Active NPI 1134370182 Individual Practitioner Male Practitioner

Dr. Keith John Kowalczyk , MD

Urology • Washington, DC

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Keith Kowalczyk, MD is a certified Urology practicing in Washington, DC. With approximately 21 years of clinical experience since graduating from Georgetown University School Of Medicine in 2005, Dr. Kowalczyk delivers high-quality medical care to the local community at 3800 RESERVOIR RD NW.

Dr. Kowalczyk is affiliated with Medstar Medical Group Ii Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3800 Reservoir Rd Nw
Department Of Urology, 4phc

Washington, DC 200072196

Telephone 2024444922

Fax 8776251478

Associated Practice Facility / Clinic

🏢 Mgmc Llc Facility NPI 1316949654

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Washington, DC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -5.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

56 Specialists

Practicing in Washington, DC (56 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kowalczyk (21 Years) 21 Yrs

Washington Specialty Average (26.5 Years) 26.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	192	$323.35	$146.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	50	$450.53	$209.34
81002 Urinalysis, manual test	47	29	$13.43	$3.41
99443 Telephone medical discussion with physician, 21-30 minutes	46	40	$321.26	$147.79
76872 Ultrasound scan of pelvic region through rectum	37	37	$731.03	$166.51
55700 Biopsy of prostate gland	37	37	$850.00	$282.63
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	35	35	$381.31	$69.12
52000 Diagnostic exam of bladder and urethra using an endoscope	35	29	$709.57	$289.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$423.00	$186.86
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	22	22	$5573.23	$1365.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$547.89	$255.10
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	15	15	$1958.13	$380.76
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$229.62	$106.55
51102 Aspiration of bladder with insertion of bladder tube to skin surface	13	13	$494.00	$80.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	224	$298.45	$142.29
81002 Urinalysis, manual test	80	53	$12.50	$3.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	49	$406.40	$201.20
99443 Telephone medical discussion with physician, 21-30 minutes	49	42	$292.96	$145.17
52000 Diagnostic exam of bladder and urethra using an endoscope	48	39	$675.00	$277.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$531.33	$244.90
55700 Biopsy of prostate gland	37	37	$850.00	$284.07
76872 Ultrasound scan of pelvic region through rectum	35	35	$585.37	$163.43
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	32	32	$374.00	$68.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$406.92	$189.81
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$208.42	$103.58
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$5439.27	$1331.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	3,800	12	$5.06	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	412	317	$265.06	$146.33
81002 Urinalysis, manual test	165	75	$11.00	$3.31
51720 Instillation of anti-cancer drug into bladder	76	12	$349.00	$106.11
52000 Diagnostic exam of bladder and urethra using an endoscope	71	54	$661.00	$300.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	57	$353.00	$202.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	43	43	$504.63	$238.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$402.05	$194.46
55700 Biopsy of prostate gland	35	35	$850.00	$294.80
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$186.06	$106.30
51798 Ultrasound measurement of bladder capacity after voiding	30	30	$65.00	$13.34
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	28	28	$5216.00	$1524.63
76872 Ultrasound scan of pelvic region through rectum	26	26	$435.00	$174.09
51102 Aspiration of bladder with insertion of bladder tube to skin surface	22	22	$490.91	$77.81
99443 Telephone medical discussion with physician, 21-30 minutes	15	14	$261.13	$148.59
51741 Electronic assessment of bladder emptying	12	12	$156.00	$16.59
50543 Partial removal of kidney using an endoscope	11	11	$4713.00	$1594.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	3,900	13	$5.06	$2.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	476	349	$263.00	$149.80
81002 Urinalysis, manual test	270	151	$11.00	$3.38
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	172	28	$508.23	$180.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	119	104	$353.00	$204.43
52000 Diagnostic exam of bladder and urethra using an endoscope	89	72	$661.00	$282.03
51720 Instillation of anti-cancer drug into bladder	77	13	$349.00	$103.04
51798 Ultrasound measurement of bladder capacity after voiding	62	53	$65.00	$13.12
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$180.00	$107.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$503.00	$259.13
55700 Biopsy of prostate gland	53	53	$850.00	$303.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$402.65	$196.39
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	40	28	$88.00	$40.38
76872 Ultrasound scan of pelvic region through rectum	38	38	$435.00	$169.84
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	23	23	$5216.00	$1501.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$486.00	$226.80
51741 Electronic assessment of bladder emptying	17	17	$156.00	$16.82
52240 Destruction and/or removal of large growth of bladder using an endoscope	15	13	$1845.00	$452.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	338	258	$263.00	$121.90
81002 Urinalysis, manual test	137	111	$11.00	$3.38
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	110	19	$508.23	$211.64
99213 Established patient office or other outpatient visit, typically 15 minutes	89	79	$180.00	$86.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$401.00	$184.74
51798 Ultrasound measurement of bladder capacity after voiding	50	44	$65.00	$12.23
52000 Diagnostic exam of bladder and urethra using an endoscope	45	42	$661.00	$250.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	33	$353.00	$149.81
55700 Biopsy of prostate gland	25	25	$797.08	$273.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$503.00	$228.14
J1580 Injection, garamycin, gentamicin, up to 80 mg	23	22	$4.31	$1.93
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	22	16	$88.00	$36.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$486.00	$216.94
99443 Telephone medical discussion with physician, 21-30 minutes	16	13	$263.00	$118.53
76872 Ultrasound scan of pelvic region through rectum	15	15	$396.33	$174.17
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	14	14	$5216.00	$1667.67
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	11	$2688.00	$172.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	417	274	$260.30	$119.69
81002 Urinalysis, manual test	168	134	$10.76	$3.37
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	141	18	$537.96	$225.22
99213 Established patient office or other outpatient visit, typically 15 minutes	102	94	$177.21	$81.69
51798 Ultrasound measurement of bladder capacity after voiding	92	82	$64.07	$15.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$395.15	$184.70
52000 Diagnostic exam of bladder and urethra using an endoscope	69	62	$646.87	$218.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	40	$346.71	$163.66
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	18	$86.18	$36.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$493.21	$231.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	23	$455.42	$222.23
J1580 Injection, garamycin, gentamicin, up to 80 mg	25	24	$3.82	$1.68
76872 Ultrasound scan of pelvic region through rectum	22	21	$306.45	$146.48
55700 Biopsy of prostate gland	20	20	$688.15	$276.12
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	15	$2652.57	$128.10
51741 Electronic assessment of bladder emptying	18	18	$154.83	$16.17
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$370.27	$60.80
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$5098.75	$1471.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	368	250	$244.90	$118.90
81002 Urinalysis, manual test	281	175	$19.00	$3.36
99213 Established patient office or other outpatient visit, typically 15 minutes	138	110	$165.30	$81.65
51798 Ultrasound measurement of bladder capacity after voiding	111	86	$114.56	$18.73
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	93	15	$946.42	$213.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$374.73	$185.31
52000 Diagnostic exam of bladder and urethra using an endoscope	69	58	$493.16	$190.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	19	$54.00	$25.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	28	$338.12	$155.89
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	14	$99.40	$36.08
76872 Ultrasound scan of pelvic region through rectum	29	28	$325.59	$110.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$466.17	$232.59
55700 Biopsy of prostate gland	24	23	$597.25	$280.23
J1580 Injection, garamycin, gentamicin, up to 80 mg	19	18	$2.36	$1.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$417.67	$223.87
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$534.00	$66.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	313	210	$227.52	$118.18
99213 Established patient office or other outpatient visit, typically 15 minutes	185	145	$153.00	$82.00
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	108	16	$1077.00	$209.57
51798 Ultrasound measurement of bladder capacity after voiding	100	84	$122.00	$22.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$347.00	$184.41
52000 Diagnostic exam of bladder and urethra using an endoscope	48	41	$460.00	$187.16
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	16	$103.00	$38.14
88161 Screening examination of specimen cells, preparation, screening and interpretation	36	30	$117.00	$74.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$308.67	$157.25
76872 Ultrasound scan of pelvic region through rectum	24	22	$329.00	$111.29
81002 Urinalysis, manual test	23	18	$19.00	$3.43
55700 Biopsy of prostate gland	21	21	$586.00	$287.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$417.00	$223.11
J1580 Injection, garamycin, gentamicin, up to 80 mg	17	17	$2.00	$1.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$431.00	$231.19
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	13	$2659.38	$160.07
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	13	13	$3476.00	$1273.17

