Active NPI 1639155203 Individual Practitioner Male Practitioner

Dr. A. Michael Novena , MD

Internal Medicine • Worthington, OH

Professional Overview & Biography Verified Profile Summary

Dr. A. Novena, MD is a registered healthcare professional specializing in Internal Medicine in Worthington, OH. Practice services are available at 55 CAREN AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Caren Ave
Suite 170

Worthington, OH 430852515

Telephone 6148461527

Fax 6148461704

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Worthington, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 37.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Worthington, OH (5516 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	395	208	$143.23	$80.81
36415 Insertion of needle into vein for collection of blood sample	370	203	$11.00	$2.95
80053 Blood test, comprehensive group of blood chemicals	323	188	$25.00	$10.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	300	177	$16.00	$7.71
84443 Blood test, thyroid stimulating hormone (TSH)	292	182	$35.00	$16.70
82306 Vitamin d-3 level	187	129	$70.00	$29.31
83721 Ldl cholesterol level	165	130	$34.00	$10.44
83036 Hemoglobin A1C level	153	103	$23.00	$9.60
82607 Cyanocobalamin (vitamin B-12) level	145	91	$70.00	$15.00
80061 Blood test, lipids (cholesterol and triglycerides)	124	118	$36.00	$13.23
81001 Manual urinalysis test with examination using microscope, automated	120	114	$10.00	$3.14
83550 Iron binding capacity	117	70	$18.00	$8.69
82728 Ferritin (blood protein) level	117	70	$29.00	$13.55
82746 Folic acid level	117	70	$67.00	$14.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	117	117	$165.00	$111.61
83540 Iron level	117	70	$15.00	$6.43
93000 Routine ekg using at least 12 leads including interpretation and report	113	109	$75.00	$16.43
90662 Influenza vaccine split virus, preservative free	110	108	$70.00	$60.31
G0008 Administration of influenza virus vaccine	109	107	$32.00	$16.06
84439 Thyroxine (thyroid chemical), free	92	56	$22.00	$8.97
85610 Blood test, clotting time	77	16	$15.00	$4.25
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	62	62	$35.00	$17.94
99213 Established patient office or other outpatient visit, typically 15 minutes	52	38	$99.00	$51.55
G0103 Prostate cancer screening; prostate specific antigen test (psa)	44	44	$44.00	$19.19
82043 Urine microalbumin (protein) level	32	32	$31.00	$5.76
82570 Creatinine level to test for kidney function or muscle injury	32	32	$28.00	$5.17
85652 Red blood cell sedimentation rate, to detect inflammation, automated	21	18	$10.00	$2.69
87088 Bacterial urine culture	18	15	$22.00	$8.05
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	15	13	$75.00	$51.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	12	$36.00	$13.74
G0009 Administration of pneumococcal vaccine	11	11	$45.00	$16.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,600	16	$1.13	$0.12
36415 Insertion of needle into vein for collection of blood sample	709	247	$11.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	687	248	$140.00	$77.98
80053 Blood test, comprehensive group of blood chemicals	602	239	$25.00	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	601	235	$16.00	$8.46
84443 Blood test, thyroid stimulating hormone (TSH)	560	234	$35.00	$18.30
83721 Ldl cholesterol level	364	217	$34.00	$10.39
82306 Vitamin d-3 level	339	173	$70.00	$31.93
83036 Hemoglobin A1C level	290	125	$23.00	$10.41
82607 Cyanocobalamin (vitamin B-12) level	258	114	$70.00	$16.32
81001 Manual urinalysis test with examination using microscope, automated	227	193	$10.00	$3.45
83540 Iron level	224	91	$15.00	$7.00
83550 Iron binding capacity	223	91	$18.00	$9.46
82728 Ferritin (blood protein) level	222	91	$29.00	$14.75
82746 Folic acid level	219	90	$67.00	$15.91
84439 Thyroxine (thyroid chemical), free	200	80	$22.00	$9.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	196	196	$165.00	$110.94
80061 Blood test, lipids (cholesterol and triglycerides)	193	189	$36.00	$14.37
93000 Routine ekg using at least 12 leads including interpretation and report	183	174	$75.00	$16.22
85610 Blood test, clotting time	141	19	$15.00	$4.28
99213 Established patient office or other outpatient visit, typically 15 minutes	135	65	$99.00	$53.14
G0008 Administration of influenza virus vaccine	109	109	$32.00	$15.75
90662 Influenza vaccine split virus, preservative free	108	108	$70.00	$54.89
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	91	91	$35.00	$17.69
G0103 Prostate cancer screening; prostate specific antigen test (psa)	64	64	$44.00	$20.03
85652 Red blood cell sedimentation rate, to detect inflammation, automated	58	37	$10.00	$2.90
82570 Creatinine level to test for kidney function or muscle injury	48	48	$28.00	$5.63
87088 Bacterial urine culture	47	39	$22.00	$8.81
