL EWALD (M.D.)
NPI
1104196591
Phone
(220) 564-1791
Address
1320 W. MAIN ST
Enumeration Date
3 January 2012
Last Update Date
7 March 2025

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
8442706621
Graduation Year
2011 (15 years ago)
PAC ID
2062638877
Group Practice PAC ID
5092169375
Professional Enrollment ID
I20140730001757
Address ID
OH434022603BO950XXSTXX400

Contacts

Secure Messaging
jewald14335@lickingmemorial.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

1,565 HOSPITALIST in OH

Provider Addresses for DR. JESSE MICHAEL EWALD (M.D.)

  • 1320 W. MAIN ST

    NEWARK, OH 43055

    Phone: (220) 564-1791

    Fax: (220) 564-1790

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140730001757IHospitalistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes166160$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1917$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1917$0
99235Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes1616$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 43055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092169375View full group profile
NameSpecialtyState
Internal MedicineOH
Internal MedicineOH
Internal MedicineGA
Internal MedicineMI
Internal MedicineMI
Nurse PractitionerOH
Family PracticeOH
Emergency Medicine, Hospitalist, Family PracticeMI
Internal MedicineOH
Internal Medicine, Hospitalist, Internal MedicineOH

Reviews

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Frequently asked questions

What is the standard ID for DR. JESSE MICHAEL EWALD (M.D.) in the U.S.?
In the U.S., DR. JESSE MICHAEL EWALD (M.D.) is identified by NPI 1104196591.
Does the public listing show DR. JESSE MICHAEL EWALD (M.D.) as active?
DR. JESSE MICHAEL EWALD (M.D.)'s NPI record reflects an active status in NPPES.
What services align with DR. JESSE MICHAEL EWALD (M.D.)'s listing?
DR. JESSE MICHAEL EWALD (M.D.)'s public classification highlights Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JESSE MICHAEL EWALD (M.D.) in Newark, Ohio?
For routing, start with Newark, Ohio for DR. JESSE MICHAEL EWALD (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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