Physician

Keith A Kowal, M.D.

According to 2025 Medicare claims, Keith Kowal, M.D. (NPI: 1528064201) practices otolaryngology in the Daphne-Fairhope-Foley, AL market, with the plurality of this provider's patient population coming from Baldwin, AL. This provider's primary affiliated billing organization is ENT CENTERS OF EXCELLENCE (NPI: 1689043515; TIN: 474900393) and primary practice location at 36535-4704.

Kowal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 321 traditional Medicare patients, billed 1,885 HCPCS/CPT codes, and received $199,790 in Medicare payments. The top billing code was 77011 (Ct guidance for needle or tube localization). Part D data shows 978 prescription claims across 381 beneficiaries totaling $14,205 in drug costs, led by Montelukast Sodium (Montelukast Sodium). DME data shows 313 claims. Open Payments data shows 61 records totaling $1,571. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $326,916 and ending at $199,790. Concurrently, Part D prescription costs have fallen sharply in recent years, from $30,761 to $14,205. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	337	1,225	$326,916
2016	454	1,336	$216,146
2017	495	6,630	$317,011
2018	494	3,413	$300,695
2019	526	6,766	$246,467
2020	428	4,096	$148,820
2021	387	2,976	$171,874
2022	363	3,901	$171,503
2023	480	4,453	$261,498
2024	321	1,885	$199,790

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	243	1,000	$30,761
2016	329	1,206	$30,569
2017	411	1,490	$47,746
2018	442	1,643	$48,351
2019	462	1,746	$47,820
2020	493	1,963	$48,944
2021	439	1,642	$35,604
2022	400	1,306	$29,073
2023	415	1,061	$20,258
2024	381	978	$14,205

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	253	647	$19,959
2016	115	286	$7,945
2017	142	337	$8,547
2018	126	339	$8,773
2019	113	300	$8,401
2020	93	282	$8,170
2021	46	145	$4,674
2022	38	136	$5,229
2023	46	222	$9,097
2024	114	313	$10,127

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
77011	Ct guidance for needle or tube localization	77	81	$145
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$115
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	444	$84
31575	Diagnostic exam of voice box using a flexible endoscope	37	40	$82
95810	Sleep study in sleep lab (6 years or older)	33	34	$80

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Montelukast Sodium	Montelukast Sodium	250	13,603	$1,980
Fluticasone Propionate	Fluticasone Propionate	92	4,798	$1,808
Cefdinir	Cefdinir	47	778	$1,513
Esomeprazole Magnesium	Esomeprazole Magnesium	43	1,854	$1,411
Ofloxacin	Ofloxacin	36	521	$1,182

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0601	Continuous positive airway pressure (cpap) device	Y	14	95	$2,829
A7032	Cushion for use on nasal mask interface, replacement only, each	N	12	26	$2,397
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	17	33	$1,771
A7033	Pillow for use on nasal cannula type interface, replacement only, pair	N	N/R	12	$1,012
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	N/R	16	$586

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	61	$1,571	Inspire Medical Systems, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Keith A. Kowal, M.D.?

Tedicare shows public-source Medicare data for Keith A. Kowal, M.D. (NPI 1528064201), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Keith A. Kowal, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Keith A. Kowal, M.D.?

Keith A. Kowal, M.D. is linked to ENT CENTERS OF EXCELLENCE (billing NPI 1689043515) in the available physician profile data.

Does Keith A. Kowal, M.D. have Open Payments data?

Keith A. Kowal, M.D. has 61 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.