THOMAS PAWLOWSKI D.O.
NPI 1285660399
Family Medicine in Crown Point, IN

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
10855 VIRGINIA ST, CROWN POINT, IN 46307(888) 824-0200 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2025, Dec 1, 2022, Jan 14, 2022 and 2 more (5 updates tracked since 2016).

About Thomas Pawlowski D.o. NPPES

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

THOMAS PAWLOWSKI D.O. (NPI 1285660399) is an individual family medicine provider in Crown Point, Indiana, licensed in Indiana (02001982A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and maintains a secondary practice location in Valparaiso.

NPPES Registry Identity

NPI1285660399
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS PAWLOWSKICredential: D.O.
Location Address10855 VIRGINIA STCrown Point, IN 46307-0210
Mailing Address709 Pennock CirCrown Point, IN 46307-9156 · (219) 661-9511
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 23, 2006
Last NPPES UpdateDecember 9, 20255 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1285660399 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 IN · 02001982A
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 ListedEmergency MedicineTaxonomy 207P00000X · License 02001982A (IN)
10855 VIRGINIA ST, Crown Point, IN 46307

Secondary Practice Location 1

Location 13800 Saint Mary Rd Ste 102Valparaiso, IN 46383-3986 · Phone (219) 286-3707 · Fax (219) 286-3708

Other Identifiers 1

Medicaid200248500IN

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 Pawlowski D.o. 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 ID7911980990
PECOS Enrollment IDI20040610000928, I20210922002166
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
312 services287 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.
142 services133 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
94 services91 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
62 services16 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.
58 services58 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.
40 services40 patients

Hospital Affiliations CMS Care Compare 4

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers11 claims31 services$6.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Physician Assistant
10855 VIRGINIA ST
CROWN POINT, IN 46307
Dietitian, Registered
10855 VIRGINIA ST
CROWN POINT, IN 46307
Emergency Medicine
10855 VIRGINIA ST
CROWN POINT, IN 46307
Internal Medicine (Gastroenterology)
10855 VIRGINIA ST
CROWN POINT, IN 46307
Physician Assistant
10855 VIRGINIA ST
CROWN POINT, IN 46307
Audiologist
10855 VIRGINIA ST
CROWN POINT, IN 46307
Internal Medicine (Cardiovascular Disease)
10855 VIRGINIA ST
CROWN POINT, IN 46307
Dietitian, Registered
10855 VIRGINIA ST
CROWN POINT, IN 46307

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285660399, enumerated as an "individual" on June 23, 2006.

The provider is located at 10855 VIRGINIA ST CROWN POINT, IN 46307 and the phone number is (888) 824-0200.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Thomas Pawlowski is affiliated with: THE UNIVERSITY OF CHICAGO MEDICAL CENTER, ST MARY MEDICAL CENTER INC, COMMUNITY HOSPITAL and FRANCISCAN HEALTH CROWN POINT.