DR. KATHIE KOWALCZYK M.D
NPI 1639425986
Psychiatry & Neurology - Neurology in Fort Pierce, FL

Active since July 24, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2401 FRIST BLVD STE 4, FORT PIERCE, FL 34950(772) 595-5302 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2022, Nov 12, 2018 (2 updates tracked since 2018).

About Dr. Kathie Kowalczyk M.d NPPES

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

DR. KATHIE KOWALCZYK M.D (NPI 1639425986) is an individual neurology provider in Fort Pierce, Florida, licensed in Florida (ME122157) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1639425986
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. KATHIE KOWALCZYKCredential: M.D
Location Address2401 FRIST BLVD STE 4Fort Pierce, FL 34950-4800
Mailing Address2401 Frist Blvd Ste 4Fort Pierce, FL 34950-4800 · (772) 595-5302
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 24, 2012
Last NPPES UpdateJuly 14, 20222 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
NPI 1639425986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in FL · ME122157
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2401 FRIST BLVD STE 4, Fort Pierce, FL 34950

Secondary Practice Locations 2

Location 110080 SW Innovation Way Ste 201Port St Lucie, FL 34987-2129 · Phone (772) 344-3811 · Fax (772) 344-3890
Location 210050 SW Innovation Way, STE 102Port St Lucie, FL 34987-2117 · Phone (772) 344-3811

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. Kathie Kowalczyk 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 ID7618297516
PECOS Enrollment IDI20150515001829, I20241205003256, I20250207001015, I20250224000935, I20250313000932, I20250321001330, I20250605000321, I20250616000109
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 6

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
159 services148 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
127 services75 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services32 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
22 services22 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34950 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Physician Assistant (Surgical)
2401 FRIST BLVD STE 4
FORT PIERCE, FL 34950
Surgery (Vascular Surgery)
2401 FRIST BLVD STE 4
FORT PIERCE, FL 34950
Physician Assistant
2401 FRIST BLVD STE 4
FORT PIERCE, FL 34950
Surgery (Vascular Surgery)
2401 FRIST BLVD STE 4
FORT PIERCE, FL 34950
Physician Assistant (Medical)
2401 FRIST BLVD STE 4
FORT PIERCE, FL 34950
Physician Assistant
2401 FRIST BLVD STE 4
FORT PIERCE, FL 34950
Surgery (Vascular Surgery)
2401 FRIST BLVD STE 4
FORT PIERCE, FL 34950

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 Kathie Kowalczyk's NPI number?

The NPI number for Kathie Kowalczyk is 1639425986. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Kathie Kowalczyk located?

Kathie Kowalczyk practices at 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950. The listed phone number is (772) 595-5302.

What is Kathie Kowalczyk's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Kathie Kowalczyk enrolled in Medicare?

Yes. Kathie Kowalczyk 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 Kathie Kowalczyk accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kathie Kowalczyk 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 Kathie Kowalczyk was last updated on July 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.