PROVIDER PROFILE · NPI 1750455507

Mark KowallM.D.

PRACTICECOAST ORTHOPEDIC SPECIALTY ASSOCIATESSee all providers at this practice →

Orthopedic SurgeryTempleton, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,078

Unique beneficiaries

—

Total services

1,292

Distinct HCPCS

Medicare payment

$112K

Peer benchmark

Total Medicare services vs. 1,921 Orthopedic Surgery providers in CA — above median (cohort median 1,100).

PRESCRIBING · PART D · 2024

Total Rx claims

215

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

70.2%

Top prescribed drugs

Oxycodone Hcl/Acetaminophen83 claims

Hydrocodone/Acetaminophen68 claims

Amoxicillin28 claims

Tramadol Hcl22 claims

Methylprednisolone14 claims

QUALITY · MIPS · 2024

Final MIPS score

51.5

Quality

0.0

Cost

71.8

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

-2.81%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Consulting Fee$2K

Food and Beverage$99

Top paying entities

Consulting Fee$2K

Food and Beverage$99

REFERRAL NETWORK

Where Mark Kowall's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 20 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Pacific Point Laboratories, Inc. Clinical Laboratory · San Luis Obispo, CA	102	300
TWIN CITIES COMMUNITY HOSPITAL, INC.	96	336
PATHOLOGY, INC.	51	145
TEMPLETON SURGERY CENTER, LLC	40	83
SHIN, DANIEL	32	118
VOGLER, ELIZABETH	27	106
Shannon Berry Internal Medicine · Templeton, CA	18	41
William Russell Diagnostic Radiology · Templeton, CA	18	39
WEST COAST CLINICAL LABORATORIES, INC.	17	24
Melissa Noone Anesthesiology · Loma Linda, CA	16	50
James Cartland Diagnostic Radiology · Templeton, CA	16	46
WININGHAM, DONNA	14	17

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history