LISA A KOWALSKI (M.D.) – Surgery Physician, NPI 1295766772
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
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Provider Addresses for LISA A KOWALSKI (M.D.)
Sixth Avenue, Fiberloid, Springfield, Hampden County, Massachusetts, 01152, United States
SPRINGFIELD, IL 62703
Phone: (217) 528-7541
Fax: (217) 528-8962
Type: Mailing
North Maple Street, Effingham, Effingham County, Illinois, 62401, United States
EFFINGHAM, IL 624012003
Phone: (217) 342-4151
Fax: (217) 347-3033
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($48).
Total Amount
$55
General + Research + Ownership
Payments
4
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $48 |
| Next Science LLC | $6 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-01-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100108000778 | I | General Surgery | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 64 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 20 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 45 | 44 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | 18 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 29 | 29 | $0 |
Insurance plans in this area (ZIP 62703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | IL | |
| - | IL | |
| N E U R O L O G Y | IN | |
| General Surgery, Critical Care (Intensivists) | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL |
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