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DR. EDWARD MARTIN KOWAL III MD
NPI 1144630690
Obstetrics & Gynecology - Obstetrics in Florence, SC

Active since May 06, 2014PECOS EnrolledAccepts Medicare Assignment
101 WILLIAM H JOHNSON ST STE 500, FLORENCE, SC 29506(843) 777-7400 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Edward Martin Kowal Iii Md NPPES

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

DR. EDWARD MARTIN KOWAL III MD (NPI 1144630690) is an individual obstetrics provider in Florence, South Carolina, licensed in South Carolina (84954) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1144630690
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameDR. EDWARD MARTIN KOWAL IIICredential: MD
Location Address101 WILLIAM H JOHNSON ST STE 500Florence, SC 29506-2769
Mailing Address2530 Rainford RdFlorence, SC 29501-1997 · (304) 634-2707
Phone(843) 777-7400
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2014
Enumeration DateMay 6, 2014
Last NPPES UpdateApril 2, 2021
NPPES CertifiedApril 2, 2021
✔ NPI 1144630690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in SC · 84954
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 WILLIAM H JOHNSON ST STE 500, Florence, SC 29506
Open in Google Maps ↗

Secondary Practice Location 1

Location 13110 MacCorkle Ave SECharleston, WV 25304-1210 · Phone (304) 388-2068 · Fax (304) 388-2437

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edward Martin Kowal Iii 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 ID1850516436
PECOS Enrollment IDI20210416000946
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Edward Kowal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcleod Regional Medical Center Of The Pee Dee, Inc
Same address
Chronic Care
101 WILLIAM H JOHNSON ST STE 210
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 56 clinicians in this Medicare group
NPI 1427004738 (843) 777-6000
Mcleod Physician Associates II
0.1 mi
Urology
800 E CHEVES ST, SUITE 350
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 clinicians in this Medicare group
NPI 1649428194 (843) 665-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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 services42 patients
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.
37 services31 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
33 services27 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
23 services23 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29506 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 2

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

MARY AMANDA CAMPBELL SHUMPERT NP
Nurse Practitioner (Family)
101 WILLIAM H JOHNSON ST STE 500
FLORENCE, SC 29506
Florence County (843) 777-7400
JENNA JONES MACLENNAN M.D.
Obstetrics & Gynecology
101 WILLIAM H JOHNSON ST STE 500
FLORENCE, SC 29506
Florence County (843) 777-7400

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 Edward Kowal's NPI number?

The NPI number for Edward Kowal is 1144630690. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Edward Kowal located?

Edward Kowal practices at 101 William H Johnson St Ste 500, Florence, SC 29506. The listed phone number is (843) 777-7400.

What is Edward Kowal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Edward Kowal enrolled in Medicare?

Yes. Edward Kowal 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.

Which organizations bill Medicare for Edward Kowal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Kowal reassigns Medicare benefits to 2 organizations: Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC) and Mcleod Physician Associates II (Florence, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Kowal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Kowal accept?

Health plans from BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare list Edward Kowal 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 Edward Kowal affiliated with any hospitals?

According to CMS data, Edward Kowal is affiliated with Mcleod Regional Medical Center-Pee Dee.

When was this NPI record last updated?

The NPPES record for Edward Kowal was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.