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DR. EDMUND JOSEPH KOWALCHICK JR. DPM
NPI 1326043316
Podiatrist - Foot & Ankle Surgery in Clinton Township, MI

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
86.44/100
CMS Quality Rating
44250 GARFIELD RD, STE 160, CLINTON TOWNSHIP, MI 48038(586) 228-2255(586) 228-2740 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edmund Joseph Kowalchick Jr. Dpm NPPES

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

DR. EDMUND JOSEPH KOWALCHICK JR. DPM (NPI 1326043316) is an individual foot & ankle surgery provider in Clinton Township, Michigan, licensed in Michigan (5901001446) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Temple University School Of Podiatric Medicine (1988).

NPPES Registry Identity

NPI1326043316
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. EDMUND JOSEPH KOWALCHICK JR.Credential: DPM
Location Address44250 GARFIELD RD, STE 160Clinton Township, MI 48038-1150
Mailing Address44250 Garfield Rd, Ste 160Clinton Township, MI 48038-1150 · (586) 228-2255 · Fax (586) 228-2740
Phone(586) 228-2255
Fax(586) 228-2740
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 1988
Enumeration DateJune 16, 2005
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1326043316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MI · 5901001446
Also ListedPodiatristTaxonomy 213E00000X · License EK001446 (MI)
44250 GARFIELD RD, Clinton Township, MI 48038
Open in Google Maps ↗

Other Identifiers 12

Other1302112002MI · Cigna
Other4855050170MI · Blue Care Network
Other4118378MI · Aetna
Medicaid4616834MI
OtherC1995MI · Mcare
Other4616834MI · Molina
OtherU11976MI · Health Alliance Plan
Other104183MI · Great Lakes Health Plan
Other4855050170MI · Blue Cross Blue Shield
OtherP00141753MI · Railroad Medicare
Other102448MI · Preferred/care Choices
Other1221070004MI · Wellness

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Edmund Joseph Kowalchick Jr. 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 ID3375516743
PECOS Enrollment IDI20040820000574
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 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.
471 services159 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.
109 services15 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
86 services51 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.
59 services17 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.
57 services57 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
45 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne 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.

86.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.37
Promoting Interoperability81
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
65%296 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%150 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,260 patients4/55-star benchmark: 100%
e-Prescribing
99%493 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%462 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%1,001 patients5/55-star benchmark: 98%
Provide Patients Electronic Access to Their Health Information
65%1,245 patients3/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
85%41 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 483 patients
Patients totalRate: 0% · 483 patients
0%483 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers23 claims46 services$61.43 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier20 claims120 services$25.08 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

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

MICHIGAN FOOT & ANKLE INSTITUTE PC
Podiatrist
44250 GARFIELD RD, SUITE 160
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 228-2255

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 Edmund Kowalchick's NPI number?

The NPI number for Edmund Kowalchick is 1326043316. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Edmund Kowalchick located?

Edmund Kowalchick practices at 44250 Garfield Rd Ste 160, Clinton Township, MI 48038. The listed phone number is (586) 228-2255.

What is Edmund Kowalchick's specialty?

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

Is Edmund Kowalchick enrolled in Medicare?

Yes. Edmund Kowalchick 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 Edmund Kowalchick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Edmund Kowalchick 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 Edmund Kowalchick affiliated with any hospitals?

According to CMS data, Edmund Kowalchick is affiliated with Henry Ford Macomb Hospital and Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Edmund Kowalchick was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.