2026 NPPES data Anesthesiology Physician NPI 1679679153 MD
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ANDREW KOWAL, MD

Anesthesiology Physician in BURLINGTON, Massachusetts. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
4K
Medicare Part D claims · 662 beneficiaries · Anesthesiology Physician avg: 860
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.4157/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

ANDREW KOWAL, MD reported a CMS MIPS final score of 91.4157/100 — above the 83.1 national average — and filed 3,687 Medicare Part D claims in 2023.

91.4157/100
MIPS score · +8 vs avg
4K
Part D claims, 2023
89%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ANDREW KOWAL, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ANDREW KOWAL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ANDREW KOWAL, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/15/2006

NPI 1679679153

Primary specialty

Anesthesiology Physician

High-volume

56,398 US NPIs in this specialty

Medicare Part D claims

3,687 329% vs specialty avg

2023 prescription claims

Specialty avg: 860

MIPS final score

91.4157/100 8.315700000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Anesthesiology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Anesthesiology Physician share within Massachusetts

1. Anesthesiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Anesthesiology Physician share within Massachusetts

Medicare quality performance — MIPS

ANDREW KOWAL, MD's 2023 MIPS final score plotted against the Anesthesiology Physician national average

High performer (top quartile)
MIPS Final Score
91.4157/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Anesthesiology Physician) — 91.4157/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Anesthesiology Physician) — 91.4157/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDREW KOWAL, MD appears in the CMS NPPES registry as a Anesthesiology Physician provider holding MD credentials at 41 MALL RD, BURLINGTON, MA, 01805, with a listed phone of (781) 744-8000. NPI 1679679153 was issued on 09/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOWAL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 3,687 prescription claims written by this provider, covering 662 Medicare beneficiaries and totaling roughly $582K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 48.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.4157/100 for the 2023 performance year (Quality 76.877), compared with the national average of 83.1.

Anesthesiology Physician is a high-volume specialty nationwide, with 56,398 enrolled providers across 56 states and an average of 860 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

41 MALL RD
BURLINGTON, MA 01805

Provider Details

NPI 1679679153
Specialty Anesthesiology Physician
Credentials MD
Gender Male
NPI Issued 09/15/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

91.4157
Final Score
Avg: 83.1
76.877
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ANDREW KOWAL, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

LAHEY CLINIC INC
PEABODY, MA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to ANDREW KOWAL, MD. To verify ANDREW KOWAL, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ANDREW KOWAL, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 3,687 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,687
Total Claims
$582K
Total Drug Cost
662
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,315
Total Day Supply
121,551
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$457K
Generic Drug Cost
$125K
Opioid Claims
1,771 (48.0% rate)

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.38
Gender Split
63% female / 37% male
Age Distribution
<65: 143, 65-74: 234, 75-84: 212, 85+: 73

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ANDREW KOWAL, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Tramadol Hcl
1,077
Pregabalin
701
Gabapentin
370
Tizanidine Hcl
184
Nucynta Er
Tapentadol Hcl
128
Celecoxib
116
Buprenorphine
102
Nucynta
Tapentadol Hcl
101
Diclofenac Sodium
100
Tramadol Hcl Er
Tramadol Hcl
100

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Anesthesiology Physician Overview

How ANDREW KOWAL, MD fits within the Anesthesiology Physician landscape nationally.

56,398
Anesthesiology Physician Providers in US
56
States with Anesthesiology Physician
860
Avg Claims per Provider

ANDREW KOWAL, MD's 3,687 claims are above the specialty average of 860.

Nearby Anesthesiology Physician Providers in Massachusetts

Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as KOWAL.

Compare Anesthesiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW KOWAL, MD's specialty?
ANDREW KOWAL, MD specializes in Anesthesiology Physician and practices in BURLINGTON, Massachusetts. Credentials: MD.
How much does ANDREW KOWAL, MD prescribe under Medicare Part D?
In 2023, ANDREW KOWAL, MD wrote 3,687 Medicare Part D claims totaling $582K in drug costs for 662 beneficiaries.
What is ANDREW KOWAL, MD's Medicare quality score?
ANDREW KOWAL, MD has a CMS MIPS Final Score of 91.4157/100 (Quality: 76.877). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW KOWAL, MD located?
ANDREW KOWAL, MD is located at 41 MALL RD, BURLINGTON, MA, 01805. Phone: (781) 744-8000.
What is ANDREW KOWAL, MD's NPI number?
ANDREW KOWAL, MD's National Provider Identifier (NPI) is 1679679153, issued on 09/15/2006.
Does ANDREW KOWAL, MD prescribe more brand-name or generic drugs?
ANDREW KOWAL, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $457K in brand drug costs.
Does ANDREW KOWAL, MD prescribe opioids?
Yes, ANDREW KOWAL, MD had 1,771 opioid claims in 2023 with an opioid prescribing rate of 48.0%.
How many Anesthesiology Physician providers are there in the US?
There are 56,398 Anesthesiology Physician providers across 56 states in the US. The average Anesthesiology Physician provider writes 860 Medicare Part D claims per year.
What drugs does ANDREW KOWAL, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREW KOWAL, MD's most frequently prescribed drugs include Tramadol Hcl, Pregabalin, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW KOWAL, MD accept Medicare?
ANDREW KOWAL, MD appears in CMS Medicare data with 3,687 Part D claims and 662 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW KOWAL, MD's credentials?
ANDREW KOWAL, MD's NPI is 1679679153 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology