DR. MARC KAWALICK M.D.
NPI 1093742090
Psychiatry & Neurology - Neurology in New Britain, CT

Active since June 26, 2006PECOS Enrolled
91.25/100
CMS Quality Rating
35 PEARL ST, NEW BRITAIN, CT 06051(860) 223-3810 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marc Kawalick M.d. NPPES

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

DR. MARC KAWALICK M.D. (NPI 1093742090) is an individual neurology provider in New Britain, Connecticut, licensed in Connecticut (22079) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093742090
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MARC KAWALICKCredential: M.D.
Location Address35 PEARL STNew Britain, CT 06051-2644
Mailing Address3 Pheasant HlFarmington, CT 06032-1629 · (860) 674-1213
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093742090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in CT · 22079
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

35 PEARL ST, New Britain, CT 06051

Other Identifiers 3

Medicare ID-Type Unspecified130000121CT
Medicare UPIND98330CT
Medicaid001220797CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Marc Kawalick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
27 services27 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
25 services24 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
21 services19 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06051 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

Referred Medical Equipment & Supplies CMS DME claims 13

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers119 claims119 services$31.41 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers94 claims94 services$73.94 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers95 claims265 services$28.39 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers28 claims151 services$15.08 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers21 claims124 services$11.75 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers55 claims55 services$43.81 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 11

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

Psychiatry & Neurology (Neurology)
35 PEARL ST
NEW BRITAIN, CT 06051
Psychiatry & Neurology (Neurology)
35 PEARL ST
NEW BRITAIN, CT 06051
Dentist (General Practice)
35 PEARL ST
NEW BRITAIN, CT 06051
Dentist (General Practice)
35 PEARL ST, UNIT 2D
NEW BRITAIN, CT 06051
Specialist
35 PEARL ST, SUITE 201
NEW BRITAIN, CT 06051
Dentist (General Practice)
35 PEARL ST, SUITE 202
NEW BRITAIN, CT 06051
Dentist (General Practice)
35 PEARL ST, SUITE 202
NEW BRITAIN, CT 06051
Orthopaedic Surgery
35 PEARL ST, SUITE101
NEW BRITAIN, CT 06051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093742090, enumerated as an "individual" on June 26, 2006.

The provider is located at 35 PEARL ST NEW BRITAIN, CT 06051 and the phone number is (860) 223-3810.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.