Thomas Kowalski, MD
Gastroenterology · Phila, PANPI 1952360596
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $34,788 of the $56,884 with a category attached, or 61.2%. Boston Scientific accounts for 96.2% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $29,510 and has fallen 93.2% since, to $2,005 in 2025. Among gastroenterology clinicians in PA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 137 payments — averaging $415.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$55K
- Olympus Corporation$1K
- Fujifilm Healthcare Americas Corporation$399
- Conmed Corporation$308
- Medtronic$223
- Amgen$70
- plus $137 from 3 others
What the payments were for
- Consulting fees$14,28025%
- Speaking & faculty fees$34,78861%
- Travel & lodging$2,5795%
- Food & beverage$5,2389%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Boston Scientific | 122 | $54,718 |
| Olympus Corporation | 1 | $1,030 |
| Fujifilm Healthcare Americas Corporation | 5 | $399 |
| Conmed Corporation | 2 | $308 |
| Medtronic | 2 | $223 |
| Amgen | 1 | $70 |
| Neurocrine Biosciences, Inc. | 1 | $54 |
| Olympus America Inc. | 2 | $45 |
| Laborie Medical Technologies Corp. | 1 | $38 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- GENERAL - THERAPIES$16,750
- AUTOTOME$7,500
- EXALT Model D$6,462
- AXIOS$5,867
- ACQUIRE$4,162
- SPYGLASS$2,538
- DREAMWIRE$2,000
- GENERAL PAIN MANAGEMENT$1,420
- GENERAL - BILIARY DEVICES$859
- GENERAL ENDOCHOICE$473
- FUJIFILM$312
- Barrx$209
- CONMED BILIARY$166
- WallFlex Duodenal$158
- CONMED EUS$141
- EXALT$128
- Apollo 2-0 Polypropylene Endobariatric Suture$100
How this compares
$56,884 in reported general payments places this provider in the 90th percentile of 935 gastroenterology providers in Pennsylvania.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| CreonLipase/Protease/Amylase | 22 | $52,177 |
| Gabapentin | 16 | $174 |
| Ciprofloxacin Hcl | 23 | $55 |
Paid to pharmacies, not to this prescriber.
Other gastroenterology in Phila
- David LorenPhila$132K
- Mitchell ConnPhila$70K
- Miguel RegueiroPittsburgh$1.5M
- Adam PeytonAllentown$985K
- Shahin RahimianWaynesboro$592K
- Sandra El-HachemPittsburgh$472K
- Harshit KharaDanville$438K
- Kofi ClarkeHershey$426K
- Michael KochmanPhiladelphia$361K
- Gary LichtensteinPhiladelphia$342K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.