MRS. CAROLYN MCDOWELL APN
NPI 1053830273
Nurse Practitioner - Adult Health in Marlboro, NJ

Active since September 19, 2017PECOS EnrolledAccepts Medicare Assignment
64.92/100
CMS Quality Rating
15 SCHOOL RD E STE 2, MARLBORO, NJ 07746(732) 866-9922(732) 866-9970 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Carolyn Mcdowell Apn NPPES

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

MRS. CAROLYN MCDOWELL APN (NPI 1053830273) is an individual adult health provider in Marlboro, New Jersey, licensed in New Jersey (26NJ00760600) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Como, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053830273
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. CAROLYN MCDOWELLCredential: APN
Location Address15 SCHOOL RD E STE 2Marlboro, NJ 07746-2061
Mailing Address10 Underhill RdHowell, NJ 07731-2316 · (908) 770-0068
Fax(732) 866-9970
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 19, 2017
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
NPI 1053830273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NJ00760600
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00760600 (NJ)
15 SCHOOL RD E STE 2, Marlboro, NJ 07746

Secondary Practice Location 1

Location 11717 Main St Unit 101Lake Como, NJ 07719-3096 · Phone (732) 681-2200

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

Mrs. Carolyn Mcdowell Apn 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 ID4284991548
PECOS Enrollment IDI20171122001336
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 10

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
773 services119 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
94 services60 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
46 services20 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
36 services32 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
24 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07746 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

64.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.71
Improvement Activities40
Cost30.25

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers17 claims25 services$6.33 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$11.08 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 3

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

Internal Medicine (Geriatric Medicine)
15 SCHOOL RD E STE 2
MARLBORO, NJ 07746
Internal Medicine (Geriatric Medicine)
15 SCHOOL RD E STE 2
MARLBORO, NJ 07746
Family Medicine
15 SCHOOL RD E STE 2
MARLBORO, NJ 07746

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 Carolyn Mcdowell's NPI number?

The NPI number for Carolyn Mcdowell is 1053830273. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Carolyn Mcdowell located?

Carolyn Mcdowell practices at 15 School Rd E Ste 2, Marlboro, NJ 07746. The listed phone number is (732) 866-9922.

What is Carolyn Mcdowell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carolyn Mcdowell enrolled in Medicare?

Yes. Carolyn Mcdowell 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.

When was this NPI record last updated?

The NPPES record for Carolyn Mcdowell was last updated on March 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.