DR. BRIAN F KOWAL M.D.
NPI 1790841310
Urology in Hyannis, MA

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
110 MAIN ST, HYANNIS, MA 02601(508) 771-9550(508) 790-9304 Get Directions Write a Review

NPPES record last updated: July 1, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brian F Kowal M.d. NPPES

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

DR. BRIAN F KOWAL M.D. (NPI 1790841310) is an individual urology provider in Hyannis, Massachusetts, licensed in Massachusetts (247438) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (2005).

NPPES Registry Identity

NPI1790841310
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. BRIAN F KOWALCredential: M.D.
Location Address110 MAIN STHyannis, MA 02601-3145
Mailing Address110 Main StHyannis, MA 02601-3145 · (508) 771-9550 · Fax (508) 790-9304
Fax(508) 790-9304
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2005
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 1, 2011
NPI 1790841310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MA · 247438
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

110 MAIN ST, Hyannis, MA 02601

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. Brian F 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 ID2860662780
PECOS Enrollment IDI20110901000735
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 43

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.

Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
4,371 services246 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
1,410 services811 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
1,301 services753 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
1,058 services724 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
777 services554 patients
Detection test for candida species (yeast), amplified probe technique 87481
This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
336 services243 patients

Hospital Affiliations CMS Care Compare 4

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Nantucket Cottage Hospital

Acute Care Hospitals · Nantucket, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220177
Location57 Prospect StreetNantucket, MA 02554 · Nantucket County
Emergency services Birthing friendly

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02601 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%2,599 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
38%516 patients2/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
25%79 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
60%675 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
2%675 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%499 patients4/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
29%248 patients2/55-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 3

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers20 claims2,442 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers57 claims7,590 services$1.66 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers59 claims6,519 services$6.10 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 16

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

Urology
110 MAIN ST
HYANNIS, MA 02601
Urology
110 MAIN ST
HYANNIS, MA 02601
Urology
110 MAIN ST
HYANNIS, MA 02601
Urology
110 MAIN ST
HYANNIS, MA 02601
Nurse Anesthetist, Certified Registered
110 MAIN ST, UNIT B
HYANNIS, MA 02601
Clinic/Center (Ambulatory Surgical)
110 MAIN ST, SUITE 2
HYANNIS, MA 02601
Anesthesiology
110 MAIN ST
HYANNIS, MA 02601
Nurse Anesthetist, Certified Registered
110 MAIN ST
HYANNIS, MA 02601

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 Brian Kowal's NPI number?

The NPI number for Brian Kowal is 1790841310. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Brian Kowal located?

Brian Kowal practices at 110 Main St, Hyannis, MA 02601. The listed phone number is (508) 771-9550.

What is Brian Kowal's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Brian Kowal enrolled in Medicare?

Yes. Brian 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 Brian Kowal accept?

Health plans from Anthem Blue Cross and Blue Shield list Brian 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.

Is Brian Kowal affiliated with any hospitals?

According to CMS data, Brian Kowal is affiliated with Cape Cod Hospital, Falmouth Hospital, Nantucket Cottage Hospital and Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Brian Kowal was last updated on July 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.