Active NPI 1295766772 Individual Practitioner Female Practitioner

Dr. Lisa A Kowalski , MD

Surgery • Effingham, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Kowalski, MD is a certified Surgery practicing in Effingham, IL. With approximately 34 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 1992, 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 established patient outpatient office visit, biopsy of large bowel using an endoscope, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. 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 2173473033

Associated Practice Facility / Clinic

🏢 Marshall Clinic Effingham, S.c. Facility NPI 1952304412

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Effingham, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +4.2 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

6 Specialists

Practicing in Effingham, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kowalski (34 Years) 34 Yrs

Effingham Specialty Average (29.8 Years) 29.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	144	44	$197.00	$65.09
45380 Biopsy of large bowel using an endoscope	72	72	$1938.53	$152.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	43	$1711.02	$102.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$624.00	$129.38
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	35	35	$1597.00	$175.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	19	$354.00	$77.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$119.00	$34.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	25	$2211.88	$241.04
36415 Insertion of needle into vein for collection of blood sample	25	25	$9.00	$8.65
45378 Diagnostic exam of large bowel using a flexible endoscope	21	20	$1622.14	$177.84
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$1597.00	$183.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$197.78	$48.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	11	$294.00	$95.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$247.00	$81.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$518.20	$109.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	64	64	$1919.00	$180.36
99213 Established patient office or other outpatient visit, typically 15 minutes	55	20	$200.36	$64.19
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	44	$1696.00	$108.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	18	$330.06	$78.27
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$1597.00	$181.65
45378 Diagnostic exam of large bowel using a flexible endoscope	27	26	$1597.00	$178.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	18	$178.00	$49.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$624.00	$129.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$2189.00	$249.86
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$1597.00	$182.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$264.79	$82.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$893.00	$171.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	74	74	$1853.28	$148.02
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	62	61	$1661.56	$114.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$2189.00	$255.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	15	$329.00	$70.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$624.00	$133.94
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$1597.00	$185.03
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$1597.00	$177.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	23	$178.00	$38.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$893.00	$195.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	129	129	$1826.00	$176.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	53	52	$1622.55	$98.65
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	32	32	$1597.00	$187.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$624.00	$135.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	12	$329.00	$71.43
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$2189.00	$256.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	18	$178.00	$38.17
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$1597.00	$187.46
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$1597.00	$188.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$409.00	$106.60
99213 Established patient office or other outpatient visit, typically 15 minutes	85	75	$294.00	$74.23
45380 Biopsy of large bowel using an endoscope	78	78	$1826.00	$185.87
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	42	$1638.00	$115.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$619.00	$139.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	16	$329.00	$73.00
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$1597.00	$193.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$427.00	$107.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	15	$178.00	$39.81
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$1597.00	$182.64
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$2189.00	$264.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$828.00	$204.35
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1597.00	$193.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	120	120	$742.27	$171.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$163.16	$106.41
99213 Established patient office or other outpatient visit, typically 15 minutes	82	72	$110.30	$72.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	50	48	$556.09	$103.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	21	$119.76	$71.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$278.19	$137.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$684.40	$261.72
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$636.07	$193.08
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	25	25	$547.66	$185.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	16	$84.27	$36.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$146.20	$106.55
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$525.84	$187.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$315.01	$202.53
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$579.70	$81.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	91	91	$461.20	$178.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$115.47	$105.20
99213 Established patient office or other outpatient visit, typically 15 minutes	79	73	$77.66	$70.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	56	56	$408.47	$103.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	37	$154.79	$135.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	15	$79.04	$72.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$114.74	$104.67
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$339.45	$191.26
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$339.45	$186.51
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	23	$528.87	$262.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	15	$42.69	$38.93
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$408.85	$190.06
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$79.84	$72.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$46.46	$42.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	105	105	$454.37	$185.50
99213 Established patient office or other outpatient visit, typically 15 minutes	87	78	$78.96	$69.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$117.25	$104.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	24	$82.77	$69.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	53	51	$383.65	$115.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$150.10	$135.19
36415 Insertion of needle into vein for collection of blood sample	35	33	$3.00	$2.94
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$378.44	$185.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	21	$43.09	$38.81
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$383.86	$182.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$114.89	$103.69
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$339.01	$185.98
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$456.25	$262.15
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$79.74	$71.93

Medical Specialties & State Licenses

CMS Verified: 2020-05-21

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036095601

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.

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

801 W Temple Ave, Effingham, IL 624012168

Phone: 2175287541

Springfield Clinic, Llp

300 N Maple, Effingham, IL 624012003

Phone: 2175287541

Springfield Clinic, Llp

775 Engineering Ave, Springfield, IL 627035909

Phone: 2175224300

Hshs Holy Family Hospital Inc

200 Health Care Dr, Greenville, IL 622461154

Phone: 6186641230

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)

Dr. Lana Schmidt , MD

Dermatology

NPI 1245260082

Doctor of Medicine (M.D.)

Dr. Jason Mcallaster , DO

Surgery

NPI 1306874466

Doctor of Osteopathic Medicine (D.O.)

Lauren Fifer , FNP

Nurse Practitioner - Family

NPI 1326982679

Family Nurse Practitioner

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 SIXTH, SPRINGFIELD, IL 62703 (Tel: 2175287541)

👤

Provider Name / Credentials Updated December 23, 2015

Recorded as LISA KOWALSKI, M.D.

🎓

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

Surgery (License #036095601 in IL)

🟢

Initial NPI Registration & Enumeration July 05, 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: 1295766772

Entity Type:

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

Enumeration Date: July 05, 2006

Last Update: May 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1025 S Sixth

Springfield, IL 62703

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.