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Active NPI 1538194600 Individual Practitioner Male Practitioner

Dr. David J Kowalski , MD

Internal Medicine • Effingham, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Kowalski, MD is a certified Internal Medicine practicing in Effingham, IL. With approximately 30 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 1996, Dr. Kowalski delivers high-quality medical care to the local community at 300 N MAPLE ST.

Dr. Kowalski maintains professional affiliations with Springfield Clinic, Llp, Marshall Clinic Effingham S C, St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, blood test, clotting time, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 N Maple St

Effingham, IL 624012003

Telephone 2173424151
Fax 2173429336
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Effingham, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +0.7 yrs vs City Avg
City Avg: 29.3 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Effingham, IL (7544 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kowalski (30 Years) 30 Yrs
Effingham Specialty Average (29.3 Years) 29.3 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
36415 Insertion of needle into vein for collection of blood sample
450 311 $9.00 $8.65
85610 Blood test, clotting time
441 27 $72.00 $4.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
149 71 $582.89 $123.47
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
84 53 $47.12 $16.27
81003 Automated urinalysis test
58 45 $19.00 $2.20
99213 Established patient office or other outpatient visit, typically 15 minutes
43 29 $412.72 $87.35
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
21 21 $234.86 $50.28
87502 Detection test by nucleic acid for multiple types influenza virus
15 15 $439.00 $93.88

Medical Specialties & State Licenses

CMS Verified: 2020-05-21
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036089116

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 036089116

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

300 N Maple, Effingham, IL 624012003

Phone: 2175287541

Marshall Clinic Effingham S C

300 N Maple St Po Box, Effingham, IL 624012003

St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third

503 N Maple St, Effingham, IL 624012006

Phone: 2173422121

Practice Associates & Co-Workers

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

15 Associated Practitioners
Vickie Bushur , FNP-BC

Nurse Practitioner - Family

NPI 1184710402

Family Nurse Practitioner (Board Certified)

Dr. Jennifer Maneja , MD

Internal Medicine

NPI 1194775064

Doctor of Medicine (M.D.)

Kathleen Weber , FNP-BC

Nurse Practitioner - Family

NPI 1215376983

Family Nurse Practitioner (Board Certified)

NPI 1245260082

Doctor of Medicine (M.D.)

NPI 1295766772

Doctor of Medicine (M.D.)

NPI 1306874466

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2015

Registered at 300 N MAPLE ST, EFFINGHAM, IL 624012003 (Tel: 2173424151)

📍
Updated Business Mailing Address December 23, 2015

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

👤
Provider Name / Credentials Updated December 23, 2015

Recorded as DAVID KOWALSKI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2015

Internal Medicine (License #036089116 in IL)

🟢
Initial NPI Registration & Enumeration July 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538194600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: May 21, 2020
Sole Proprietor: No

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 2175287541

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.