Active NPI 1285855239 Individual Practitioner Male Practitioner

Dr. Mark Timothy Kowal , MD

Surgery • Fairbanks, AK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kowal, MD is a certified Surgery practicing in Fairbanks, AK. With approximately 20 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 2006, Dr. Kowal delivers high-quality medical care to the local community at 1919 LATHROP ST.

Dr. Kowal accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, fluoroscopic guidance for insertion, replacement or removal of central venous access device. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1919 Lathrop St
Ste 202

Fairbanks, AK 997015937

Telephone 9074515507

Fax 9074515590

Associated Practice Facility / Clinic

🏢 Prescription Center Llc Facility NPI 1801852769

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Denver

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fairbanks, AK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -8.1 yrs vs City Avg

City Avg: 28.1 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

11 Specialists

Practicing in Fairbanks, AK (102 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kowal (20 Years) 20 Yrs

Fairbanks Specialty Average (28.1 Years) 28.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$495.00	$209.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$270.00	$160.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$395.00	$226.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$305.00	$138.60
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$125.00	$23.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1946.00	$133.68
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$6180.00	$409.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$495.00	$212.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	11	$222.00	$65.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$395.00	$229.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$1946.00	$142.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$1146.00	$230.54
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$6180.00	$409.08
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$2790.00	$234.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$610.00	$281.44
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$125.00	$23.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$305.00	$140.82
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$2342.00	$225.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$495.00	$215.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$610.00	$288.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	27	$395.00	$236.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	28	$1946.00	$150.37
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$2790.00	$242.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$270.00	$166.88
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$2342.00	$243.16
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$125.00	$24.94
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$6180.00	$434.65
49650 Repair of groin hernia using an endoscope	12	12	$4054.67	$574.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$1146.00	$265.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$495.00	$212.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	22	$395.00	$238.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	24	$270.00	$169.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$610.00	$292.04
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$2790.00	$236.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$1946.00	$166.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$1146.00	$270.45
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$6180.00	$415.35
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$125.00	$23.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$495.00	$216.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	39	39	$610.00	$273.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	26	$395.00	$191.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	16	$222.00	$53.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$270.00	$139.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$1146.00	$277.42
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$125.00	$26.02
45380 Biopsy of large bowel using an endoscope	12	12	$2790.00	$253.66
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$6180.00	$455.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$495.00	$208.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	24	$395.00	$184.42
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$610.00	$261.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$270.00	$132.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$1146.00	$266.31
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$125.00	$24.90
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$6180.00	$419.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1946.00	$157.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$495.00	$199.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$610.00	$244.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$832.87	$259.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$270.00	$123.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$395.00	$178.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$610.00	$243.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	22	$395.00	$171.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$495.00	$199.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$592.00	$256.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	11	$178.00	$49.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$270.00	$129.60

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AK 7319

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Shannon Rhoton , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1083853675

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Dr. Stefan Leo-Nyquist , DO

Family Medicine

NPI 1114414265

Doctor of Osteopathic Medicine (D.O.)

David Boyd , ATC

Specialist/Technologist - Athletic Trainer

NPI 1124405618

Certified Athletic Trainer

Sheri Schoenberg , PT

Physical Therapist

NPI 1134282734

Physical Therapist

Dr. Jessica Woller , DMD, MSD, CO

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1164653473

Doctor of Dental Medicine, MSD, Certified Orthotist

Dr. Ronald Martino , MD

Psychiatry & Neurology - Neurology

NPI 1194793414

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active January 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 31, 2017

Registered at 1919 LATHROP ST, STE 202, FAIRBANKS, AK 997015937 (Tel: 9074515507)

📍

Updated Business Mailing Address January 31, 2017

Registered at 1919 LATHROP ST, STE 202, FAIRBANKS, AK 997015937 (Tel: 9074515507)

👤

Provider Name / Credentials Updated January 31, 2017

Recorded as MARK KOWAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2017

Surgery (License #7319 in AK)

✅

NPI Profile Active November 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 08, 2011

Registered at 1275 SADLER WAY, SUITE 102, FAIRBANKS, AK 997013171 (Tel: 9074515507)

📍

Updated Business Mailing Address November 08, 2011

Registered at 1275 SADLER WAY, SUITE 102, FAIRBANKS, AK 997013171 (Tel: 9074515507)

👤

Provider Name / Credentials Updated November 08, 2011

Recorded as MARK KOWAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2011

Surgery (License #7319 in AK)

🟢

Initial NPI Registration & Enumeration May 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1285855239

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 01, 2007

Last Update: January 31, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1919 Lathrop St, Ste 202

Fairbanks, AK 997015937

Phone: 9074515507

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.