BRIAN K KONOWALCHUK
NPI 1104939453
Preventive Medicine - Occupational Medicine in Manitowoc, WI

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
3509 DEWEY ST, MANITOWOC, WI 54220(920) 686-5732 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2023, Dec 2, 2021, Aug 6, 2018 and 1 more (4 updates tracked since 2018).

About Brian K Konowalchuk NPPES

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

BRIAN K KONOWALCHUK (NPI 1104939453) is an individual occupational medicine provider in Manitowoc, Wisconsin, licensed in Wisconsin (49755) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of University Of Minnesota Medical School (2000).

NPPES Registry Identity

NPI1104939453
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameBRIAN K KONOWALCHUK
Location Address3509 DEWEY STManitowoc, WI 54220-5497
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2000
Enumeration DateAugust 17, 2006
Last NPPES UpdateOctober 23, 20234 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
NPI 1104939453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License Licensed in WI · 49755
Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

3509 DEWEY ST, Manitowoc, WI 54220

Other Identifiers 1

Medicaid178445500MN

Accepted Insurance

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

Brian K Konowalchuk 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 ID9638120397
PECOS Enrollment IDI20070109000247
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.

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 16

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

Family Medicine
3509 DEWEY ST
MANITOWOC, WI 54220
Specialist/Technologist (Athletic Trainer)
3509 DEWEY ST
MANITOWOC, WI 54220
Nurse Practitioner
3509 DEWEY ST
MANITOWOC, WI 54220
Family Medicine
3509 DEWEY ST
MANITOWOC, WI 54220
Nurse Practitioner
3509 DEWEY ST
MANITOWOC, WI 54220
Family Medicine
3509 DEWEY ST
MANITOWOC, WI 54220
Nurse Practitioner
3509 DEWEY ST
MANITOWOC, WI 54220
Physician Assistant
3509 DEWEY ST
MANITOWOC, WI 54220

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 Brian Konowalchuk's NPI number?

The NPI number for Brian Konowalchuk is 1104939453. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Brian Konowalchuk located?

Brian Konowalchuk practices at 3509 Dewey St, Manitowoc, WI 54220. The listed phone number is (920) 686-5732.

What is Brian Konowalchuk's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Brian Konowalchuk enrolled in Medicare?

Yes. Brian Konowalchuk 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.

What insurance does Brian Konowalchuk accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Brian Konowalchuk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Konowalchuk affiliated with any hospitals?

According to CMS data, Brian Konowalchuk is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Brian Konowalchuk was last updated on October 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.