2026 NPPES data Physician Assistant NPI 1013104264 PA-C
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MICHAEL KOWALKE, PA-C

Physician Assistant in LINCOLN, Nebraska. 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
203
Medicare Part D claims · 119 beneficiaries · Physician Assistant avg: 790
MIPS score
90.9665/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$213.57
13 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MICHAEL KOWALKE, PA-C reported a CMS MIPS final score of 90.9665/100 — above the 83.1 national average — and filed 203 Medicare Part D claims in 2023.

90.9665/100
MIPS score · +8 vs avg
203
Part D claims, 2023
$213.57
industry payments (Sunshine Act)

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.

MICHAEL KOWALKE, PA-C'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 40% higher than 60% 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

What does the federal data show about MICHAEL KOWALKE, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 10/02/2007

NPI 1013104264

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

203 74% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

90.9665/100 7.866500000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Nebraska

How Physician Assistant compares to other specialties among Nebraska providers

Nebraska providers

Physician Assistant share within Nebraska

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Nebraska

Medicare quality performance — MIPS

MICHAEL KOWALKE, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
90.9665/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 90.9665/100 vs national avg 83.1

0%100%National avg83%91%
MIPS final score (Physician Assistant) — 90.9665/100 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).

MICHAEL KOWALKE, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 4130 PIONEER WOODS DR STE 1, LINCOLN, NE, 68506, with a listed phone of (402) 489-4700. NPI 1013104264 was issued on 10/02/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOWALKE 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 203 prescription claims written by this provider, covering 119 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 53.2%. 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 90.9665/100 for the 2023 performance year (Quality 84.6663), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506

Provider Details

NPI 1013104264
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 10/02/2007

CMS Quality Score (MIPS)

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

90.9665
Final Score
Avg: 83.1
84.6663
Quality
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL KOWALKE, PA-C 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.

PRAIRIE ORTHOPAEDIC AND PLASTIC SURGERY PC
LINCOLN, NE

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 MICHAEL KOWALKE, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$214

Largest payer

DJO, LLC

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.

Medicare Part D Prescribing Data

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

203
Total Claims
$2K
Total Drug Cost
119
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
205
Total Day Supply
1,761
Generic Drug Cost
$2K
Opioid Claims
108 (53.2% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.22
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

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

What MICHAEL KOWALKE, PA-C 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
Methocarbamol
48
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
46
Oxycodone Hcl
22
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
19
Methylprednisolone
19
Tramadol Hcl
19

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

Physician Assistant Overview

How MICHAEL KOWALKE, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

MICHAEL KOWALKE, PA-C's 203 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Nebraska

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

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

Frequently Asked Questions

What is MICHAEL KOWALKE, PA-C's specialty?
MICHAEL KOWALKE, PA-C specializes in Physician Assistant and practices in LINCOLN, Nebraska. Credentials: PA-C.
How much does MICHAEL KOWALKE, PA-C prescribe under Medicare Part D?
In 2023, MICHAEL KOWALKE, PA-C wrote 203 Medicare Part D claims totaling $2K in drug costs for 119 beneficiaries.
What is MICHAEL KOWALKE, PA-C's Medicare quality score?
MICHAEL KOWALKE, PA-C has a CMS MIPS Final Score of 90.9665/100 (Quality: 84.6663). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL KOWALKE, PA-C located?
MICHAEL KOWALKE, PA-C is located at 4130 PIONEER WOODS DR STE 1, LINCOLN, NE, 68506. Phone: (402) 489-4700.
What is MICHAEL KOWALKE, PA-C's NPI number?
MICHAEL KOWALKE, PA-C's National Provider Identifier (NPI) is 1013104264, issued on 10/02/2007.
Does MICHAEL KOWALKE, PA-C prescribe opioids?
Yes, MICHAEL KOWALKE, PA-C had 108 opioid claims in 2023 with an opioid prescribing rate of 53.2%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does MICHAEL KOWALKE, PA-C prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL KOWALKE, PA-C's most frequently prescribed drugs include Methocarbamol, Oxycodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL KOWALKE, PA-C accept Medicare?
MICHAEL KOWALKE, PA-C appears in CMS Medicare data with 203 Part D claims and 119 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL KOWALKE, PA-C's credentials?
MICHAEL KOWALKE, PA-C's NPI is 1013104264 with credentials PA-C. 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