ROBERT SCOTT COWAN M.D.
NPI 1003834490
Orthopaedic Surgery in Springfield, MA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
300 BIRNIE AVE, SUITE 201, SPRINGFIELD, MA 01107(413) 785-4666(413) 846-4756 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Scott Cowan M.d. NPPES

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

ROBERT SCOTT COWAN M.D. (NPI 1003834490) is an individual orthopaedic surgery provider in Springfield, Massachusetts, licensed in Massachusetts (73111) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Boston University School Of Medicine (1988).

NPPES Registry Identity

NPI1003834490
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameROBERT SCOTT COWANCredential: M.D.
Location Address300 BIRNIE AVE, SUITE 201Springfield, MA 01107-1107
Mailing Address300 Birnie Ave, Suite 201Springfield, MA 01107-1107 · (413) 785-4666 · Fax (413) 846-4756
Fax(413) 846-4756
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1988
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 21, 2023
NPPES CertifiedNovember 21, 2023
NPI 1003834490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MA · 73111
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
300 BIRNIE AVE, Springfield, MA 01107

Other Identifiers 1

Medicaid3113540MA

Accepted 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

Robert Scott Cowan M.d. 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 ID7416990338
PECOS Enrollment IDI20050602000207
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 17

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
222 services199 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
194 services166 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
155 services131 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
51 services48 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
49 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier13 claims13 services$774.21 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.

Physician Assistant (Surgical)
300 BIRNIE AVE
SPRINGFIELD, MA 01107
Orthopaedic Surgery
300 BIRNIE AVE, SUITE 201
SPRINGFIELD, MA 01107
Physician Assistant
300 BIRNIE AVE, STE 201
SPRINGFIELD, MA 01107
Orthopaedic Surgery
300 BIRNIE AVE, SUITE 201
SPRINGFIELD, MA 01107
Physician Assistant
300 BIRNIE AVE, STE 201
SPRINGFIELD, MA 01107
Orthopaedic Surgery
300 BIRNIE AVE, SUITE 201
SPRINGFIELD, MA 01107
Occupational Therapist
300 BIRNIE AVE, SUITE 304
SPRINGFIELD, MA 01107
Physical Therapist
300 BIRNIE AVE, SUITE 303
SPRINGFIELD, MA 01107

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 Robert Cowan's NPI number?

The NPI number for Robert Cowan is 1003834490. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Robert Cowan located?

Robert Cowan practices at 300 Birnie Ave Suite 201, Springfield, MA 01107. The listed phone number is (413) 785-4666.

What is Robert Cowan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Robert Cowan enrolled in Medicare?

Yes. Robert 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 Robert Cowan accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Robert 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 Robert Cowan affiliated with any hospitals?

According to CMS data, Robert Cowan is affiliated with Cooley Dickinson Hospital Inc,the and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Cowan was last updated on November 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.