SUSAN R KOWALL PA
NPI 1164528568
Physician Assistant in Washington, PA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
95 LEONARD AVE, BUILDING #1 SUITE 300, WASHINGTON, PA 15301(724) 225-3640 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan R Kowall Pa NPPES

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

SUSAN R KOWALL PA (NPI 1164528568) is an individual physician assistant in Washington, Pennsylvania, licensed in Pennsylvania (MA050955) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Wheeling Hospital, Inc, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1164528568
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN R KOWALLCredential: PA
Location Address95 LEONARD AVE, BUILDING #1 SUITE 300Washington, PA 15301-3368
Mailing Address125 Markwood DrCanonsburg, PA 15317-8531 · (412) 855-9576
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJanuary 27, 2009
NPI 1164528568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in PA · MA050955 Licensed in WV · 00939
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
95 LEONARD AVE, Washington, PA 15301

Other Identifiers 1

Medicare UPINP88750WV

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

Susan R Kowall Pa 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 ID4486745940
PECOS Enrollment IDI20070813000415
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.

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Surgery
95 LEONARD AVE, SUITE 301
WASHINGTON, PA 15301
Orthopaedic Surgery (Sports Medicine)
95 LEONARD AVE
WASHINGTON, PA 15301
Family Medicine
95 LEONARD AVE, BLDG 2
WASHINGTON, PA 15301
Family Medicine
95 LEONARD AVE, BUILDING 2 SECOND FLOOR
WASHINGTON, PA 15301
Psychiatry & Neurology (Psychiatry)
95 LEONARD AVE, STE 300
WASHINGTON, PA 15301
Orthopaedic Surgery (Sports Medicine)
95 LEONARD AVE, SUITE 201
WASHINGTON, PA 15301
Nurse Anesthetist, Certified Registered
95 LEONARD AVE
WASHINGTON, PA 15301
Family Medicine
95 LEONARD AVE, BUILDING 2 SECOND FLOOR
WASHINGTON, PA 15301

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 Susan Kowall's NPI number?

The NPI number for Susan Kowall is 1164528568. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Susan Kowall located?

Susan Kowall practices at 95 Leonard Ave Building #1 Suite 300, Washington, PA 15301. The listed phone number is (724) 225-3640.

What is Susan Kowall's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Susan Kowall enrolled in Medicare?

Yes. Susan Kowall 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 Susan Kowall accept?

Health plans from CareSource list Susan Kowall 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 Susan Kowall affiliated with any hospitals?

According to CMS data, Susan Kowall is affiliated with Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Susan Kowall was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.