DR. BARRY MICHAEL KOWALIK OD
NPI 1831236751
Optometrist in Danville, KY

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
79.11/100
CMS Quality Rating
100 WALTON AVE, DANVILLE, KY 40422(859) 236-8093(859) 236-8893 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Barry Michael Kowalik Od NPPES

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

DR. BARRY MICHAEL KOWALIK OD (NPI 1831236751) is an individual optometrist in Danville, Kentucky, licensed in Kentucky (1183DT) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of New England College Of Optometry (1989).

NPPES Registry Identity

NPI1831236751
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BARRY MICHAEL KOWALIKCredential: OD
Location Address100 WALTON AVEDanville, KY 40422-8414
Mailing Address1541 Lebanon Rd, Ste 2Danville, KY 40422-8349 · (859) 236-8093 · Fax (859) 236-8893
Fax(859) 236-8893
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1989
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
NPI 1831236751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in KY · 1183DT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
100 WALTON AVE, Danville, KY 40422

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. Barry Michael Kowalik Od 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 ID1355509282
PECOS Enrollment IDI20120223000917
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.
329 services270 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
68 services48 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.
62 services62 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
57 services50 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
50 services43 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
38 services34 patients

Hospital Affiliations CMS Care Compare

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

79.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.52
Promoting Interoperability100
Improvement Activities40
Cost44.23

Other Providers at the Same Location NPPES 13

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

Technician/Technologist (Optician)
100 WALTON AVE
DANVILLE, KY 40422
Technician/Technologist (Optician)
100 WALTON AVE
DANVILLE, KY 40422
Pharmacist
100 WALTON AVE
DANVILLE, KY 40422
Technician/Technologist (Optician)
100 WALTON AVE
DANVILLE, KY 40422
Pharmacist
100 WALTON AVE
DANVILLE, KY 40422
Optometrist
100 WALTON AVE
DANVILLE, KY 40422
Pharmacy (Community/Retail Pharmacy)
100 WALTON AVE
DANVILLE, KY 40422
Pharmacist
100 WALTON AVE
DANVILLE, KY 40422

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 Barry Kowalik's NPI number?

The NPI number for Barry Kowalik is 1831236751. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Barry Kowalik located?

Barry Kowalik practices at 100 Walton Ave, Danville, KY 40422. The listed phone number is (859) 236-8093.

What is Barry Kowalik's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Barry Kowalik enrolled in Medicare?

Yes. Barry Kowalik 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 Barry Kowalik accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 5 other insurers list Barry Kowalik 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 Barry Kowalik affiliated with any hospitals?

According to CMS data, Barry Kowalik is affiliated with Ephraim Mcdowell Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Barry Kowalik was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.