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PETER D KOWYNIA MD
NPI 1851301352
Surgery in Clinton Twp, MI

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
43211 DALCOMA, STE 7, CLINTON TWP, MI 48038(586) 286-8800(586) 286-8068 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peter D Kowynia Md NPPES

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

PETER D KOWYNIA MD (NPI 1851301352) is an individual surgery provider in Clinton Twp, Michigan, licensed in Michigan (4301051240) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Wayne State University School Of Medicine (1987).

NPPES Registry Identity

NPI1851301352
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePETER D KOWYNIACredential: MD
Location Address43211 DALCOMA, STE 7Clinton Twp, MI 48038
Mailing Address43211 Dalcoma, Ste 7Clinton Twp, MI 48038 · (586) 286-8800 · Fax (586) 286-8068
Phone(586) 286-8800
Fax(586) 286-8068
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1987
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851301352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4301051240
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
43211 DALCOMA, Clinton Twp, MI 48038
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Other Identifiers 7

Other102451Care Choices
Medicare ID-Type Unspecified0502600MI
Other104187Great Lakes
OtherC3404Mcare
Medicare UPINF22193
Other4540079MI · Aetna
Other2938Cape

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Peter D Kowynia 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 ID6709779911
PECOS Enrollment IDI20050119000955
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 3

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.

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.
32 services13 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.
20 services20 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Peter Kowynia's NPI number?

The NPI number for Peter Kowynia is 1851301352. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Peter Kowynia located?

Peter Kowynia practices at 43211 Dalcoma Ste 7, Clinton Twp, MI 48038. The listed phone number is (586) 286-8800.

What is Peter Kowynia's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Peter Kowynia enrolled in Medicare?

Yes. Peter Kowynia 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 Peter Kowynia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Peter Kowynia 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 Peter Kowynia affiliated with any hospitals?

According to CMS data, Peter Kowynia is affiliated with Henry Ford Macomb Hospital and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Peter Kowynia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.