KRISTIN V KOWALCHIK MD
NPI 1710130828
Radiology - Radiation Oncology in Winchester, VA

Q: What is Kristin Kowalchik's NPI number?

The NPI number for Kristin Kowalchik is 1710130828. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Q: What is Kristin Kowalchik's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Kowalchik was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 03, 2008PECOS EnrolledAccepts Medicare Assignment

84.95/100

CMS Quality Rating

400 CAMPUS BLVD STE 110, WINCHESTER, VA 22601(540) 662-1108(450) 540-2244 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 24, 2023, Dec 20, 2018, Dec 6, 2018 (3 updates tracked since 2018).

On this page

About Kristin V Kowalchik Md NPPES

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

KRISTIN V KOWALCHIK MD (NPI 1710130828) is an individual radiation oncology provider in Winchester, Virginia, licensed in Virginia (0101258428) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Winchester.

NPPES Registry Identity

NPI1710130828

Entity TypeIndividualFemale

Primary Taxonomy2085R0001X

Provider Legal NameKRISTIN V KOWALCHIKCredential: MD

Location Address400 CAMPUS BLVD STE 110Winchester, VA 22601

Mailing Address400 Campus Blvd Ste 100Winchester, VA 22601-6906 · (540) 662-1108 · Fax (450) 540-2244

Phone(540) 662-1108

Fax(450) 540-2244

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2008

Enumeration DateNovember 3, 2008

Last NPPES UpdateMay 24, 20233 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1710130828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in VA · 0101258428

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

400 CAMPUS BLVD STE 110, Winchester, VA 22601

Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 Campus Blvd Ste 100Winchester, VA 22601 · Phone (540) 662-1108 · Fax (450) 540-2244

Other Identifiers 1

Medicaid1710130828VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristin V Kowalchik 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 ID3779725122

PECOS Enrollment IDI20150909002223

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.

Medicare Billing Reassignment

Medicare enrollment records show Kristin Kowalchik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shenandoah Oncology, PC

Same address

Hematology & Oncology

400 CAMPUS BLVD STE 100
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
23 clinicians in this Medicare group

NPI 1124381959 (540) 662-1108

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

486 services67 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

279 services106 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

228 services73 patients

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

189 services33 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

181 services78 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

100 services96 patients

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.

68 services43 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.

67 services67 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

53 services52 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

53 services52 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

44 services42 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

32 services27 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.

30 services28 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

29 services29 patients

Special radiation treatment 77470

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

16 services16 patients

Management of cranial lesion surgery using radiation over multiple sessions 77435

This procedure involves using targeted radiation to treat a lesion in the brain over several sessions. The radiation destroys the abnormal cells, helping to control or eliminate the lesion. It's a non-invasive treatment, meaning no surgical cuts are made.

14 services13 patients

Design and construction of simple radiation treatment device 77332

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

13 services13 patients

Complex radiation therapy planning for delivery of external radiation 77307

Complex radiation therapy planning involves creating a detailed plan to deliver targeted radiation doses. The process includes imaging scans to identify the area needing treatment, and designing a specific radiation plan to protect healthy tissue while effectively treating the disease.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490033

Location351 Valley Health WayFront Royal, VA 22630 · Warren County

Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491305

Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County

Emergency services

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511309

Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

84.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

78.1

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

95%274 patients4/55-star benchmark: 100%

Breast Cancer Screening

58%177 patients3/55-star benchmark: 93%

Cervical Cancer Screening

34%144 patients2/55-star benchmark: 98%

Colorectal Cancer Screening

40%314 patients2/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

93%642 patients4/55-star benchmark: 100%

e-Prescribing

97%62 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

95%267 patients4/55-star benchmark: 100%

Oncology: Medical and Radiation - Pain Intensity Quantified

96%1,191 patients4/55-star benchmark: 100%

Oncology: Medical and Radiation - Plan of Care for Pain

0%194 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

27%474 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

67%474 patients3/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 69% · 124 patients

Patients screened: 90% · 124 patients

0%26 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

81%210 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 280 patients

Patients totalRate: 0% · 280 patients

0%280 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.

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 Kristin Kowalchik's NPI number?

The NPI number for Kristin Kowalchik is 1710130828. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Kristin Kowalchik located?

Kristin Kowalchik practices at 400 Campus Blvd Ste 110, Winchester, VA 22601. The listed phone number is (540) 662-1108.

What is Kristin Kowalchik's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Kristin Kowalchik enrolled in Medicare?

Yes. Kristin Kowalchik 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.

Which organization bills Medicare for Kristin Kowalchik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Kowalchik reassigns Medicare benefits to Shenandoah Oncology, PC (Winchester, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Kowalchik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Kowalchik accept?

Health plans from CareSource list Kristin Kowalchik 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 Kristin Kowalchik affiliated with any hospitals?

According to CMS data, Kristin Kowalchik is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital and Valley Health War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Kowalchik was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.