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DR. MICHAEL FRANCIS KOWALSKI DPM
NPI 1255460309
Podiatrist - Foot & Ankle Surgery in Pompton Lakes, NJ

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
191 HAMBURG TPKE STE 2A, POMPTON LAKES, NJ 07442(973) 839-3200(973) 839-3095 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2023, Mar 4, 2022 (2 updates tracked since 2022).

About Dr. Michael Francis Kowalski Dpm NPPES

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

DR. MICHAEL FRANCIS KOWALSKI DPM (NPI 1255460309) is an individual foot & ankle surgery provider in Pompton Lakes, New Jersey, licensed in New Jersey (MD1838) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Chilton Medical Center, and is a graduate of New York College Of Podiatric Medicine (1987).

NPPES Registry Identity

NPI1255460309
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. MICHAEL FRANCIS KOWALSKICredential: DPM
Location Address191 HAMBURG TPKE STE 2APompton Lakes, NJ 07442-2332
Mailing Address191 Hamburg Tpke Ste 2aPompton Lakes, NJ 07442-2332 · (973) 839-3200 · Fax (973) 839-3095
Phone(973) 839-3200
Fax(973) 839-3095
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 1987
Enumeration DateMarch 5, 2007
Last NPPES UpdateMay 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1255460309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in NJ · MD1838✔ Licensed in NJ · 25MD00183800
191 HAMBURG TPKE STE 2A, Pompton Lakes, NJ 07442
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Michael Francis Kowalski Dpm 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 ID7416044821
PECOS Enrollment IDI20071101000395
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 Reassignment

Medicare enrollment records show Michael Kowalski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Skybridge Healthcare Limited Liability Company
32 mi
Primary Podiatric Medicine
720 RTE 202/206
Bridgewater, NJ 08807
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
NPI 1124422431 (908) 704-8778

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.

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.
320 services138 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
316 services121 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
247 services101 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
89 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Simple separation of fingernail or toenail from nail bed, first nail 11730
This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · Morris County
Emergency services Birthing friendly

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
61%280 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
16%968 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%631 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
71%279 patients4/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%461 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%631 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
59%631 patients4/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Michael Kowalski's NPI number?

The NPI number for Michael Kowalski is 1255460309. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Michael Kowalski located?

Michael Kowalski practices at 191 Hamburg Tpke Ste 2A, Pompton Lakes, NJ 07442. The listed phone number is (973) 839-3200.

What is Michael Kowalski's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Michael Kowalski enrolled in Medicare?

Yes. Michael Kowalski 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 organization bills Medicare for Michael Kowalski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kowalski reassigns Medicare benefits to Skybridge Healthcare Limited Liability Company (Bridgewater, NJ). The 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 Michael Kowalski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Kowalski accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael Kowalski 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 Michael Kowalski affiliated with any hospitals?

According to CMS data, Michael Kowalski is affiliated with Chilton Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Kowalski was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.