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DR. HUGH D MCGOWAN II M.D.
NPI 1093702680
Obstetrics & Gynecology in York, ME

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
16 HOSPITAL DR STE C, YORK, ME 03909(207) 351-3455 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Hugh D Mcgowan Ii M.d. NPPES

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

DR. HUGH D MCGOWAN II M.D. (NPI 1093702680) is an individual obstetrics & gynecology provider in York, Maine, licensed in Maine (015775) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1093702680
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. HUGH D MCGOWAN IICredential: M.D.
Location Address16 HOSPITAL DR STE CYork, ME 03909-1041
Mailing Address298 York St Unit 12York, ME 03909-1074 · (207) 314-3734
Phone(207) 351-3455
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 29, 2005
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedDecember 16, 2023
✔ NPI 1093702680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in ME · 015775
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
16 HOSPITAL DR STE C, York, ME 03909
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1298 York St Unit 12York, ME 03909-1074 · Phone (207) 314-3734
Location 216 Fahy St Ste 108Belfast, ME 04915-6029 · Phone (207) 505-4332 · Fax (207) 536-3201

Other Identifiers 6

Other2595309ME · Aetna
Other4582125ME · Cigna
Medicaid323310099ME
Other160054407ME · Railroad Medicare
OtherMN4328ME · Harvard Pilgrim Healthcar
Other027822ME · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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. Hugh D Mcgowan Ii 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 ID4183666365
PECOS Enrollment IDI20050527000099
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03909 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

YORK HOSPITAL
General Acute Care Hospital
16 HOSPITAL DR STE C
YORK, ME 03909
York County (207) 351-3455

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 Hugh Mcgowan's NPI number?

The NPI number for Hugh Mcgowan is 1093702680. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Hugh Mcgowan located?

Hugh Mcgowan practices at 16 Hospital Dr Ste C, York, ME 03909. The listed phone number is (207) 351-3455.

What is Hugh Mcgowan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Hugh Mcgowan enrolled in Medicare?

Yes. Hugh Mcgowan 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 Hugh Mcgowan accept?

Health plans from Harvard Pilgrim Health Care list Hugh Mcgowan 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.

When was this NPI record last updated?

The NPPES record for Hugh Mcgowan was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.