DR. MICHELLE LEE COWAN MD
NPI 1104129642
Colon & Rectal Surgery in Saint Louis, MO

Active since December 06, 2010PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG COLON/RECTAL, SAINT LOUIS, MO 63110(314) 454-7177(888) 425-7946 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2024, Apr 25, 2024, Apr 10, 2024 and 2 more (5 updates tracked since 2018).

About Dr. Michelle Lee Cowan Md NPPES

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

DR. MICHELLE LEE COWAN MD (NPI 1104129642) is an individual colon & rectal surgery provider in Saint Louis, Missouri, licensed in Missouri (2024007127) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2007).

NPPES Registry Identity

NPI1104129642
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. MICHELLE LEE COWANCredential: MD
Location Address1 BARNES JEWISH HOSPITAL PLZ, DIV SURG COLON/RECTALSaint Louis, MO 63110-1003
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-7177 · Fax (888) 425-7946
Fax(888) 425-7946
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2007
Enumeration DateDecember 6, 2010
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
NPI 1104129642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in MO · 2024007127
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 2024007127 (MO)
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110

Other Identifiers 1

Medicaid200138988MO

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

Dr. Michelle Lee Cowan 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 ID2668692344
PECOS Enrollment IDI20240411001933
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 5

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.

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.
28 services28 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.
20 services12 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
18 services17 patients
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.
16 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Internal Medicine (Cardiovascular Disease)
1 BARNES JEWISH HOSPITAL PLZ, EAST PAVILLION SUITE 16419
SAINT LOUIS, MO 63110
Anesthesiology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110

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 Michelle Cowan's NPI number?

The NPI number for Michelle Cowan is 1104129642. It was assigned to this individual provider in the NPPES registry on December 6, 2010.

Where is Michelle Cowan located?

Michelle Cowan practices at 1 Barnes Jewish Hospital Plz Div Surg Colon/Rectal, Saint Louis, MO 63110. The listed phone number is (314) 454-7177.

What is Michelle Cowan's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Michelle Cowan enrolled in Medicare?

Yes. Michelle 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 Michelle Cowan accept?

Health plans from Cox HealthPlans and Providence Health Plan list Michelle 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 Michelle Cowan affiliated with any hospitals?

According to CMS data, Michelle Cowan is affiliated with Barnes Jewish Hospital, Missouri Baptist Medical Center and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Cowan was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.