Active NPI 1851301352 Individual Practitioner Male Practitioner

Dr. Peter D Kowynia , MD

Surgery • Clinton Twp, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kowynia, MD is a certified Surgery practicing in Clinton Twp, MI. With approximately 39 years of clinical experience since graduating from Wayne State University School Of Medicine in 1987, Dr. Kowynia delivers high-quality medical care to the local community at 43211 DALCOMA.

Dr. Kowynia accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

43211 Dalcoma
Ste 7

Clinton Twp, MI 48038

Telephone 5862868800

Fax 5862868068

Associated Practice Facility / Clinic

🏢 Northeast Surgical Specialists, Pc Facility NPI 1952576431

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Clinton Twp, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +6.0 yrs vs City Avg

City Avg: 33.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

7 Specialists

Practicing in Clinton Twp, MI (1479 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kowynia (39 Years) 39 Yrs

Clinton Twp Specialty Average (33.0 Years) 33.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	13	$110.00	$71.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$175.00	$108.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$600.00	$186.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	18	$109.09	$80.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	11	$166.34	$121.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	17	$294.73	$176.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$249.52	$169.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.02	$114.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	21	$99.00	$72.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$275.00	$201.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$253.00	$172.66
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$495.00	$193.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	107	39	$99.00	$73.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	26	$73.83	$39.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	35	$275.00	$206.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$211.00	$116.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$251.17	$140.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	133	48	$99.00	$75.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	113	44	$74.68	$41.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	50	$286.54	$211.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$209.00	$111.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$255.00	$144.47
99238 Hospital discharge day management, 30 minutes or less	15	15	$185.40	$75.73
99219 Hospital observation care, typically 50 minutes	14	14	$285.00	$141.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	167	56	$74.30	$40.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	142	51	$99.00	$75.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	56	$287.90	$208.97
99238 Hospital discharge day management, 30 minutes or less	24	24	$187.13	$75.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$253.00	$141.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$210.23	$111.72
99219 Hospital observation care, typically 50 minutes	20	19	$285.00	$140.07
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$660.00	$190.38
99217 Hospital observation care on day of discharge	15	15	$190.00	$74.99
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$88.00	$75.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	192	69	$74.58	$39.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	123	35	$99.00	$75.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	40	$300.00	$206.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	32	$236.60	$138.81
99238 Hospital discharge day management, 30 minutes or less	37	37	$184.41	$72.79
99291 Critical care, first 30-74 minutes	27	13	$473.81	$230.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$209.00	$111.23
99217 Hospital observation care on day of discharge	17	17	$182.59	$72.89
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$660.00	$203.54
99283 Emergency department visit with low level of medical decision making	15	14	$138.00	$64.82
99219 Hospital observation care, typically 50 minutes	13	13	$285.00	$127.47
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$880.00	$369.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$66.00	$44.68
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$110.00	$19.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	225	61	$99.16	$68.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	192	61	$73.64	$37.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	69	$292.57	$193.31
99291 Critical care, first 30-74 minutes	63	19	$471.30	$215.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$241.65	$129.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$209.00	$103.46
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$143.00	$70.97
99238 Hospital discharge day management, 30 minutes or less	19	19	$190.00	$67.77
99219 Hospital observation care, typically 50 minutes	19	19	$278.68	$128.13
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$88.00	$69.23
99283 Emergency department visit with low level of medical decision making	17	16	$138.00	$59.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$66.00	$41.40
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$660.00	$187.63
99217 Hospital observation care on day of discharge	11	11	$190.00	$68.27

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301051240

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

102873117 (MI)

Commercial Insurance / Payer ID Cape

2938

Commercial Insurance / Payer ID Care Choices

102451

Commercial Insurance / Payer ID Great Lakes

104187

Commercial Insurance / Payer ID Bcbs

020502600 (MI)

Commercial Insurance / Payer ID Mcare

C3404

Commercial Insurance / Payer ID Aetna

4540079 (MI)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 43211 DALCOMA, STE 7, CLINTON TWP, MI 48038 (Tel: 5862868800)

📍

Updated Business Mailing Address July 08, 2007

Registered at 43211 DALCOMA, STE 7, CLINTON TWP, MI 48038 (Tel: 5862868800)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as PETER KOWYNIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #4301051240 in MI)

🟢

Initial NPI Registration & Enumeration August 08, 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: 1851301352

Entity Type:

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

Enumeration Date: August 08, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

43211 Dalcoma, Ste 7

Clinton Twp, MI 48038

Phone: 5862868800

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.