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DR. DOROTA B KOWALSKA MD
NPI 1295960243
Obstetrics & Gynecology in Bohemia, NY

Active since May 20, 2009PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
4875 SUNRISE HWY, SUITE 200, BOHEMIA, NY 11716(631) 444-4686 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dorota B Kowalska Md NPPES

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

DR. DOROTA B KOWALSKA MD (NPI 1295960243) is an individual obstetrics & gynecology provider in Bohemia, New York, licensed in New York (268634) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and maintains a secondary practice location in Setauket.

NPPES Registry Identity

NPI1295960243
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. DOROTA B KOWALSKACredential: MD
Location Address4875 SUNRISE HWY, SUITE 200Bohemia, NY 11716-4630
Mailing Address4875 Sunrise Hwy, Suite 200Bohemia, NY 11716-4630 · (631) 444-4868
Phone(631) 444-4686
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 20, 2009
Last NPPES UpdateApril 21, 2022
NPPES CertifiedApril 7, 2022
✔ NPI 1295960243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 268634
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4875 SUNRISE HWY, Bohemia, NY 11716
Open in Google Maps ↗

Secondary Practice Location 1

Location 1140 Belle Mead RdSetauket, NY 11733 · Phone (631) 444-4273

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. Dorota B Kowalska 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 ID143462093
PECOS Enrollment IDI20130806000596
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 2

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.
17 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11716 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

DR. CHRISTOPHER T FOGLIA D.C.
Chiropractor (Rehabilitation)
4875 SUNRISE HWY, SUITE 200
BOHEMIA, NY 11716
Suffolk County (631) 750-9290
ARLENE KAELBER M.D.
Obstetrics & Gynecology (Gynecology)
4875 SUNRISE HWY, SUITE 200
BOHEMIA, NY 11716
Suffolk County (631) 444-4686
CHRISTINA PARDO MD, MPH
Obstetrics & Gynecology
4875 SUNRISE HWY
BOHEMIA, NY 11716
Suffolk County (631) 444-4686
MS. NANCY LYNN BOWDEN NP, CNM
Advanced Practice Midwife
4875 SUNRISE HWY, SUITE 200
BOHEMIA, NY 11716
Suffolk County (631) 444-4686
ISLAND REHABILITATION CHIROPRACTIC PC
Chiropractor
4875 SUNRISE HWY, SUITE 200
BOHEMIA, NY 11716
Suffolk County (631) 750-9290

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 Dorota Kowalska's NPI number?

The NPI number for Dorota Kowalska is 1295960243. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Dorota Kowalska located?

Dorota Kowalska practices at 4875 Sunrise Hwy Suite 200, Bohemia, NY 11716. The listed phone number is (631) 444-4686.

What is Dorota Kowalska's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Dorota Kowalska enrolled in Medicare?

Yes. Dorota Kowalska 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.

Is Dorota Kowalska affiliated with any hospitals?

According to CMS data, Dorota Kowalska is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Dorota Kowalska was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.