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THOMAS JOSEPH KOEWLER MD
NPI 1205801628
Family Medicine in Charlotte, NC

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
14214 BALLANTYNE LAKE RD, STE 100, CHARLOTTE, NC 28277(704) 667-2650 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 47 more (50 updates tracked since 2017).

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

NPI1205801628
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS JOSEPH KOEWLERCredential: MD
Location Address14214 BALLANTYNE LAKE RD, STE 100Charlotte, NC 28277-3372
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 667-2650
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1981
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJuly 15, 202450 updates tracked since enumeration
✔ NPI 1205801628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2008-01821
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 2008-01821 (NC)
14214 BALLANTYNE LAKE RD, Charlotte, NC 28277
Open in Google Maps ↗

Secondary Practice Locations 4

Location 15717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150
Location 25727 Prosperity Crossing Dr, Ste 1100Charlotte, NC 28269-2206 · Phone (704) 863-9930
Location 3704 Gold Hill Rd, Ste 1200Fort Mill, SC 29715-8906 · Phone (704) 667-3380
Location 47810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636

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

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.

PECOS PAC ID1153309018
PECOS Enrollment IDI20091204000043
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 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.

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.
126 services125 patients
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.
38 services38 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
35 services34 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
34 services33 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
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.

PARDEEP KESRANI MD
Pediatrics
14214 BALLANTYNE LAKE RD, STE 300
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2600
MATTHEW RAYMOND SNOW PA
Physician Assistant
14214 BALLANTYNE LAKE RD, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2650
BARNETT FAMILY PRACTICE
Family Medicine
14214 BALLANTYNE LAKE RD
CHARLOTTE, NC 28277
Mecklenburg County (803) 283-2011
ERIC DANIEL SENSENBRENNER DO
Internal Medicine
14214 BALLANTYNE LAKE RD, STE 150
CHARLOTTE, NC 28277
Mecklenburg County (704) 863-4878
PAUL SMOLEN
Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 300
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2600
CAROLINAS MEDICAL CENTER
Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 150
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2680
KIMBERLY SPAIN FNP
Nurse Practitioner
14214 BALLANTYNE LAKE RD, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2650
CORINNE SIROIS RD
Dietitian, Registered
14214 BALLANTYNE LAKE RD, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2681

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.

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.