82043 Urine microalbumin (protein) level	47	47	$31.00	$6.29
82550 Creatine kinase (cardiac enzyme) level, total	33	24	$15.00	$6.94
80048 Blood test, basic group of blood chemicals (calcium, total)	31	27	$22.00	$9.21
84550 Uric acid level, blood	26	12	$14.00	$4.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	26	24	$21.00	$9.42
83690 Lipase (fat enzyme) level	23	17	$42.00	$7.50
82150 Amylase (enzyme) level	23	17	$30.00	$7.06
84153 Psa (prostate specific antigen) measurement, total	19	12	$44.00	$20.03
G0009 Administration of pneumococcal vaccine	17	17	$45.00	$15.75
93880 Ultrasound of both sides of head and neck blood flow	15	15	$375.00	$148.45
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$140.00	$27.56
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$284.00	$159.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,800	17	$1.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	759	251	$11.00	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	639	248	$16.00	$9.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	632	248	$138.06	$85.35
80053 Blood test, comprehensive group of blood chemicals	619	250	$25.00	$12.75
84443 Blood test, thyroid stimulating hormone (TSH)	513	245	$35.00	$20.27
83721 Ldl cholesterol level	371	219	$34.00	$11.54
82306 Vitamin d-3 level	285	172	$70.00	$35.54
83036 Hemoglobin A1C level	273	128	$23.00	$11.63
82607 Cyanocobalamin (vitamin B-12) level	226	109	$70.00	$18.12
83540 Iron level	210	93	$15.00	$7.77
83550 Iron binding capacity	209	93	$18.00	$10.49
82728 Ferritin (blood protein) level	206	92	$29.00	$16.37
81001 Manual urinalysis test with examination using microscope, automated	203	183	$10.00	$3.82
84439 Thyroxine (thyroid chemical), free	198	86	$22.00	$10.91
82746 Folic acid level	195	89	$67.00	$17.65
99213 Established patient office or other outpatient visit, typically 15 minutes	179	100	$96.07	$60.97
80061 Blood test, lipids (cholesterol and triglycerides)	179	178	$36.00	$16.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$150.42	$111.79
G0008 Administration of influenza virus vaccine	168	166	$32.00	$19.30
90662 Influenza vaccine split virus, preservative free	166	164	$67.60	$52.25
93000 Routine ekg using at least 12 leads including interpretation and report	165	158	$75.00	$16.07
85610 Blood test, clotting time	124	15	$15.00	$4.75
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	112	112	$35.00	$19.25
85652 Red blood cell sedimentation rate, to detect inflammation, automated	88	53	$10.00	$3.23
G0103 Prostate cancer screening; prostate specific antigen test (psa)	62	62	$44.00	$22.26
82550 Creatine kinase (cardiac enzyme) level, total	60	36	$15.00	$7.78
80048 Blood test, basic group of blood chemicals (calcium, total)	59	50	$22.00	$10.02
82043 Urine microalbumin (protein) level	39	39	$31.00	$7.00
82570 Creatinine level to test for kidney function or muscle injury	39	39	$28.00	$6.26
87088 Bacterial urine culture	38	32	$22.00	$9.79
82150 Amylase (enzyme) level	34	21	$30.00	$7.84
83690 Lipase (fat enzyme) level	34	21	$42.00	$8.34
83880 Natriuretic peptide (heart and blood vessel protein) level	30	21	$59.00	$41.06
84460 Liver enzyme (sgpt), level	24	23	$11.00	$6.41
99496 Transitional care management services for problem of high complexity	22	20	$300.00	$223.00
84153 Psa (prostate specific antigen) measurement, total	22	16	$44.00	$22.26
86140 Measurement C-reactive protein for detection of infection or inflammation	21	17	$15.00	$6.26
80076 Liver function blood test panel	21	16	$20.00	$9.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$284.00	$160.28
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	19	19	$69.00	$16.25
G0009 Administration of pneumococcal vaccine	18	18	$45.00	$19.29
77080 Dxa bone density measurement of hip, pelvis, spine	17	17	$140.00	$29.15
86431 Rheumatoid factor level	16	14	$16.00	$6.86
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	16	13	$21.00	$10.46
93880 Ultrasound of both sides of head and neck blood flow	15	15	$375.00	$151.76
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	13	13	$900.00	$120.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$131.00	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,800	18	$1.00	$0.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	705	263	$16.00	$10.44
36415 Insertion of needle into vein for collection of blood sample	702	263	$11.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	581	262	$134.00	$97.06
84443 Blood test, thyroid stimulating hormone (TSH)	488	248	$35.00	$22.54
83721 Ldl cholesterol level	425	242	$34.00	$12.83
80048 Blood test, basic group of blood chemicals (calcium, total)	410	226	$22.00	$7.71
84460 Liver enzyme (sgpt), level	358	224	$11.00	$3.68
83036 Hemoglobin A1C level	294	127	$23.00	$13.01
80053 Blood test, comprehensive group of blood chemicals	237	166	$25.00	$12.65
