Medicare Enrolled

Dr. Thomas Kowalsky, MD

Surgery · Fort Myers, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
21 BARKLEY CIRCLE, Fort Myers, FL 33907
2399392616
In practice since 2006 (19 years)
NPI: 1457316036 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Kowalsky from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Kowalsky

Dr. Thomas Kowalsky is a surgery in Fort Myers, FL, with 19 years in practice. Based on federal Medicare data, Dr. Kowalsky performed 1,294 Medicare services across 1,159 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kowalsky received a total of $3,156 from 8 pharmaceutical and/or device companies across 40 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kowalsky is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice▲ Top 8% volume in FL$ $3,156 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,294
Medicare services
Top 8% in FL for surgery
1,159
Unique beneficiaries
$96
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~68 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (20-29 min)189$68$226
Ultrasound of both sides of head and neck blood flow113$136$804
Ultrasound study of arm or leg veins with compression and maneuvers101$27$274
Office visit, established patient (30-39 min)92$97$335
Office visit, established patient (10-19 min)72$45$136
Hospital follow-up visit, low complexity68$41$126
Initial hospital admission, moderate complexity54$105$438
Hospital follow-up visit, moderate complexity53$64$227
Ultrasound of one side of head and neck blood flow52$91$565
New patient office visit (45-59 min)50$133$526
Ultrasound study of one arm or leg veins with compression and maneuvers45$17$192
New patient office visit (30-44 min)42$72$342
Ultrasound of aorta, vena cava, groin vessels or bypass grafts41$89$535
Ultrasonic guidance for blood vessel access37$12$51
Complete ultrasound of abdomen and pelvis artery and vein blood flow33$43$471
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes30$69$325
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts29$138$790
Complete ultrasound study of arm and leg arteries26$100$555
Ultrasound of leg arteries at rest and after exercise26$117$691
Ultrasound study of arm and leg arteries25$10$78
Ultrasound of one leg arteries or artery grafts24$19$94
Ultrasound of leg arteries or artery grafts23$29$217
Insertion of stent and blood clot protection device in neck artery with review by radiologist17$827$4,150
Removal of blood clot and portion of chest, neck, or brain artery15$980$4,069
Ultrasonic guidance during surgery15$52$236
Repair of groin hernia (5 years or older)11$460$1,788
New patient office or other outpatient visit, 15-29 minutes11$59$233
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
7.9% high complexity
36.2% medium
56.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,156
Total received (2018-2024)
Avg $451/year across 7 years
Top 48% in FL for surgery
8
Companies
40
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,770 (56.1%)
Other
Charitable contributions, space rental, and other categories
$1,386 (43.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$259
2023
$1,660
2022
$64
2021
$69
2020
$15
2019
$44
2018
$1,047

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Integra LifeSciences Corporation
$1,386
Silk Road Medical, Inc.
$1,194
Medtronic, Inc.
$199
Genentech USA, Inc.
$122
CVRx, Inc.
$108
Medtronic Vascular, Inc.
$74
Penumbra, Inc.
$40
W. L. Gore & Associates, Inc.
$32
Top 3 companies account for 88.1% of total payments
Associated products mentioned in payments ›
Barostim Neo System · ENDURANT IIS · ENHANCE Transcarotid Peripheral Access Kit · ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · Endurant · GORE VIABAHN VBX Balloon Expandable Endo · Indigo System · Integra · Valiant Captivia · VenaSeal
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (56%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $244 per 100 Medicare services performed
Looking for a surgery in Fort Myers?
Compare surgerys in the Fort Myers area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgerys within 10 mi
87
Per 100K population
11.0
County median income
$73,099
Nearest hospital
GULF COAST MEDICAL CENTER LEE HEALTH
3.4 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Kowalsky is a clinical cardiology specialist, with above-average Medicare volume (top 8% in FL), and low-engagement industry engagement, with 19 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Kowalsky experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Kowalsky performed 189 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kowalsky receive payments from pharmaceutical companies?
Yes. Dr. Kowalsky received a total of $3,156 from 8 companies across 40 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kowalsky's costs compare to other surgerys in Fort Myers?
Dr. Kowalsky's average Medicare payment per service is $96. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kowalsky) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →