NICHOLAS COWLEY M.D.
NPI 1043742646
Internal Medicine in Spokane, WA

Active since April 01, 2017PECOS EnrolledAccepts Medicare Assignment
624 E FRONT AVE, SPOKANE, WA 99202(509) 626-9900(509) 626-9920 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2020, Apr 1, 2017 (2 updates tracked since 2017).

About Nicholas Cowley M.d. NPPES

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

NICHOLAS COWLEY M.D. (NPI 1043742646) is an individual internal medicine provider in Spokane, Washington, licensed in Washington (MD.61050564) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Providence Holy Family Hospital, and is a graduate of University Of Virginia School Of Medicine (2017).

NPPES Registry Identity

NPI1043742646
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS COWLEYCredential: M.D.
Location Address624 E FRONT AVESpokane, WA 99202-2139
Mailing Address624 E Front AveSpokane, WA 99202-2139 · (509) 626-9900 · Fax (509) 626-9920
Fax(509) 626-9920
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2017
Enumeration DateApril 1, 2017
Last NPPES UpdateJune 2, 20202 updates tracked since enumeration
NPPES CertifiedJune 2, 2020
NPI 1043742646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WA · MD.61050564
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

624 E FRONT AVE, Spokane, WA 99202

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

Nicholas Cowley 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 ID9133543648
PECOS Enrollment IDI20200716002752
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 6

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.
308 services141 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.
227 services102 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.
89 services88 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
24 services24 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.
17 services14 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99202 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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
2 suppliers28 claims28 services$15.68 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.88 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
2 suppliers30 claims30 services$80.03 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.

Social Worker (Clinical)
624 E FRONT AVE
SPOKANE, WA 99202
Student in an Organized Health Care Education/Training Program
624 E FRONT AVE
SPOKANE, WA 99202
Family Medicine
624 E FRONT AVE
SPOKANE, WA 99202
Family Medicine
624 E FRONT AVE
SPOKANE, WA 99202
Internal Medicine
624 E FRONT AVE
SPOKANE, WA 99202
Psychiatry & Neurology (Psychiatry)
624 E FRONT AVE
SPOKANE, WA 99202
Family Medicine
624 E FRONT AVE
SPOKANE, WA 99202
Orthopaedic Surgery
624 E FRONT AVE
SPOKANE, WA 99202

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 Nicholas Cowley's NPI number?

The NPI number for Nicholas Cowley is 1043742646. It was assigned to this individual provider in the NPPES registry on April 1, 2017.

Where is Nicholas Cowley located?

Nicholas Cowley practices at 624 E Front Ave, Spokane, WA 99202. The listed phone number is (509) 626-9900.

What is Nicholas Cowley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Cowley enrolled in Medicare?

Yes. Nicholas Cowley 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 Nicholas Cowley accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Nicholas Cowley 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 Nicholas Cowley affiliated with any hospitals?

According to CMS data, Nicholas Cowley is affiliated with Providence Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Cowley was last updated on June 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.