MARK A KOWALSKI M.D.
NPI 1366402588
Surgery in Millinocket, ME
NPI Status: Active since March 23, 2006
Contact Information
165 POPLAR ST
SUITE 2
MILLINOCKET, ME
ZIP 04462
Phone: (207) 723-3003
Fax: (207) 723-3006
- Individual
- Male
- Surgery
- Accepts Insurance
- PECOS Enrolled
About MARK KOWALSKI
This page provides the complete NPI Profile along with additional information for Mark Kowalski, a provider established in Millinocket, Maine with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1366402588 assigned on March 2006. The practitioner's primary taxonomy code is 208600000X with license number 016015 (ME). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1366402588
- Provider Name
- MARK A KOWALSKI M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 165 POPLAR ST SUITE 2 MILLINOCKET, ME 04462
- Location Phone
- (207) 723-3003
- Location Fax
- (207) 723-3006
- Mailing Address
- 165 POPLAR ST SUITE 2 MILLINOCKET, ME 04462
- Mailing Phone
- (207) 723-3003
- Mailing Fax
- (207) 723-3006
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2006
- Last Update Date
- 07-09-2007
- Code Navigator
A surgeon like Mark Kowalski treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
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
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 016015
- License State
- ME
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - 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.
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 |
|---|---|---|---|
| F10120 | OTHER (01) | HARVARD PILGRAM HEALTHCAR | |
| MM9332 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 022326 | OTHER (01) | ME | ANTHEM |
| 4203395 | OTHER (01) | AETNA US HEALTHCARE | |
| F10120 | MEDICARE UPIN (02) | ||
| MI200003 | MEDICARE ID-TYPE UNSPECIFIED (04) |
Medicare Participation & PECOS Enrollment Status
Mark Kowalski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
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 04462 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.58
- Minimum New Patient Price $53.26
- Maximum New Patient Price $162.77
- Average New Patient Copayment $20.64
- Minimum New Patient Copayment $13.31
- Maximum New Patient Copayment $40.69
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.74
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $132.79
- Average Established Patient Copayment $16.68
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $33.19
* 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.
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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 | 3 | 6 | 6 | 4 | 0 | 2 | 5 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 8 | 0 | 4 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 8 + 0 + 4 + 5 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1366402588 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235199332 | RICHARD M CABOT M.D. Individual | Surgery | 165 POPLAR ST SUITE 2 MILLINOCKET, ME 04462 (207) 723-3003 |
| 1245336577 | JASON F CAMPBELL MD Individual | Surgery | 165 POPLAR ST SUITE 2 MILLINOCKET, ME 04462 (207) 723-3003 |
| 1205838174 | JOHN J GLUSCIC MD Individual | Orthopaedic Surgery | 165 POPLAR ST SUITE 1 MILLINOCKET, ME 04462 (207) 723-2034 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366402588, enumerated in the NPI registry as an "individual" on March 23, 2006
The provider is located at 165 Poplar St Suite 2 Millinocket, Me 04462 and the phone number is (207) 723-3003
The provider's speciality is Surgery with taxonomy code 208600000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.58 with an average copayment of $20.64 for new patient appointments. Established patients should expect a typical charge of $66.74 and an average copayment of 16.68. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 23, 2006. 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.