Dr. Thomas D. Kowalik
- Gender: Male
- Experience: 10 years
- Graduation year: 2011
- Sole propriator: No
- NPI: 1023307899
Dr. Thomas D. Kowalik M.D.
Orthopedic Surgeon
He is located at 1200 Northeast 48th Avenue Suite 1100 in Hillsboro, OR 97124. Can help patients with the following: Broken Bone, Cubital Tunnel Syndrome, Elbow Pain, Iliotibial Band Syndrome (ITBS), Kyphoplasty, Separated Shoulder. His National Provider Identifier (NPI) number is 1023307899. Appointment can be made via the phone number (503) 844-8219. He is affiliated with 1 practices and 2 hospitals.
Conditions treated
Dr. Thomas Derek Kowalik, being an orthopedic surgeon, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Thomas D. Kowalik.
- ACL Tear
- Achilles Tendon Rupture
- Arthritis
- Avascular Necrosis
- Back Pain
- Baker's Cyst
- Bone Spurs
- Broken Bone
- Bunions
- Bursitis
- Carpal Tunnel Syndrome
- Cauda Equina Syndrome
- Cervical Radiculopathy
- Compartment Syndrome
- Cubital Tunnel Syndrome
- Degenerative Disc Disease (DDD)
- Dislocated Ankle
- Dislocated Shoulder
- Elbow Pain
- Hammer Toe
- Herniated Disc
- Hip Replacement
- Iliotibial Band Syndrome (ITBS)
- Impingement Syndrome
- Ingrown Toenail
- Joint Fluid Extraction
- Knee Pain
- Knee Replacement
- Kyphoplasty
- Kyphosis
- Low Back Pain
- Lumbar Spinal Stenosis
- Meniscus Tear
- Metatarsal Surgery
- Morton's Neuroma
- Osgood-Schlatter Disease
- Osteoarthritis (OA)
- Osteomyelitis
- Patellofemoral Pain Syndrome (PFS)
- Plantar Fasciitis
- Repetitive Motion Disorders (RMDs)
- Rheumatoid Arthritis (RA)
- Rotator Cuff Tear
- Sciatica
- Scoliosis
- Separated Shoulder
- Spinal Stenosis
- Spondylolisthesis
- Spondylolysis
- Spondylosis
- Sprained Ankle
- Sprained Wrist
- Stress Fracture
- Tennis Elbow
- Trigger Finger
- Whiplash
- Wrist Surgery
Procedures Performed by Dr. Thomas D. Kowalik
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Thomas D. Kowalik as in-network for the following 2026 plans.
Health plans
Kaiser Permanente
Network data as of Sep 29, 2025, as reported by the insurer.
Show all 9 plans from Kaiser Permanente
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| KP OR Bronze 6000 | EPO · Expanded Bronze | Tier One Referral Required | Accepting new patients |
| KP OR Bronze HSA 7100 | EPO · Expanded Bronze | Tier One Referral Required | Accepting new patients |
| KP OR Gold 0 | EPO · Gold | Tier One Referral Required | Accepting new patients |
| KP OR Gold 1750 | EPO · Gold | Tier One Referral Required | Accepting new patients |
| KP OR Silver 3000 | EPO · Silver | Tier One Referral Required | Accepting new patients |
| KP OR Silver 4000 | EPO · Silver | Tier One Referral Required | Accepting new patients |
| KP Oregon Standard Bronze Plan | EPO · Expanded Bronze | Tier One Referral Required | Accepting new patients |
| KP Oregon Standard Gold Plan | EPO · Gold | Tier One Referral Required | Accepting new patients |
| KP Oregon Standard Silver Plan | EPO · Silver | Tier One Referral Required | Accepting new patients |
Moda Health Plan, Inc.
Network data as of Sep 12, 2026, as reported by the insurer.
