MR. JAMES MICHAEL MCGOWAN MD
NPI 1033175591
Internal Medicine - Geriatric Medicine in Denver, CO

Q: What is James Mcgowan's NPI number?

The NPI number for James Mcgowan is 1033175591. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is James Mcgowan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for James Mcgowan was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment

88.85/100

CMS Quality Rating

850 E HARVARD AVE STE 405, DENVER, CO 80210(303) 584-8900 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2026, Oct 3, 2023, Sep 20, 2022 (3 updates tracked since 2022).

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About Mr. James Michael Mcgowan Md NPPES

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

MR. JAMES MICHAEL MCGOWAN MD (NPI 1033175591) is an individual geriatric medicine provider in Denver, Colorado, licensed in Colorado (22341) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1033175591

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameMR. JAMES MICHAEL MCGOWANCredential: MD

Location Address850 E HARVARD AVE STE 405Denver, CO 80210-5077

Mailing Address1805 Shea Center Dr Ste 450Highlands Ranch, CO 80129-2255 · (303) 584-8900

Phone(303) 584-8900

Sole ProprietorNo

Medical School CMSOtherGraduated 1974

Enumeration DateApril 25, 2006

Last NPPES UpdateApril 28, 20263 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1033175591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in CO · 22341

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

850 E HARVARD AVE STE 405, Denver, CO 80210

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Other Identifiers 1

Medicaid01223411CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Mr. James Michael Mcgowan 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 ID8123081825

PECOS Enrollment IDI20041104000248

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 3

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.

69 services42 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.

53 services35 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80210 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

$174.82 typical visit price

range $58.06 – $174.82

Typical copayment $43.70 (range $14.51 – $43.70)

Most-billed visit code 99205

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

88.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.17

Promoting Interoperability

100

Improvement Activities

Cost

71.69

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

63%282 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

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