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DR. BRANDON COWAN MD
NPI 1003212630
Family Medicine in Mount Vernon, KY

Active since November 10, 2014PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
140 NEWCOMB AVE, MOUNT VERNON, KY 40456(606) 256-4148(606) 256-5191 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2021, Oct 27, 2020, Jun 12, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Brandon Cowan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON COWAN MD (NPI 1003212630) is an individual family medicine provider in Mount Vernon, Kentucky, licensed in Kentucky (51005) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and maintains a secondary practice location in Florence.

NPPES Registry Identity

NPI1003212630
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRANDON COWANCredential: MD
Location Address140 NEWCOMB AVEMount Vernon, KY 40456
Mailing Address140 Newcomb AveMount Vernon, KY 40456-2725 · (606) 256-4148
Phone(606) 256-4148
Fax(606) 256-5191
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2013
Enumeration DateNovember 10, 2014
Last NPPES UpdateNovember 17, 20215 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1003212630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 51005
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License R3971 (KY)
Also ListedHospitalistTaxonomy 208M00000X · License 51005 (KY), 01086775A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
140 NEWCOMB AVE, Mount Vernon, KY 40456
Open in Google Maps ↗

Secondary Practice Location 1

Location 14900 Houston RdFlorence, KY 41042-4824 · Phone (859) 212-4468 · Fax (859) 212-4357

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brandon Cowan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113207101
PECOS Enrollment IDI20161208001860, I20211124000989
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
522 services214 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
309 services160 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
237 services211 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
144 services139 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Rockcastle County Hospital, Inc.

Acute Care Hospitals · Mount Vernon, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180115
Location145 Newcomb AvenueMount Vernon, KY 40456 · Rockcastle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40456 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.62
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers57 claims57 services$16.59 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers57 claims57 services$92.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY PERKINS-SAYLOR PA-C
Physician Assistant
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-5176
ROCKCASTLE VENTURES INC.
Nurse Practitioner
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-7761
SARAH CATHERINE OLIVER M.D.
Pediatrics
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-4148
CHASITY FRAKES
Nurse Practitioner (Psychiatric/Mental Health)
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-2195
MRS. CRYSTAL D BROWN ARNP
Nurse Practitioner (Obstetrics & Gynecology)
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-5176
MRS. COURTNEY PARRISH BROWNING APRN, PNP-BC
Nurse Practitioner (Pediatrics)
140 NEWCOMB AVE, SUITE C AND D
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-4148
ROCKCASTLE VENTURES INC. DOING BUSINESS AS MT. VERNON CLINIC
Internal Medicine
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-4148
ROCKCASTLE VENTURES INC. DOING BUSINESS AS ROCKCASTLE CLINIC
Internal Medicine
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Rockcastle County (606) 256-5176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Cowan's NPI number?

The NPI number for Brandon Cowan is 1003212630. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Where is Brandon Cowan located?

Brandon Cowan practices at 140 Newcomb Ave, Mount Vernon, KY 40456. The listed phone number is (606) 256-4148.

What is Brandon Cowan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brandon Cowan enrolled in Medicare?

Yes. Brandon Cowan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brandon Cowan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Brandon Cowan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brandon Cowan affiliated with any hospitals?

According to CMS data, Brandon Cowan is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood and Rockcastle County Hospital, Inc..

When was this NPI record last updated?

The NPPES record for Brandon Cowan was last updated on November 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.