Fernando Ovalle
NPI 1104930916 · Endocrinology, Diabetes & Metabolism Physician · Birmingham, AL
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fernando Ovalle is a Endocrinology, Diabetes & Metabolism Physician provider in Birmingham, AL (NPI 1104930916).
Provider details
- NPI number
- 1104930916
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 20829 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
754 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 240 | $72 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 126 | $108 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 104 | $131 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 69 | $15 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 60 | $158 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 140 | 34 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 114 | 37 |
| Tirzepatidebrand: Mounjaro | 105 | 16 |
| Empagliflozinbrand: Jardiance | 88 | 19 |
| Insulin Lisprobrand: Humalog Kwikpen U-100 | 54 | 19 |
| Insulin Degludecbrand: Tresiba Flextouch U-100 | 53 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,096 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2000 6th Ave SBirmingham, AL 35233-2110Phone: (205) 996-3636
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2023-06-30
Frequently asked questions
- What is Fernando Ovalle's NPI number?
- Fernando Ovalle's National Provider Identifier (NPI) is 1104930916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fernando Ovalle's specialty?
- Fernando Ovalle is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Fernando Ovalle located?
- Fernando Ovalle's practice location on file with NPPES is 1717 6th Ave S, Birmingham, AL 35233-1801.
- What is Fernando Ovalle's phone number?
- The practice phone number listed in the NPPES registry for Fernando Ovalle is (800) 822-8816.
- Does Fernando Ovalle accept Medicare?
- Fernando Ovalle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fernando Ovalle's NPI active?
- Yes — Fernando Ovalle's NPI (1104930916) is active in the NPPES registry as of the last update on 2023-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.