Teresa Kowalczyk, MD
NPI 1538170261 · Gynecology Physician · Greenville, TX
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Teresa Kowalczyk, MD is a Gynecology Physician provider in Greenville, TX (NPI 1538170261).
Provider details
- NPI number
- 1538170261
- Entity type
- Individual
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- K4932 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
532 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 | 136 | $87 |
| Manual Urinalysis Test With Examination Using Microscope, Non-Automated81000 | 116 | $4 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 105 | $122 |
| Cervical Or Vaginal Cancer Screening; Pelvic and Clinical Breast ExaminationG0101 | 53 | $37 |
| Screening Papanicolaou Smear; Obtaining, Preparing and Conveyance of Cervical Or Vaginal Smear to LaboratoryQ0091 | 50 | $42 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 69 | 21 |
| Progesterone, Micronizedbrand: Progesterone | 62 | 17 |
| Estradiol | 57 | 26 |
| Mirabegronbrand: Myrbetriq | 29 | — |
| Estradiolbrand: Estradiol (twice Weekly) | 24 | — |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 23 | 19 |
| Thyroid,pork |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$286 across 10 records (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
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Teresa Kowalczyk's NPI number?
- Teresa Kowalczyk's National Provider Identifier (NPI) is 1538170261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Teresa Kowalczyk's specialty?
- Teresa Kowalczyk is listed in the NPPES registry with a primary specialty of Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Teresa Kowalczyk located?
- Teresa Kowalczyk's practice location on file with NPPES is 4221 Ridgecrest Rd, Greenville, TX 75402-6005.
- What is Teresa Kowalczyk's phone number?
- The practice phone number listed in the NPPES registry for Teresa Kowalczyk is (903) 455-9582.
- Does Teresa Kowalczyk accept Medicare?
- Teresa Kowalczyk is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Teresa Kowalczyk's NPI active?
- Yes — Teresa Kowalczyk's NPI (1538170261) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.