Dr Thomas Derek Kowalik, MD - Medicare Orthopedic Surgery in Hillsboro, OR

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Dr Thomas Derek Kowalik, MD is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Hillsboro, Oregon. He graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice University Professional Services, Tuality Medical Group Llc and his current practice location is 1200 Ne 48th Ave Ste 1100, Hillsboro, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 844-8219.

Dr Thomas Derek Kowalik is licensed to practice in Oregon (license number 171470) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023307899.

Contact Information

Dr Thomas Derek Kowalik, MD
1200 Ne 48th Ave Ste 1100,
Hillsboro, OR 97124-5062
(503) 844-8219
(503) 844-8234

Map and Direction




Physician's Profile

Full NameDr Thomas Derek Kowalik
GenderMale
SpecialityOrthopedic Surgery
Experience15 Years
Location1200 Ne 48th Ave Ste 1100, Hillsboro, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Thomas Derek Kowalik graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1023307899
  • Provider Enumeration Date: 04/01/2011
  • Last Update Date: 11/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224282579
  • Enrollment ID: I20160831002603

Medical Identifiers

Medical identifiers for Dr Thomas Derek Kowalik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023307899NPI-NPPES
MD171470OtherORLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery 171470 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tuality Community HospitalHillsboro, ORHospital
Ohsu Hospital And ClinicsPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Professional Services48807601071609
Tuality Medical Group Llc7416173414255

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Thomas Derek Kowalik allows following entities to bill medicare on his behalf.
Entity NameTuality Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275591984
PECOS PAC ID: 3678486107
Enrollment ID: O20040130000359
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013
Entity NameTuality Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073929782
PECOS PAC ID: 7416173414
Enrollment ID: O20140729000238

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Derek Kowalik is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Thomas Derek Kowalik, MD
1200 Ne 48th Ave Ste 1100,
Hillsboro, OR 97124-5062

Ph: (503) 844-8219		Dr Thomas Derek Kowalik, MD
1200 Ne 48th Ave Ste 1100,
Hillsboro, OR 97124-5062

Ph: (503) 844-8219

Reviews and Comments


Orthopaedic Surgery Doctors in Hillsboro, OR

Sarah L. Lampton, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 425 Se Baseline St, Hillsboro, OR 97123
Phone: 503-681-9676    Fax: 503-615-0434
Bart Rask, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 349 Se 7th Ave, Hillsboro, OR 97123
Phone: 509-648-0803    Fax: 503-640-4313
Kyle Mombell, M.D.
Orthopedic Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 2875 Ne Stucki Ave, Hillsboro, OR 97124
Phone: 800-813-2000    
John A Voss, PA-C, MS
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2875 Ne Stucki Ave, Hillsboro, OR 97124
Phone: 503-813-2000    
Anton F Eilers, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 349 Se 7th Ave, Hillsboro, OR 97123
Phone: 503-648-0803    Fax: 503-640-4313
Dr. John Milton Coletti Jr., M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 335 Se 8th Ave, Hillsboro, OR 97123
Phone: 503-681-1271    Fax: 503-648-1399

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.