TIMOTHY B KOWALESKI (DO) – Addiction Medicine (Internal Medicine) Physician, NPI 1083093272
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
Provider Addresses for TIMOTHY B KOWALESKI (DO)
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 468451703
Phone:
Type: Mailing
1818 CAREW ST STE 230
FORT WAYNE, IN 468054764
Phone: (260) 373-8000
Fax: (260) 373-8034
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
1720 BEACON ST
FORT WAYNE, IN 468054749
Phone: (260) 373-8000
Fax: (260) 373-8034
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 104 Open Payments records for all available years, with a total value of $1,663.
Total Amount is formed as General ($1,663) + Research ($0) + Ownership ($0) = $1,663.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($406).
Total Amount
$1,663
General + Research + Ownership
Payments
104
Total payment records
General Amount
$1,663
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $406 |
| Lundbeck LLC | $402 |
| Alkermes, Inc. | $140 |
| IRONSHORE PHARMACEUTICALS INC. | $80 |
| Otsuka America Pharmaceutical, Inc. | $79 |
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: 2018-05-23
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 |
|---|---|---|---|---|
| I20180523001656 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 15 | $0 |
Insurance plans in this area (ZIP 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IN | |
| Clinical Social Worker | IN | |
| Nurse Practitioner | IN | |
| Marriage And Family Therapist | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Mental Health Counselor | IN | |
| Nurse Practitioner | IN |
Reviews
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