Show all 13 plans from Moda Health Plan, Inc.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Moda Health Affinity Bronze 8000 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Health Affinity Bronze 9000 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Health Affinity Bronze HDHP 7500 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Health Affinity Gold 1000 | EPO · Gold | Preferred | Accepting new patients |
| Moda Health Affinity Gold 1500 | EPO · Gold | Preferred | Accepting new patients |
| Moda Health Affinity Gold 250 | EPO · Gold | Preferred | Accepting new patients |
| Moda Health Affinity Silver 3000 | EPO · Silver | Preferred | Accepting new patients |
| Moda Health Affinity Silver 3400 | EPO · Silver | Preferred | Accepting new patients |
| Moda Health Affinity Silver 4500 | EPO · Silver | Preferred | Accepting new patients |
| Moda Health Affinity Silver 6000 | EPO · Silver | Preferred | Accepting new patients |
| Moda Health Oregon Standard Bronze Affinity | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Health Oregon Standard Gold Affinity | EPO · Gold | Preferred | Accepting new patients |
| Moda Health Oregon Standard Silver Affinity | EPO · Silver | Preferred | Accepting new patients |
PacificSource Health Plans
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 9 plans from PacificSource Health Plans
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Core Bronze HSA 7500 | EPO · Expanded Bronze | Tier Two | Accepting new patients |
| Core Bronze HSA 8300 | EPO · Expanded Bronze | Tier One | Accepting new patients |
| Core Gold 1500 | EPO · Gold | Tier Two | Accepting new patients |
| Core Gold 3000 | EPO · Gold | Tier Two | Accepting new patients |
| Core Silver 4500 | EPO · Silver | Tier Two | Accepting new patients |
| Core Silver 7500 | EPO · Silver | Tier Two | Accepting new patients |
| PacificSource Oregon Standard Bronze HSA Plan Core | EPO · Expanded Bronze | Tier Two | Accepting new patients |
| PacificSource Oregon Standard Gold Plan Core | EPO · Gold | Tier Two | Accepting new patients |
| PacificSource Oregon Standard Silver Plan Core | EPO · Silver | Tier Two | Accepting new patients |
Providence Health Plan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 11 plans from Providence Health Plan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Connect 1500 Gold | EPO · Gold | Connect | Not accepting new patients |
| Connect 6000 Silver | EPO · Silver | Connect | Not accepting new patients |
| Connect 9800 Bronze | EPO · Expanded Bronze | Connect | Not accepting new patients |
| HSA Qualified 7500 Bronze - Choice Network | EPO · Expanded Bronze | Choice | Not accepting new patients |
| HSA-E Qualified 7500 Bronze - Signature Network | EPO · Expanded Bronze | EPO | Not accepting new patients |
| Providence Oregon Standard Bronze Plan - Choice Network | EPO · Expanded Bronze | Choice | Not accepting new patients |
| Providence Oregon Standard Bronze Plan - Signature Network | EPO · Expanded Bronze | EPO | Not accepting new patients |
| Providence Oregon Standard Gold Plan - Choice Network | EPO · Gold | Choice | Not accepting new patients |
| Providence Oregon Standard Gold Plan - Signature Network | EPO · Gold | EPO | Not accepting new patients |
| Providence Oregon Standard Silver Plan - Choice Network | EPO · Silver | Choice | Not accepting new patients |
| Providence Oregon Standard Silver Plan - Signature Network | EPO · Silver | EPO | Not accepting new patients |
Dental plans
Kaiser Permanente
Network data as of Sep 29, 2025, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| KP OR Family Dental - $100 Ded | EPO · Low | Tier One Referral Required | Accepting new patients |
| KP OR Family Dental - $1000 | EPO · Low | Tier One Referral Required | Accepting new patients |
| KP OR Family Dental - $1000/$50 Ded | EPO · High | Tier One Referral Required | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Thomas D. Kowalik is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Thomas D. Kowalik is enrolled to bill Medicare as a Practitioner - Orthopedic Surgery .
Bills through: Tuality Healthcare
Based on Medicare's public enrollment records as of Sep 29, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Zimmer Biomet | $375 |
| Depuy | $85 |
| Stryker | $60 |
Other
| Food and Beverage | $498 |
| Travel and Lodging | $87 |
Studies
Graduated in 2011
Looking for more Orthopedic Surgeons?
There are 6 other orthopedic surgeons in this region.
- Gender: Male
- Address: Suite 1100 1200 Northeast 48th Avenue Hillsboro, 97124, OR
- Gender: Male
- Address: 1920 West 1st Street Floor 3 Winston Salem, 27104, NC
- Gender: Male
- Address: Suite 101 10670 Northeast Cornell Road Hillsboro, 97124, OR
- Gender: Male
- Address: 200 Northeast Mother Joseph Place Suite 110 Vancouver, 98664, WA
- Gender: Male
- Address: Suite 1100 1200 Northeast 48th Avenue Hillsboro, 97124, OR
- Gender: Male
- Address: Suite 1100 1200 Northeast 48th Avenue Hillsboro, 97124, OR
- Gender: Male
- Address: 1601 Trinity Street Austin, 78712, TX
Questions & Answers
Where can you meet with Dr. Thomas Derek Kowalik?
Dr. Thomas Derek Kowalik's office is located at 1200 Northeast 48th Avenue Suite 1100 in Hillsboro, OR 97124.
Does Dr. Thomas Derek Kowalik accept patients with Kaiser Permanente?
Yes, Dr. Thomas Derek Kowalik is listed in-network for Kaiser Permanente through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Does Dr. Thomas Derek Kowalik have affiliation with practices?
Dr. Thomas Derek Kowalik is affiliated with Orthopedic & Fracture Specialists.
Has Dr. Thomas Derek Kowalik affiliation with hospitals?
Dr. Thomas Derek Kowalik is affiliated with OHSU HOSPITAL. For the full list of hospitals see this list.
What conditions does Dr. Thomas Derek Kowalik treat?
Dr. Thomas Derek Kowalik provides treatment for Broken Bone, Cubital Tunnel Syndrome, Elbow Pain, Iliotibial Band Syndrome (ITBS), Kyphoplasty, Separated Shoulder. For the full list see this list.