THOMAS JOSEPH KOEWLER MD
NPI 1205801628
Family Medicine in Charlotte, NC
About Thomas Joseph Koewler Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS JOSEPH KOEWLER MD (NPI 1205801628) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2008-01821) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Indiana University School Of Medicine (1981).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Accepted 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
Thomas Joseph Koewler 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.
Medicare Billing Reassignments
2Medicare enrollment records show Thomas Koewler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28277
- Reassigned Medicare billing, North Carolina and South Carolina enrollments
- Also billed through NPI 1952626376 (North Carolina), NPI 1043819535 (South Carolina)
- 2,057 clinicians in this Medicare group
Charlotte, NC 28226
- Reassigned Medicare billing, North Carolina enrollment
- 157 clinicians in this Medicare group
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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Thomas Koewler's NPI number?
The NPI number for Thomas Koewler is 1205801628. It was assigned to this individual provider in the NPPES registry on February 20, 2006.
Where is Thomas Koewler located?
Thomas Koewler practices at 14214 Ballantyne Lake Rd Ste 100, Charlotte, NC 28277. The listed phone number is (704) 667-2650.
What is Thomas Koewler's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Thomas Koewler enrolled in Medicare?
Yes. Thomas Koewler 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 Thomas Koewler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Koewler reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Charlotte, NC) and Arboretum Urgent Care Center (Charlotte, NC). 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 Thomas Koewler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Koewler accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Thomas Koewler 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.
When was this NPI record last updated?
The NPPES record for Thomas Koewler was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Thomas Joseph Koewler, MD · NPI 1205801628
Family Medicine physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since February 20, 2006.
## Identity
- **NPI:** 1205801628 (Entity type: Individual)
- **Enumerated:** February 20, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2008-01821 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 14214 BALLANTYNE LAKE RD, STE 100, Charlotte, NC 28277-3372
- **Phone:** (704) 667-2650
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carolinas Physicians Network Inc (NPI 1437168937, Charlotte, NC); Arboretum Urgent Care Center (NPI 1457380313, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1981
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205801628) · Data from the CMS NPPES public registry.