Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michael Krage Kowalke , PA-C

Physician Assistant โ€ข Lincoln, NE

Active NPI 1013104264 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4130 Pioneer Woods Dr Ste 1
Lincoln, NE 685067552

Call 4024894700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4130 Pioneer Woods Dr Ste 1

Lincoln, NE 685067552

Telephone 4024894700
Organization at the Same NPPES Address or Phone
Prairie Orthopaedic & Plastic Surgery, P.c. Facility NPI 1255809620

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Prairie Orthopaedic And Plastic Surgery Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Medicare patients

324 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $80,313 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $61,764 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

367 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$3,045 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $241.67 across 13 records.

By nature of payment

  • Food and Beverage: $241.67 across 13 records.

Reporting-company totals

  • DJO, LLC: $199.14 across 11 records.
  • Orthofix Medical, Inc.: $42.53 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michael Kowalke has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michael Kowalke as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lincoln and Nebraska

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Lincoln, NE (2024, 172 clinicians with data). Median for this group: 240. Middle half: 74 to 704.

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: 233. Middle half: 71 to 636.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Lincoln, NE (2024, 172 clinicians with data). Median for this group: $14,877. Middle half: $5,466 to $37,509.

A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: $13,478. Middle half: $4,832 to $31,655.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Lincoln, NE (2024, 172 clinicians with data). Median for this group: $11,514. Middle half: $4,165 to $27,356.

A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: $9,711. Middle half: $3,460 to $23,724.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Lincoln, NE (2024, 169 clinicians with data). Median for this group: 277. Middle half: 88 to 1,125.

Close to the middle for clinicians listed under Physician Assistant in Nebraska (2024, 782 clinicians with data). Median for this group: 299. Middle half: 82 to 1,064.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Lincoln, NE (2024, 169 clinicians with data). Median for this group: $9,326. Middle half: $809 to $131,952.

Close to the middle for clinicians listed under Physician Assistant in Nebraska (2024, 782 clinicians with data). Median for this group: $7,125. Middle half: $758 to $101,074.

297 active clinicians are listed under Physician Assistant with a practice address in Lincoln, NE (1,352 in Nebraska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lincoln

4.7% of these 297 clinicians have the CMS telehealth indicator.

67.3% of these 297 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 13 records totaling $241.67.

Manufacturer Payment Nature Product Type Amount ($)
DJO, LLC
Food and Beverage
In-kind items and services
CMF General $31.23
DJO, LLC
Food and Beverage
In-kind items and services
CMF General $31.20
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Spinal-Stim General $29.53
DJO, LLC
Food and Beverage
In-kind items and services
CMF General $22.50
DJO, LLC
Food and Beverage
In-kind items and services
CMF General $21.56
DJO, LLC
Food and Beverage
In-kind items and services
CMF General $17.10
DJO, LLC
Food and Beverage
In-kind items and services
CMF General $16.45
DJO, LLC
Food and Beverage
In-kind items and services
CMF General $15.79
DJO, LLC
Food and Beverage
In-kind items and services
CMF General $14.38
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Spinal-Stim General $13.00
DJO, LLC
Food and Beverage
In-kind items and services
CMF General $10.31
DJO, LLC
Food and Beverage
In-kind items and services
CMF General $10.07
DJO, LLC
Food and Beverage
In-kind items and services
CMF General $8.55

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
632 52 $4.00 $0.97
20610 Aspiration and/or injection of fluid from large joint
234 73 $338.00 $44.27
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
140 118 $214.00 $73.79
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose
134 29 $321.00 $123.43
73502 X-ray of hip, 2-3 views
108 68 $142.14 $38.01
73560 X-ray of knee, 1-2 views
83 50 $123.00 $26.51
27130 Replacement of thigh bone and hip joint with prosthesis
65 63 $4247.00 $160.98
72100 X-ray of lower and sacral spine, 2-3 views
49 32 $146.00 $31.33
27447 Replacement of knee joint, both sides of knee
39 38 $4537.00 $160.82
72110 X-ray of lower and sacral spine, minimum of 4 views
27 27 $204.00 $41.91
73564 X-ray of knee, 4 or more views
25 20 $177.00 $38.10
63047 Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
24 24 $3259.00 $96.09
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
21 15 $656.00 $30.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $262.00 $90.51
72148 Mri scan of lower spinal canal without contrast
17 17 $922.00 $119.18
73721 Mri scan of leg joint without contrast
17 17 $922.00 $136.08
22612 Fusion of spine in lower back
16 16 $4712.00 $193.56
63048 Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
14 11 $632.00 $25.20
22840 Placement of stabilizing device to back of 1 spine bone in neck
13 13 $2269.00 $90.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $305.00 $105.32
22842 Placement of stabilizing device to back, 3-6 spine bone segments
11 11 $2272.00 $91.09

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 156 1,013 $1,536.56 134
Methocarbamol Methocarbamol 113 1,148 $858.57 94
Tramadol Hcl Tramadol Hcl 34 231 $127.79 32
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 30 170 $323.00 27
Methylprednisolone Methylprednisolone 22 132 $176.24 21
Amoxicillin Amoxicillin 12 62 $22.58 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NE 1826

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nebraska State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20140708002464

Enrollment State Jurisdiction

NE

PECOS Control ID

4789770272

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Prairie Orthopaedic And Plastic Surgery Pc

4130 Pioneer Woods Dr, Lincoln, NE 685067552

Phone: 4024894700

Prairie Orthopaedic And Plastic Surgery Pc

5901 N 28th St, Lincoln, NE 685049820

Phone: 4024894700

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Ellie Andreasen , PA-C

Physician Assistant

NPI 1528742830

Physician Assistant (Certified)

Dr. Matthew Byington , DO

Orthopaedic Surgery

NPI 1275725905

Doctor of Osteopathic Medicine (D.O.)

John Chatwell , PT

Physical Therapist

NPI 1619491750

Physical Therapist

Dr. Tanner Dodson , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013486265

Doctor of Podiatric Medicine

Jill Gamble , PA-C

Physician Assistant

NPI 1841666898

Physician Assistant (Certified)

Erica Heiman , MPT, MSA

Physical Therapist

NPI 1053527358

Master of Physical Therapy, MSA

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location July 31, 2025

Registered at 4130 PIONEER WOODS DR STE 1, LINCOLN, NE 685067552 (Tel: 4024894700)

๐Ÿ“
Updated Business Mailing Address July 31, 2025

Registered at 4130 PIONEER WOODS DR STE 1, LINCOLN, NE 685067552 (Tel: 4024894700)

โœ…
NPI Profile Active July 03, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 03, 2014

Registered at 6900 A ST, STE 100, LINCOLN, NE 685104120 (Tel: 4024362000)

๐Ÿ“
Business Mailing Address (Initial Record) July 03, 2014

Registered at PO BOX 6939, LINCOLN, NE 685060939 (Tel: 4024362000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 03, 2014

Recorded as MICHAEL KOWALKE, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2014

Physician Assistant (license number reported to NPPES: NE 1826)

๐ŸŸข
Initial NPI Registration & Enumeration October 02, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1013104264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2007
Last Update: July 31, 2025
Sole Proprietor: No

Other Physician Assistants in Lincoln

All Physician Assistants in Lincoln

More public profiles in Nebraska

Directory navigation, in NPI number order.

Mailing Address

4130 Pioneer Woods Dr Ste 1

Lincoln, NE 685067552

Phone: 4024894700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.