DR. KEITH A KOWAL M.D.
NPI 1528064201
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Fairhope, AL

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
20308 BEECHER ST, FAIRHOPE, AL 36532(404) 432-2391 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Apr 25, 2019 (2 updates tracked since 2019).

About Dr. Keith A Kowal M.d. NPPES

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

DR. KEITH A KOWAL M.D. (NPI 1528064201) is an individual otolaryngology/facial plastic surgery provider in Fairhope, Alabama, licensed in Alabama (MD.34240) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1983).

NPPES Registry Identity

NPI1528064201
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. KEITH A KOWALCredential: M.D.
Location Address20308 BEECHER STFairhope, AL 36532-3692
Mailing Address1851 N Mckenzie St Ste 106Foley, AL 36535-4704 · (251) 943-1117 · Fax (251) 943-1183
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1983
Enumeration DateJune 27, 2005
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1528064201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Licenses Licensed in AL · MD.34240 Licensed in GA · 036199
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
20308 BEECHER ST, Fairhope, AL 36532

Other Identifiers 3

Medicaid179628AL
Other511-69027AL · Bcbs Of Al
Other102I43287AL · Medicare

Accepted 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. Keith A 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 ID4082500236
PECOS Enrollment IDI20160215000657
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 17

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 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.
444 services234 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
145 services14 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.
97 services97 patients
Ct guidance for needle or tube localization 77011
CT guidance for needle or tube localization is a procedure where a CT scan is used to accurately position a needle or tube within the body. It helps in diagnosing or treating conditions by ensuring precise placement for procedures such as biopsies or drainages.
81 services77 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
40 services37 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
37 services30 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 7

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

Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers13 claims69 services$16.76 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers12 claims67 services$13.67 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers27 claims27 services$53.72 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers21 claims21 services$17.85 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers18 claims18 services$14.37 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers29 claims172 services$2.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Keith Kowal's NPI number?

The NPI number for Keith Kowal is 1528064201. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Keith Kowal located?

Keith Kowal practices at 20308 Beecher St, Fairhope, AL 36532. The listed phone number is (404) 432-2391.

What is Keith Kowal's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Keith Kowal enrolled in Medicare?

Yes. Keith 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 Keith Kowal accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Keith 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 Keith Kowal was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.