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MS. ANETA MONIKA KOWALSKA MD
NPI 1063754158
Family Medicine in Peoria, IL

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment
3915 BARRING TRCE, PEORIA, IL 61615(309) 689-3030 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 21, 2017 (3 updates tracked since 2017).

About Ms. Aneta Monika Kowalska Md NPPES

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

MS. ANETA MONIKA KOWALSKA MD (NPI 1063754158) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (036140009) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1063754158
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. ANETA MONIKA KOWALSKACredential: MD
Location Address3915 BARRING TRCEPeoria, IL 61615-2500
Mailing Address3915 Barring TrcePeoria, IL 61615-2500 · (309) 689-3030
Phone(309) 689-3030
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2013
Enumeration DateMarch 26, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1063754158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036140009
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.
3915 BARRING TRCE, Peoria, IL 61615
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Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

Other Identifiers 1

Other036140009License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Aneta Monika Kowalska Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002126166
PECOS Enrollment IDI20160823000395
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.

Areas of Expertise CMS Part B claims 8

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 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.
362 services220 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
314 services185 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
163 services163 patients
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.
63 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers47 claims102 services$4.64 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers20 claims20 services$0.79 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims72 services$2.24 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$189.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

BELCREST SERVICES, LTD
Clinic/Center
3915 BARRING TRCE
PEORIA, IL 61615
Peoria County (309) 689-3030
MANDY BARLOW APN
Nurse Practitioner
3915 BARRING TRCE
PEORIA, IL 61615
Peoria County (309) 689-3030

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 Aneta Kowalska's NPI number?

The NPI number for Aneta Kowalska is 1063754158. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Aneta Kowalska located?

Aneta Kowalska practices at 3915 Barring Trce, Peoria, IL 61615. The listed phone number is (309) 689-3030.

What is Aneta Kowalska's specialty?

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

Is Aneta Kowalska enrolled in Medicare?

Yes. Aneta Kowalska is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Aneta Kowalska affiliated with any hospitals?

According to CMS data, Aneta Kowalska is affiliated with Proctor Hospital, Saint Francis Medical Center, Pekin Memorial Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Aneta Kowalska was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.