2026 NPPES data Nephrology Physician NPI 1114293123 M.D.
Verify on CMS →

ANDREW KOWALSKI, M.D.

Nephrology Physician in ADDISON, Illinois. 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
514
Medicare Part D claims · 95 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$553.46
18 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ANDREW KOWALSKI, M.D. is a Nephrology Physician ([object Object]) practicing in ADDISON, Illinois with a Medicare Part D prescribing footprint of 514 claims across 95 beneficiaries — 23% brand-name prescribing . Industry payments of $553.46 across 18 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ANDREW KOWALSKI, M.D. filed 514 Medicare Part D claims in 2023 across ADDISON, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

ANDREW KOWALSKI, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 03/25/2012

NPI 1114293123

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

514 65% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

Specialty distribution in Illinois

How Nephrology Physician compares to other specialties among Illinois providers

Illinois providers

Nephrology Physician share within Illinois

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

Specialty board-certification context

Estimated specialty board-certified rate — Nephrology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nephrology Physician ABMS/AOA estimate

Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

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 KOWALSKI, M.D. is a Nephrology Physician provider practicing in ADDISON, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1114293123. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANDREW KOWALSKI, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 2055 W ARMY TRAIL RD STE 110E, ADDISON, IL, 60101, with a listed phone of (773) 284-9247. NPI 1114293123 was issued on 03/25/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOWALSKI 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 514 prescription claims written by this provider, covering 95 Medicare beneficiaries and totaling roughly $156K in drug spend, split 23% brand-name and 77% generic by claim count, with an opioid prescribing rate of 4.9%. 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.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

2055 W ARMY TRAIL RD STE 110E
ADDISON, IL 60101

Provider Details

NPI 1114293123
Specialty Nephrology Physician
Credentials M.D.
Gender Male
NPI Issued 03/25/2012

Hospital and facility affiliations

Facilities where ANDREW KOWALSKI, M.D. 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.

NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD
BERWYN, IL

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ANDREW KOWALSKI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$553

Largest payer

Janssen Biotech, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to ANDREW KOWALSKI, M.D.. To verify ANDREW KOWALSKI, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ANDREW KOWALSKI, M.D. — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 514 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.

514
Total Claims
$156K
Total Drug Cost
95
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,009
Total Day Supply
28,899
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$134K
Generic Drug Cost
$22K
Opioid Claims
25 (4.9% rate)

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
4.74
Gender Split
38% female / 62% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Torsemide
58
Lisinopril
27
Carvedilol
26
Farxiga
Dapagliflozin Propanediol
25
Jardiance
Empagliflozin
25
Sevelamer Carbonate
25
Calcitriol
22
Hydralazine Hcl
18
Veltassa
Patiromer Calcium Sorbitex
18
Amlodipine Besylate
17

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

Nephrology Physician Overview

How ANDREW KOWALSKI, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

ANDREW KOWALSKI, M.D.'s 514 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Illinois

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

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

Frequently Asked Questions

What is ANDREW KOWALSKI, M.D.'s specialty?
ANDREW KOWALSKI, M.D. specializes in Nephrology Physician and practices in ADDISON, Illinois. Credentials: M.D..
How much does ANDREW KOWALSKI, M.D. prescribe under Medicare Part D?
In 2023, ANDREW KOWALSKI, M.D. wrote 514 Medicare Part D claims totaling $156K in drug costs for 95 beneficiaries.
Where is ANDREW KOWALSKI, M.D. located?
ANDREW KOWALSKI, M.D. is located at 2055 W ARMY TRAIL RD STE 110E, ADDISON, IL, 60101. Phone: (773) 284-9247.
What is ANDREW KOWALSKI, M.D.'s NPI number?
ANDREW KOWALSKI, M.D.'s National Provider Identifier (NPI) is 1114293123, issued on 03/25/2012.
Does ANDREW KOWALSKI, M.D. prescribe more brand-name or generic drugs?
ANDREW KOWALSKI, M.D.'s prescribing is 23% brand-name and 77% generic drugs by claim count, with $134K in brand drug costs.
Does ANDREW KOWALSKI, M.D. prescribe opioids?
Yes, ANDREW KOWALSKI, M.D. had 25 opioid claims in 2023 with an opioid prescribing rate of 4.9%.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does ANDREW KOWALSKI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ANDREW KOWALSKI, M.D.'s most frequently prescribed drugs include Torsemide, Lisinopril, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW KOWALSKI, M.D. accept Medicare?
ANDREW KOWALSKI, M.D. appears in CMS Medicare data with 514 Part D claims and 95 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW KOWALSKI, M.D.'s credentials?
ANDREW KOWALSKI, M.D.'s NPI is 1114293123 with credentials M.D.. 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.
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