THOMAS S KOWALKOWSKI MD
NPI 1942296066
Urology in Ronceverte, WV

Q: What is Thomas Kowalkowski's NPI number?

The NPI number for Thomas Kowalkowski is 1942296066. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Thomas Kowalkowski's specialty?

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

Active since September 23, 2005PECOS Enrolled

31.4/100

CMS Quality Rating

1521 MAPLEWOOD AVE, RONCEVERTE, WV 24970(304) 647-5642(304) 647-5708 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Thomas S Kowalkowski Md NPPES

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

THOMAS S KOWALKOWSKI MD (NPI 1942296066) is an individual urology provider in Ronceverte, West Virginia, licensed in West Virginia (14532) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Hospital Alleghany, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942296066

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameTHOMAS S KOWALKOWSKICredential: MD

Location Address1521 MAPLEWOOD AVERonceverte, WV 24970-8026

Mailing Address176 Dawkins DrLewisburg, WV 24901-9302 · (304) 647-4411 · Fax (304) 647-5708

Phone(304) 647-5642

Fax(304) 647-5708

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateSeptember 23, 2005

Last NPPES UpdateSeptember 16, 2020

NPPES CertifiedSeptember 16, 2020

✔ NPI 1942296066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in WV · 14532

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.

1521 MAPLEWOOD AVE, Ronceverte, WV 24970

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Secondary Practice Locations 2

Location 1302 Carriage DrBeckley, WV 25801-2812 · Phone (304) 647-5642

Location 21320 Maplewood AveRonceverte, WV 24970-8016 · Phone (304) 647-5642

Other Identifiers 1

Medicaid0040599000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas S Kowalkowski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628052677

PECOS Enrollment IDI20100921000845

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 Thomas Kowalkowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Camc Greenbrier Valley Medical Center, Inc.

0.1 mi

Optometrist

1322 MAPLEWOOD AVE
Ronceverte, WV 24970

Reassigned Medicare billing, West Virginia enrollment
142 clinicians in this Medicare group

NPI 1962287722 (304) 347-5114

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 21

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

685 services510 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.

375 services318 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.

331 services272 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

304 services236 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

220 services175 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

206 services189 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

130 services129 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

75 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.

61 services61 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

55 services54 patients

Bacterial colony count, urine 87086

A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).

48 services41 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

31 services28 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

31 services31 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

25 services22 patients

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution 87186

This process checks how well certain drugs, like antibiotics, can fight against infections. It involves mixing the drug with a microbe (like bacteria or a virus) in a lab. By observing how the microbe reacts, it helps determine the best drug to treat your infection.

24 services21 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.

23 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

21 services21 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

17 services13 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

16 services16 patients

Ultrasound scan of pelvic region through rectum 76872

14 services12 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Lewisgale Hospital Alleghany

Acute Care Hospitals · Low Moor, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490126

LocationOne Arh Lane - PO Box 7Low Moor, VA 24457 · Alleghany County

Emergency services

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number510002

Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County

Emergency services Birthing friendly

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number510070

Location1710 Harper RoadBeckley, WV 25801 · Raleigh County

Emergency services Birthing friendly

Camc Plateau Medical Center, Inc

Critical Access Hospitals · Oak Hill, WV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number511317

Location430 Main Street, WestOak Hill, WV 25901 · Fayette County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24970 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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.

31.4/100

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

Scored as part of a group practice

Quality

Promoting Interoperability

Improvement Activities

Cost

79.68

Reported Quality Measures

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

100%266 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

2 suppliers34 claims5,040 services$0.10 avg. paid by Medicare

Urinary catheter anchoring device, adhesive skin attachment, each A4333

DME-Orthotic Devices · category DF000N

1 supplier12 claims36 services$2.14 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 suppliers25 claims4,410 services$1.55 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

1 supplier22 claims2,880 services$5.22 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

5 suppliers16 claims35 services$7.78 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

3 suppliers16 claims43 services$6.31 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 3

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

JOSEPH MOUCHIZADEH MD

Urology

1521 MAPLEWOOD AVE
RONCEVERTE, WV 24970

Greenbrier County (304) 647-5642

KYLE F FORT MD

Urology

1521 MAPLEWOOD AVE
RONCEVERTE, WV 24970

Greenbrier County (304) 647-5642

WILLIE W SMITH III PA-C

Physician Assistant

1521 MAPLEWOOD AVE
RONCEVERTE, WV 24970

Greenbrier County (304) 647-5642

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 Thomas Kowalkowski's NPI number?

The NPI number for Thomas Kowalkowski is 1942296066. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Thomas Kowalkowski located?

Thomas Kowalkowski practices at 1521 Maplewood Ave, Ronceverte, WV 24970. The listed phone number is (304) 647-5642.

What is Thomas Kowalkowski's specialty?

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

Is Thomas Kowalkowski enrolled in Medicare?

Yes. Thomas Kowalkowski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Kowalkowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Kowalkowski reassigns Medicare benefits to Camc Greenbrier Valley Medical Center, Inc. (Ronceverte, WV). 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 Thomas Kowalkowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Kowalkowski accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Thomas Kowalkowski 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 Thomas Kowalkowski affiliated with any hospitals?

According to CMS data, Thomas Kowalkowski is affiliated with Lewisgale Hospital Alleghany, Camc Greenbrier Valley Medical Center, Inc, Charleston Area Medical Center, Raleigh General Hospital and Camc Plateau Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Thomas Kowalkowski was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.