NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1740258409 M.D.
Verify on CMS → David Kowalk, M.D.
Sports Medicine (Orthopaedic Surgery) Physician in Frederick, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,694 in Sports Medicine (Orthopaedic Surgery) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
35
Medicare Part D claims · 29 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
80.3/100
▼ 3 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
David Kowalk, M.D. reported a CMS MIPS final score of 80.3/100 - below the 83.1 national average - and filed 35 Medicare Part D claims in 2023.
- 80.3/100
- MIPS score · -3 vs avg
- 35
- Part D claims, 2023
- 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.
David Kowalk, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
80 33rd percentile higher than 33% of 477,587 scored providers
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
Where David Kowalk, M.D. sits
This provider among sports medicine (orthopaedic surgery) physician peers
Across the 1,085 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, David Kowalk, M.D. writes more Part D claims than 9% of them and scores higher on MIPS quality than 53% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is David Kowalk, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
David Kowalk, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations - 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 David Kowalk, M.D.?
Near national averagePrimary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
35 87% vs specialty avg
MIPS final score
80.3/100 2.8 pts vs avg
Specialty distribution in Maryland
How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Maryland providers
Medicare quality performance, MIPS
David Kowalk, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average
- MIPS Final Score
- 80.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 80.3/100 vs national avg 83.1
How MIPS and board certification work
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).
David Kowalk, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 501 W 7TH ST, Frederick, MD, 21701, with a listed phone of (301) 663-9573. NPI 1740258409 was issued on 03/09/2006.
Medicare Part D records for calendar year 2023 show 35 prescription claims written by this provider, covering 29 Medicare beneficiaries and totaling roughly $170 in drug spend, with an opioid prescribing rate of 57.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.3/100 for the 2023 performance year (Quality 79.3, Cost 54.9), compared with the national average of 83.1.
Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,694 enrolled providers across 53 states and an average of 278 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
Provider Details
| NPI | 1740258409 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 03/09/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.2568
Final Score
Avg: 83.1
79.2903
Quality
54.8991
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where David Kowalk, 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.
According to CMS billing records, David Kowalk, M.D. is affiliated with 3 Medicare-billing facilities.
Amber Hill Physical Therapy Inc
Frederick, MD
Frederick Health Hospital Inc
Brunswick, MD
Frederick Health Medical Group LLC
Frederick, MD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
35
Total Claims
$170
Total Drug Cost
29
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 35
- Total Day Supply
- 522
- Brand Drug Cost
- $0
- Generic Drug Cost
- $170
- Opioid Claims
- 20 (57.1% rate)
Patient Demographics
- Average Patient Age
- 70.3 years
- Avg HCC Risk Score
- 0.81
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Meloxicam | 12 |
| Tramadol Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Orthopaedic Surgery) Physician in MD →
All providers in Maryland →
Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How David Kowalk, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.
2,694
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider
David Kowalk, M.D.'s 35 claims are below the specialty average of 278.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Kowalk.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Orthopaedic Surgery) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is David Kowalk, M.D.'s specialty? ▼
David Kowalk, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Frederick, Maryland. Credentials: M.D..
How much does David Kowalk, M.D. prescribe under Medicare Part D? ▼
In 2023, David Kowalk, M.D. wrote 35 Medicare Part D claims totaling $170 in drug costs for 29 beneficiaries.
What is David Kowalk, M.D.'s Medicare quality score? ▼
David Kowalk, M.D. has a CMS MIPS Final Score of 80.3/100 (Quality: 79.3, Cost: 54.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is David Kowalk, M.D. located? ▼
David Kowalk, M.D. is located at 501 W 7TH ST, Frederick, MD, 21701. Phone: (301) 663-9573.
What is David Kowalk, M.D.'s NPI number? ▼
David Kowalk, M.D.'s National Provider Identifier (NPI) is 1740258409, issued on 03/09/2006.
Does David Kowalk, M.D. prescribe opioids? ▼
Yes, David Kowalk, M.D. had 20 opioid claims in 2023 with an opioid prescribing rate of 57.1%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,694 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does David Kowalk, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, David Kowalk, M.D.'s most frequently prescribed drugs include Meloxicam, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does David Kowalk, M.D. accept Medicare? ▼
David Kowalk, M.D. appears in CMS Medicare data with 35 Part D claims and 29 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify David Kowalk, M.D.'s credentials? ▼
David Kowalk, M.D.'s NPI is 1740258409 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.