Active NPI 1992773451 Individual Practitioner Male Practitioner

Dr. John M Koval , MD

Internal Medicine • Youngstown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Koval, MD is a certified Internal Medicine practicing in Youngstown, OH. With approximately 46 years of clinical experience since graduating from Medical College Of Ohio in 1980, Dr. Koval delivers high-quality medical care to the local community at 7641 MARKET ST STE 2.

Dr. Koval is affiliated with Triad Health Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood test, clotting time, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7641 Market St Ste 2

Youngstown, OH 445125980

Telephone 3308842444

Fax 3309654836

Medicare Profile & Education

Medical School

Medical College Of Ohio

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Youngstown, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +24.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

134 Specialists

Practicing in Youngstown, OH (5516 Statewide)

Telehealth Adoption Rate

5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koval (46 Years) 46 Yrs

Youngstown Specialty Average (21.3 Years) 21.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

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	829	302	$401.00	$126.85
99213 Established patient office or other outpatient visit, typically 15 minutes	307	168	$285.00	$89.95
85610 Blood test, clotting time	124	14	$11.00	$4.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	96	19	$3.00	$1.01
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	68	13	$5.00	$1.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	12	$71.00	$22.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	26	$45.00	$14.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$409.00	$132.20
G0008 Administration of influenza virus vaccine	36	36	$56.00	$30.40
90653 Vaccine for influenza for injection into muscle	35	35	$133.00	$81.82
93000 Routine ekg using at least 12 leads including interpretation and report	32	30	$45.00	$14.11
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b	31	28	$199.00	$139.78
81003 Automated urinalysis test	16	14	$6.00	$2.20
G0009 Administration of pneumococcal vaccine	15	15	$56.00	$30.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$177.00	$56.25
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$606.00	$289.45

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	893	331	$401.00	$121.32
99213 Established patient office or other outpatient visit, typically 15 minutes	404	207	$285.00	$85.61
85610 Blood test, clotting time	167	13	$11.00	$4.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	164	39	$225.00	$76.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	18	$3.00	$1.07
G0008 Administration of influenza virus vaccine	61	61	$56.00	$29.36
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	61	61	$218.00	$75.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	45	$177.00	$53.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	43	$624.00	$167.70
99238 Hospital discharge day management, 30 minutes or less	49	42	$225.00	$77.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	23	$45.00	$13.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$409.00	$122.52
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$45.00	$13.72
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	28	27	$166.00	$34.62
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	28	28	$606.00	$281.85
G0009 Administration of pneumococcal vaccine	26	26	$56.00	$29.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	19	$165.00	$49.32
81003 Automated urinalysis test	17	14	$6.00	$2.20
87804 Detection test by immunoassay with direct visual observation for influenza virus	16	16	$37.00	$16.22
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b	12	12	$199.00	$139.78

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	913	361	$375.00	$123.28
99213 Established patient office or other outpatient visit, typically 15 minutes	435	222	$266.00	$87.65
85610 Blood test, clotting time	186	22	$10.00	$4.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	160	34	$3.00	$1.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	154	36	$210.00	$69.06
93000 Routine ekg using at least 12 leads including interpretation and report	59	58	$42.00	$13.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	34	$42.00	$13.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	47	$165.00	$54.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$382.00	$125.64
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	51	51	$204.00	$70.25
G0008 Administration of influenza virus vaccine	51	51	$52.00	$27.95
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	48	11	$5.00	$1.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	32	$583.00	$192.36
99238 Hospital discharge day management, 30 minutes or less	35	27	$210.00	$69.40
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	28	26	$155.00	$34.77
81003 Automated urinalysis test	25	23	$6.00	$2.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	11	$66.00	$21.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	15	$154.00	$50.96
G0009 Administration of pneumococcal vaccine	14	14	$52.00	$28.05
87804 Detection test by immunoassay with direct visual observation for influenza virus	11	11	$35.00	$16.25

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	1,022	384	$330.00	$126.59
99213 Established patient office or other outpatient visit, typically 15 minutes	379	206	$227.00	$89.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	245	54	$4.00	$1.23
85610 Blood test, clotting time	205	23	$10.00	$4.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	149	65	$43.00	$13.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	93	17	$6.00	$1.98
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	88	87	$197.66	$65.55
G0008 Administration of influenza virus vaccine	87	86	$50.00	$16.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	77	77	$350.00	$129.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	26	$224.00	$70.96
93000 Routine ekg using at least 12 leads including interpretation and report	59	57	$51.00	$14.41
81003 Automated urinalysis test	56	53	$6.00	$2.25
G0009 Administration of pneumococcal vaccine	54	54	$50.00	$16.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	37	$137.00	$54.68
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	41	41	$230.00	$125.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	24	$628.00	$194.50
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	24	23	$150.00	$35.33
99238 Hospital discharge day management, 30 minutes or less	22	20	$225.00	$70.88
90670 Pneumococcal vaccine for injection into muscle	16	16	$430.00	$239.97