81001 Manual urinalysis test with examination using microscope, automated	235	200	$10.00	$4.26
82306 Vitamin d-3 level	227	159	$70.00	$39.58
82607 Cyanocobalamin (vitamin B-12) level	226	114	$70.00	$20.13
82728 Ferritin (blood protein) level	212	96	$29.00	$18.20
83540 Iron level	211	96	$15.00	$8.64
83550 Iron binding capacity	211	96	$18.00	$11.66
84439 Thyroxine (thyroid chemical), free	203	85	$22.00	$12.12
82746 Folic acid level	190	101	$67.00	$19.61
99213 Established patient office or other outpatient visit, typically 15 minutes	177	114	$93.00	$65.81
93000 Routine ekg using at least 12 leads including interpretation and report	157	144	$75.00	$16.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	155	155	$135.00	$110.51
G0008 Administration of influenza virus vaccine	151	151	$25.00	$23.76
80061 Blood test, lipids (cholesterol and triglycerides)	149	148	$36.00	$13.00
90662 Influenza vaccine split virus, preservative free	145	145	$49.03	$47.97
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	120	120	$35.00	$21.38
85610 Blood test, clotting time	120	27	$15.00	$5.28
80069 Kidney function blood test panel	107	52	$19.00	$8.48
85652 Red blood cell sedimentation rate, to detect inflammation, automated	75	55	$10.00	$3.63
86140 Measurement C-reactive protein for detection of infection or inflammation	59	44	$15.00	$6.96
G0103 Prostate cancer screening; prostate specific antigen test (psa)	55	55	$44.00	$24.73
87088 Bacterial urine culture	53	47	$22.00	$10.88
82043 Urine microalbumin (protein) level	51	48	$31.00	$7.77
82570 Creatinine level to test for kidney function or muscle injury	51	48	$28.00	$6.96
82550 Creatine kinase (cardiac enzyme) level, total	48	34	$15.00	$4.25
80076 Liver function blood test panel	35	17	$20.00	$6.84
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	30	30	$69.00	$16.22
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	29	29	$284.00	$159.18
71020 X-ray of chest, 2 views, front and side	25	21	$70.00	$15.65
G0009 Administration of pneumococcal vaccine	24	24	$45.00	$23.76
99496 Transitional care management services for problem of high complexity	23	20	$277.00	$220.74
84153 Psa (prostate specific antigen) measurement, total	23	15	$44.00	$24.73
83690 Lipase (fat enzyme) level	22	16	$42.00	$9.26
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	22	17	$21.00	$10.39
84550 Uric acid level, blood	22	16	$14.00	$4.22
82150 Amylase (enzyme) level	22	16	$30.00	$8.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$175.00	$132.42
83880 Natriuretic peptide (heart and blood vessel protein) level	20	13	$59.00	$45.63
84478 Triglycerides level	19	15	$13.00	$4.03
90670 Pneumococcal vaccine for injection into muscle	18	18	$225.00	$185.64
86431 Rheumatoid factor level	16	15	$16.00	$7.62
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	16	16	$910.00	$149.80
87077 Bacterial culture for aerobic isolates	16	13	$24.00	$10.86
77080 Dxa bone density measurement of hip, pelvis, spine	16	16	$144.38	$28.74
82465 Cholesterol level	15	15	$10.00	$3.24
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$90.00	$28.36
71250 Ct scan of chest without contrast	12	11	$455.00	$101.92
83970 Parathormone (parathyroid hormone) level	12	11	$125.00	$55.49
93880 Ultrasound of both sides of head and neck blood flow	12	12	$375.00	$146.11

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35-05-2208

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0664357 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. John Weiss , MD

Internal Medicine

NPI 1215021084

Doctor of Medicine (M.D.)

Dr. Terrance Castor , MD

Internal Medicine

NPI 1285610857

Doctor of Medicine (M.D.)

Alison Sites , CNP

Nurse Practitioner - Adult Health

NPI 1487830311

Certified Nurse Practitioner

Christina King , CNP

Nurse Practitioner - Family

NPI 1710356290

Certified Nurse Practitioner

Lydia Hoffman , CNP

Nurse Practitioner - Family

NPI 1902155286

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 16, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2011

Registered at 55 CAREN AVE, SUITE 170, WORTHINGTON, OH 430852515 (Tel: 6148461527)

📍

Updated Business Mailing Address March 16, 2011

Registered at 55 CAREN AVE, SUITE 170, WORTHINGTON, OH 430852515 (Tel: 6148461527)

👤

Provider Name / Credentials Updated March 16, 2011

Recorded as A. NOVENA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2011

Internal Medicine (License #35-05-2208 in OH)

🟢

Initial NPI Registration & Enumeration December 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639155203

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 15, 2005

Last Update: March 16, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

55 Caren Ave, Suite 170

Worthington, OH 430852515

Phone: 6148461527

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.