Heather Kowalski, MD
NPI 1386809374 · Pediatric Orthopaedic Surgery Physician · Iowa City, IA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Kowalski, MD is a Pediatric Orthopaedic Surgery Physician provider in Iowa City, IA (NPI 1386809374).
Provider details
- NPI number
- 1386809374
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD 41960 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
13 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 13 | $84 |
Typical Medicare-allowed amounts for these services range $84–$84 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$121 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (5)
- 2624 Orchard DrCedar Falls, IA 50613-5845Phone: (877) 891-5350
- 777 Mazzuchelli PlDubuque, IA 52001-7359Phone: (877) 891-5350
- 8605 Chambery BlvdJohnston, IA 50131-8810Phone: (877) 891-5350
- 701 W Forevergreen RdNorth Liberty, IA 52317-9848Phone: (319) 356-2223Fax: (319) 353-6745
- 2901 86th StUrbandale, IA 50322-4330Phone: (515) 457-2960Fax: (319) 356-3949
Registry dates
- Enumerated
- 2008-07-19
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Frequently asked questions
- What is Heather Kowalski's NPI number?
- Heather Kowalski's National Provider Identifier (NPI) is 1386809374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Kowalski's specialty?
- Heather Kowalski is listed in the NPPES registry with a primary specialty of Pediatric Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Heather Kowalski located?
- Heather Kowalski's practice location on file with NPPES is 200 Hawkins Dr, Iowa City, IA 52242-1009.
- What is Heather Kowalski's phone number?
- The practice phone number listed in the NPPES registry for Heather Kowalski is (319) 356-2223.
- Does Heather Kowalski accept Medicare?
- Heather Kowalski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Kowalski's NPI active?
- Yes — Heather Kowalski's NPI (1386809374) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.