SCOTT KOWALEWSKY
NPI 1013423003
Nurse Anesthetist, Certified Registered in Bay City, MI
Quality Rating: 76.41 out of 100 score
NPI Status: Active since December 28, 2017
Contact Information
1900 COLUMBUS AVE
BAY CITY, MI
ZIP 48708
Phone: (989) 894-3000
- Individual
- Male
- Years of Experience 9
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- Accepts Medicare Approved Payment
About SCOTT KOWALEWSKY
This page provides the complete NPI Profile along with additional information for Scott Kowalewsky, a provider established in Bay City, Michigan with a medical specialization in Nurse Anesthetist, Certified Registered and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1013423003 assigned on December 2017. The practitioner's primary taxonomy code is 367500000X with license number 4704290119 (MI). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1013423003
- Provider Name
- SCOTT KOWALEWSKY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1900 COLUMBUS AVE BAY CITY, MI 48708
- Location Phone
- (989) 894-3000
- Mailing Address
- 1234 DETTLOFF ST ROGERS CITY, MI 49779
- Mailing Phone
- (989) 351-0729
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-28-2017
- Last Update Date
- 12-28-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4704290119
- License State
- MI
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
120589 | OTHER (01) | NBCRNA |
Medicare Participation & PECOS Enrollment Status
Scott Kowalewsky is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8325307853
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20180109001060
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for exam of colon using an endoscope
Anesthesia for lens surgery
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
Anesthesia for other procedure on large bowel using an endoscope
Anesthesia for other repair of lower abdomen hernia (1 year or older)
Anesthesia for procedure for total knee joint replacement
Anesthesia for procedure on small and large bowel using an endoscope
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
This service was performed 61 times for 61 patientsAnesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
This service was performed 57 times for 50 patientsThis procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
This service was performed 51 times for 48 patientsAnesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
This service was performed 90 times for 89 patientsAnesthesia for lower abdomen hernia repair in individuals aged 1 year or older involves administering medication to ensure you don't feel pain during the procedure. It can be either general (you're asleep) or regional (numbs a large area). It's safe and monitored by professionals.
This service was performed 11 times for 11 patientsAnesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
This service was performed 17 times for 17 patientsAnesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
This service was performed 21 times for 21 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.53 for a new patient copayment and $17.01 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48708 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.15
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 76.41, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 76.41 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 78.93
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 37.38
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 37.38
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Scott Kowalewsky is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
MYMICHIGAN MEDICAL CENTER ALPENA | 1501 W CHISHOLM ST ALPENA, MI 49707 | (989) 356-7390 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 1 | 3 | 4 | 2 | 3 | 0 | 0 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 2 | 3 | 8 | 2 | 6 | 0 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 2 + 3 + 8 + 2 + 6 + 0 + 0 + 24 = 47 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 47 = 3 | 3 |
The NPI number 1013423003 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1326019662 | JAMES FINCH Individual | Radiology (Diagnostic Radiology) | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3000 |
1356303770 | RICHARD JANKOWSKI MD Individual | Radiology (Diagnostic Radiology) | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-6503 |
1750343182 | DAVID E PHILLIPS MD Individual | Radiology (Diagnostic Radiology) | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3000 |
1629027479 | DR. MOHAMMED MAMDOUH AL-QASMI MD Individual | Psychiatry & Neurology (Neurology) | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 667-3410 |
1346286754 | MAZEN M SHWEIKA CRNA Individual | Nurse Anesthetist, Certified Registered | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3820 |
1780620161 | BANGHENG BING WAN MD Individual | Anesthesiology | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3077 |
1841229481 | MARK S SLAWINSKI CRNA Individual | Nurse Anesthetist, Certified Registered | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3820 |
1477582013 | JENNIFER SUE DALY CRNA Individual | Nurse Anesthetist, Certified Registered | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3820 |
1093746711 | MICHAEL LANG Individual | Nurse Anesthetist, Certified Registered | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3000 |
1891728333 | DENNIS M KEENE MD Individual | Anesthesiology | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 984-3077 |
1639102197 | PHOENIX ANESTHESIOLOGY GROUP PC Organization | Anesthesiology | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3077 |
1891890521 | FRANCES M NAGY-O'CONNOR CRNA Individual | Nurse Anesthetist, Certified Registered | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3795 |
1871688283 | WILLIAM A. WISNIEWSKI R.PH. Individual | Pharmacist | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3744 |
1801983135 | BAY PATHOLOGY, PC Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3000 |
1770620718 | JAMES H SANTALA CRNA Individual | Nurse Anesthetist, Certified Registered | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3820 |
1760529440 | RONALD M JUSTIN CRNA Individual | Nurse Anesthetist, Certified Registered | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3820 |
1093858359 | MRS. LAINEY MICHELLE-TAIT RANSFORD P.A. (ASCP) Individual | Physician Assistant (Surgical) | 1900 COLUMBUS AVE LABORATORY PATHOLOGY BAY CITY, MI 48708 (989) 894-3703 |
1679601397 | STEVEN W SKELTIS CRNA Individual | Nurse Anesthetist, Certified Registered | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3820 |
1235253972 | GAYE GORMAN DO Individual | Anesthesiology | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3077 |
1154447035 | STRATEGIC MEDICAL SERVICES PC Organization | Emergency Medicine | 1900 COLUMBUS AVE BAY CITY, MI 48708 (989) 894-3145 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013423003, enumerated in the NPI registry as an "individual" on December 28, 2017
The provider is located at 1900 Columbus Ave Bay City, Mi 48708 and the phone number is (989) 894-3000
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider has more than 9 years of experience.
The provider might be accepting Accepts: HAP CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $126.15 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Anesthesia for exam of colon using an endoscope, Anesthesia for lens surgery, Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope, Anesthesia for other procedure on large bowel using an endoscope, Anesthesia for other repair of lower abdomen hernia (1 year or older), Anesthesia for procedure for total knee joint replacement and Anesthesia for procedure on small and large bowel using an endoscope.
The practitioner is affiliated to the following hospital(s): MYMICHIGAN MEDICAL CENTER ALPENA. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on December 28, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.