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	937	371	$260.80	$106.50
99213 Established patient office or other outpatient visit, typically 15 minutes	343	193	$178.16	$73.07
85610 Blood test, clotting time	200	23	$9.61	$4.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	164	38	$3.49	$1.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	148	52	$41.43	$13.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	109	36	$189.22	$72.46
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	104	17	$9.81	$2.00
G0008 Administration of influenza virus vaccine	92	91	$50.00	$16.05
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	89	89	$183.00	$60.31
93000 Routine ekg using at least 12 leads including interpretation and report	53	52	$42.36	$16.54
81003 Automated urinalysis test	49	45	$5.55	$2.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	41	$95.74	$44.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$269.33	$112.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	35	$499.67	$202.65
99238 Hospital discharge day management, 30 minutes or less	35	30	$188.77	$72.83
G0009 Administration of pneumococcal vaccine	23	23	$48.26	$16.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	18	$123.50	$52.00
90670 Pneumococcal vaccine for injection into muscle	13	13	$420.23	$228.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$376.00	$162.54

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	1,189	413	$183.00	$104.33
99213 Established patient office or other outpatient visit, typically 15 minutes	514	259	$124.00	$70.50
85610 Blood test, clotting time	263	35	$9.00	$4.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	220	46	$3.00	$1.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	174	53	$125.08	$71.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	159	61	$42.00	$15.92
G0008 Administration of influenza virus vaccine	119	119	$50.00	$15.75
90653 Vaccine for influenza for injection into muscle	114	114	$87.89	$58.34
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	109	21	$15.00	$1.80
81003 Automated urinalysis test	77	65	$5.00	$2.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	58	$74.00	$42.93
99238 Hospital discharge day management, 30 minutes or less	64	50	$125.00	$71.43
93000 Routine ekg using at least 12 leads including interpretation and report	58	56	$29.00	$16.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	48	$351.72	$198.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$185.00	$111.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	35	$91.00	$51.20
G0009 Administration of pneumococcal vaccine	27	27	$40.00	$15.75
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$157.00	$110.83

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	1,135	450	$183.00	$100.29
99213 Established patient office or other outpatient visit, typically 15 minutes	668	315	$124.00	$68.09
85610 Blood test, clotting time	361	44	$9.00	$4.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	301	60	$3.00	$1.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	200	72	$42.00	$18.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	154	43	$125.00	$69.20
G0008 Administration of influenza virus vaccine	144	143	$50.00	$19.30
90662 Influenza vaccine split virus, preservative free	140	140	$93.40	$52.30
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	135	20	$15.00	$1.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	92	$74.00	$40.75
81003 Automated urinalysis test	73	64	$5.00	$2.68
93000 Routine ekg using at least 12 leads including interpretation and report	68	67	$29.00	$15.37
G0009 Administration of pneumococcal vaccine	59	59	$40.00	$19.30
99238 Hospital discharge day management, 30 minutes or less	54	47	$125.00	$69.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	43	$351.00	$192.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$185.00	$108.49
90670 Pneumococcal vaccine for injection into muscle	31	31	$303.00	$185.68
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$157.00	$105.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	19	$91.00	$50.00
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$265.00	$154.03

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	1,220	470	$182.93	$99.59
99213 Established patient office or other outpatient visit, typically 15 minutes	676	309	$123.93	$67.88
85610 Blood test, clotting time	370	48	$9.00	$5.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	313	69	$3.00	$1.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	202	81	$42.00	$23.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	166	49	$125.00	$68.35
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	141	23	$15.00	$2.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	85	$73.95	$40.06
G0009 Administration of pneumococcal vaccine	101	101	$40.00	$23.52
G0008 Administration of influenza virus vaccine	97	96	$50.00	$23.52
90670 Pneumococcal vaccine for injection into muscle	80	80	$303.00	$187.09
81003 Automated urinalysis test	69	64	$5.00	$3.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	68	27	$33.79	$18.57
93000 Routine ekg using at least 12 leads including interpretation and report	65	64	$29.00	$15.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	42	$351.00	$189.44
90662 Influenza vaccine split virus, preservative free	49	49	$84.02	$47.07
99238 Hospital discharge day management, 30 minutes or less	45	31	$125.00	$68.28
90653 Vaccine for influenza for injection into muscle	44	44	$87.89	$49.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$185.00	$107.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$157.00	$92.03
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	11	11	$38.00	$21.38

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35048160

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

0514616 (OH)

Hospital & Practice Group Affiliations

Triad Health Services Llc

7629 Market St, Youngstown, OH 445126051

Phone: 3307298015

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Edward Miller , MD

Internal Medicine

NPI 1891763355

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 13, 2015

Registered at 7641 MARKET ST STE 2, YOUNGSTOWN, OH 445125980 (Tel: 3308842444)

📍

Updated Business Mailing Address April 13, 2015

Registered at 7629 MARKET ST STE 200, YOUNGSTOWN, OH 445126082 (Tel: 3309654540)

👤

Provider Name / Credentials Updated April 13, 2015

Recorded as JOHN KOVAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2015

Internal Medicine (License #35048160 in OH)

🟢

Initial NPI Registration & Enumeration March 10, 2006

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: 1992773451

Entity Type:

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

Enumeration Date: March 10, 2006

Last Update: April 13, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7629 Market St Ste 200

Youngstown, OH 445126082

Phone: 3309654540

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.