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DR. MARK TIMOTHY KOWAL M.D.
NPI 1285855239
Surgery in Fairbanks, AK

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
1919 LATHROP ST, STE 202, FAIRBANKS, AK 99701(907) 451-5507(907) 451-5590 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Timothy Kowal M.d. NPPES

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

DR. MARK TIMOTHY KOWAL M.D. (NPI 1285855239) is an individual surgery provider in Fairbanks, Alaska, licensed in Alaska (7319) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2006).

NPPES Registry Identity

NPI1285855239
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MARK TIMOTHY KOWALCredential: M.D.
Location Address1919 LATHROP ST, STE 202Fairbanks, AK 99701-5937
Mailing Address1919 Lathrop St, Ste 202Fairbanks, AK 99701-5937 · (907) 451-5507 · Fax (907) 451-5590
Phone(907) 451-5507
Fax(907) 451-5590
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2006
Enumeration DateMay 1, 2007
Last NPPES UpdateJanuary 31, 2017
✔ NPI 1285855239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AK · 7319
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1919 LATHROP ST, Fairbanks, AK 99701
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Other Identifiers 1

Medicare UPIN354090WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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

Dr. Mark Timothy Kowal M.d. 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 ID5597922740
PECOS Enrollment IDI20120131000588
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 7

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.

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.
49 services49 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.
26 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services15 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.
15 services15 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
11 services11 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

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.

EYE CLINIC OF FAIRBANKS, INC
Ophthalmology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-7760
FAIRBANKS ORTHODONTIC GROUP A PROF CORP
Dentist (Orthodontics and Dentofacial Orthopedics)
1919 LATHROP ST, SUITE 102
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-2939
EAR NOSE & THROAT CLINIC INC.
Otolaryngology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-7768
MRS. SHANNON KAY RHOTON MSN, FNP-BC
Nurse Practitioner (Family)
1919 LATHROP ST, SUITE 217
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-8191
PRESCRIPTION CENTER LLC
Pharmacy (Community/Retail Pharmacy)
1919 LATHROP ST, SUITE 109
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1514
STARKS MD LLC
Internal Medicine
1919 LATHROP ST, STE 204
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-4822
STEFAN LEO-NYQUIST DO
Family Medicine
1919 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 458-2619
DAVID BOYD ATC
Specialist/Technologist (Athletic Trainer)
1919 LATHROP ST, SUITE 123
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-4401

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 Mark Kowal's NPI number?

The NPI number for Mark Kowal is 1285855239. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Mark Kowal located?

Mark Kowal practices at 1919 Lathrop St Ste 202, Fairbanks, AK 99701. The listed phone number is (907) 451-5507.

What is Mark Kowal's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Kowal enrolled in Medicare?

Yes. Mark Kowal 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 Mark Kowal accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Mark Kowal 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 Mark Kowal was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.