Thomas Derek Kowalik, M.D.
Adult Reconstructive Orthopaedic Surgery Physician · Hillsboro, OR
Thomas Derek Kowalik, M.D. is an adult reconstructive orthopaedic surgery physician with a practice address in Hillsboro, Oregon, and NPI 1023307899, issued on Apr 1, 2011. Check the license (Oregon 171470, as entered in NPPES) on the Oregon Medical Board; the Medicare figures below come from public CMS files.
- Name
- Thomas Derek Kowalik
- Credential
- M.D.
- Primary taxonomy
- Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
- License number
- 171470 OR
Self-reported in NPPES; status is on the state search - Practice location
- 1200 NE 48TH Ave Ste 1100, Hillsboro, OR 97124
- Phone
- (503) 844-8219
- Enumerated
- Apr 1, 2011
- Record last updated
- Nov 30, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (503) 844-8234
- Medicare enrollment
- Enrolled (PECOS I20160831002603); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest adult reconstructive orthopaedic surgery physician records → All 22 in Oregon → Look up another NPI →
Also registered at 1200 NE 48TH Ave Ste 1100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Julie Adams, PA-CPhysician Assistant1710078779
- Daniel Albrecht, MDPhysical Medicine & Rehabilitation Physician1720206261
- Mara Anderson, PA-CPhysician Assistant1871169003
- Kimberly HallSports Medicine (Orthopaedic Surgery) Physician1851786495
- Kieu Hernandez, AGACNP-BCNurse Practitioner1659194785
- Evan Klein, PA-CSurgical Physician Assistant1184465130
Verify Thomas Derek Kowalik in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersOregon Medical Board
Search for license 171470Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
95% fewer Medicare Part D claims than the average adult reconstructive orthopaedic surgery physician in 2024
31 Medicare Part D claims for 24 beneficiaries, against an average of 579 among the 1,112 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 97.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Tuality Medical Group LLCHillsboro, OR
- University Professional ServicesPortland, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Thomas Derek Kowalik among 22 adult reconstructive orthopaedic surgery physician records in Oregon
Thomas Derek Kowalik, M.D. is one of 22 adult reconstructive orthopaedic surgery physician records with a practice address in Oregon. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 59% of them.
- NPI issued2011 · 59% of these records are older, 27% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2011 · median 2010 among the 16 with a school on file
- Record last updated2021 · 27% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0114X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Adult Reconstructive Orthopaedic Surgery Physician providers in Oregon
There are 22 adult reconstructive orthopaedic surgery physician records in Oregon.
All 22 in Oregon → Every provider in Hillsboro → Adult Reconstructive Orthopaedic Surgery Physician nationwide →
The 8 adult reconstructive orthopaedic surgery physician records with the nearest ZIP codes
- Sarah Brandt, PA-CPortland, OR 972131851812689
- Gustav Fischer, MDPortland, OR 972131255590964
- Steven Hoff, MDPortland, OR 972131548235377
- Adam Barmada, MDPortland, OR 972271235108929
- Stephen Brenneke, M.D.Clackamas, OR 970151194714303
- Seth Goldsmith, M.D.Clackamas, OR 970151194817569
- Thomas Huff, M.D.Portland, OR 972391720252810
- Ryland Kagan, MDPortland, OR 972391104183888
Common questions
What is Thomas Derek Kowalik, M.D.'s NPI number?
Thomas Derek Kowalik, M.D.'s National Provider Identifier (NPI) is 1023307899, issued on Apr 1, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Thomas Derek Kowalik, M.D. located?
The NPPES record lists a practice address at 1200 NE 48TH Ave Ste 1100, Hillsboro, OR, 97124. Phone: (503) 844-8219. Providers update this record themselves, so call before visiting.
How can I verify Thomas Derek Kowalik, M.D.'s license?
NPPES lists Oregon license number 171470, as entered by the provider. Search the Oregon Medical Board at https://www.oregon.gov/OMB/Pages/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Thomas Derek Kowalik, M.D. prescribe under Medicare Part D?
In 2024, Thomas Derek Kowalik, M.D. had 31 Medicare Part D claims for 24 beneficiaries; the average among adult reconstructive orthopaedic surgery physician prescribers was 579. Part D covers Medicare prescriptions only.
What is Thomas Derek Kowalik, M.D.'s MIPS final score?
The 2023 MIPS final score is 97.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.