Medical Specialties & State Licenses

CMS Verified: 2020-07-27

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MD D72603

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License DC MD040082

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Medstar Medical Group Ii Llc

25500 Point Lookout Rd, Leonardtown, MD 206502015

Phone: 2404344088

Medstar Medical Group Ii Llc

1133 21st St Nw, Washington, DC 200363390

Phone: 2024162000

Practice Associates & Co-Workers

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

21 Associated Practitioners

Dr. Charlotte Houston , MD

Urology

NPI 1003376542

Doctor of Medicine (M.D.)

Dr. Srikar Kuppa , MD

Student in an Organized Health Care Education/Training Program

NPI 1053055285

Doctor of Medicine (M.D.)

Dr. Nathan Shaw , MD

Urology

NPI 1083078166

Doctor of Medicine (M.D.)

Dr. Daryoush Nejad , MD

Student in an Organized Health Care Education/Training Program

NPI 1124872312

Doctor of Medicine (M.D.)

Dr. Whitney Sutton , MD

Student in an Organized Health Care Education/Training Program

NPI 1144753146

Doctor of Medicine (M.D.)

John Dowd

Student in an Organized Health Care Education/Training Program

NPI 1164363735

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 27, 2020

Registered at 3800 RESERVOIR RD NW, DEPARTMENT OF UROLOGY, 4PHC, WASHINGTON, DC 200072196 (Tel: 2024444922)

📍

Updated Business Mailing Address July 27, 2020

Registered at 3800 RESERVOIR RD NW, DEPARTMENT OF UROLOGY, 4PHC, WASHINGTON, DC 200072196 (Tel: 2024444922)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2020

Urology (License #D72603 in MD)

✅

NPI Profile Active June 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 23, 2010

Registered at 45 FRANCIS ST, ASBII-3, BOSTON, MA 021156105 (Tel: 6177326325)

📍

Updated Business Mailing Address June 23, 2010

Registered at 30 CALDWELL ST, APT 415, CHARLESTOWN, MA 021291213

👤

Provider Name / Credentials Updated June 23, 2010

Recorded as KEITH KOWALCZYK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2010

Urology (License #244160 in MA)

🟢

Initial NPI Registration & Enumeration October 08, 2008

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: 1134370182

Entity Type:

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

Enumeration Date: October 08, 2008

Last Update: July 27, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3800 Reservoir Rd Nw, Department Of Urology, 4phc

Washington, DC 200072196

Phone: 2024444922

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.