NPI registry status
Active
2026 NPPES data Neurology Physician NPI 1639425986 M.D
Verify on CMS → Kathie Kowalczyk, M.D
Neurology Physician in Fort Pierce, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 19,885 in Neurology 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
27
Medicare Part D claims · 17 beneficiaries · Neurology Physician avg: 1K
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
Industry payments
$120.1
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Kathie Kowalczyk, M.D reported a CMS MIPS final score of 100/100 - above the 83.5 national average - and filed 27 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 27
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥92nd
- pct among measured MIPS (lower-bound band)
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.
Kathie Kowalczyk, M.D's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
100 ≥ 92nd percentile 92% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Kathie Kowalczyk, M.D sits
This provider among neurology physician peers
Across the 5,099 neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kathie Kowalczyk, M.D writes more Part D claims than 4% of them and scores higher on MIPS quality than 92% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one neurology physician peer from a representative sample of 60; the gold marker is Kathie Kowalczyk, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kathie Kowalczyk, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 Kathie Kowalczyk, M.D?
High performer (top quartile)Primary specialty
Neurology Physician
Medicare Part D claims
27 98% vs specialty avg
MIPS final score
100/100 16.5 pts vs avg
Specialty distribution in Florida
How Neurology Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Kathie Kowalczyk, M.D's 2023 MIPS final score plotted against the Neurology Physician national average
- MIPS Final Score
- 100/100
- vs 83.5 national avg · 2023 performance year
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).
Kathie Kowalczyk, M.D appears in the CMS NPPES registry as a Neurology Physician provider holding M.D credentials at 2401 FRIST BLVD STE 4, Fort Pierce, FL, 34950, with a listed phone of (772) 595-5302. NPI 1639425986 was issued on 07/24/2012.
Medicare Part D records for calendar year 2023 show 27 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $2K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the 83.5 average among clinicians with a measured score.
Neurology Physician is a mid-sized specialty nationwide, with 19,885 enrolled providers across 54 states and an average of 1,309 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 | 1639425986 |
|---|---|
| Specialty | Neurology Physician |
| Credentials | M.D |
| Gender | Female |
| NPI Issued | 07/24/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Measured-score avg: 83.5
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Kathie Kowalczyk, 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.
Access Telecare California PC
Redlands, CA
Access Telecare PLLC
Canton, 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).
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 Kathie Kowalczyk, M.D. Source: openpaymentsdata.cms.gov.
Total received
$120
Largest payer
GENZYME CORPORATION
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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Kathie Kowalczyk, M.D. To verify Kathie Kowalczyk, M.D's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
27
Total Claims
$2K
Total Drug Cost
17
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 51
- Total Day Supply
- 1,419
- Generic Drug Cost
- $508
Patient Demographics
- Average Patient Age
- 76.2 years
- Avg HCC Risk Score
- 2.45
- Age Distribution
- <65: 0, 65-74: N/A, 75-84: N/A, 85+: N/A
Neurology Physician Overview
How Kathie Kowalczyk, M.D fits within the Neurology Physician landscape nationally.
19,885
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider
Kathie Kowalczyk, M.D's 27 claims are below the specialty average of 1,309.
Nearby Neurology Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Kowalczyk.
One of 1,408 Neurology Physician providers enrolled in Florida, 5 are shown here.
Dr. David Abarbanel
MD
Jacksonville, FL
Hamidreza Abbasi
Fort Myers, FL
Dr. Fariha Abbasi-Feinberg
MD
Fort Myers, FL
Dr. Hermelinda Abcede
MD
Fort Myers, FL
Dr. Noureldin Abdelhamid
M.D.
Hollywood, FL
Compare Neurology Physician nationally: see state-by-state distribution →
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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neurology 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Kathie Kowalczyk, M.D's specialty? ▼
Kathie Kowalczyk, M.D specializes in Neurology Physician and practices in Fort Pierce, Florida. Credentials: M.D.
How much does Kathie Kowalczyk, M.D prescribe under Medicare Part D? ▼
In 2023, Kathie Kowalczyk, M.D wrote 27 Medicare Part D claims totaling $2K in drug costs for 17 beneficiaries.
What is Kathie Kowalczyk, M.D's Medicare quality score? ▼
Kathie Kowalczyk, M.D has a CMS MIPS Final Score of 100/100. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kathie Kowalczyk, M.D located? ▼
Kathie Kowalczyk, M.D is located at 2401 FRIST BLVD STE 4, Fort Pierce, FL, 34950. Phone: (772) 595-5302.
What is Kathie Kowalczyk, M.D's NPI number? ▼
Kathie Kowalczyk, M.D's National Provider Identifier (NPI) is 1639425986, issued on 07/24/2012.
How many Neurology Physician providers are there in the US? ▼
There are 19,885 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
Does Kathie Kowalczyk, M.D accept Medicare? ▼
Kathie Kowalczyk, M.D appears in CMS Medicare data with 27 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kathie Kowalczyk, M.D's credentials? ▼
Kathie Kowalczyk, M.D's NPI is 1639425986 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
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.