DR. DAVID E SOWA M.D.
NPI 1104813377
Obstetrics & Gynecology in Plainville, CT

Q: What is David Sowa's NPI number?

The NPI number for David Sowa is 1104813377. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is David Sowa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Sowa was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment

184 EAST ST, GROVE HILL MEDICAL CENTER, PLAINVILLE, CT 06062(860) 747-0730(860) 747-2028 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. David E Sowa M.d. NPPES

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

DR. DAVID E SOWA M.D. (NPI 1104813377) is an individual obstetrics & gynecology provider in Plainville, Connecticut, licensed in Connecticut (029591) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1985).

NPPES Registry Identity

NPI1104813377

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. DAVID E SOWACredential: M.D.

Location Address184 EAST ST, GROVE HILL MEDICAL CENTERPlainville, CT 06062-2913

Mailing Address300 Kensington Ave, Grove Hill Medical CenterNew Britain, CT 06051-3916 · (860) 747-0730 · Fax (860) 747-2028

Phone(860) 747-0730

Fax(860) 747-2028

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1985

Enumeration DateOctober 4, 2005

Last NPPES UpdateJuly 9, 2007

✔ NPI 1104813377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CT · 029591

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.

184 EAST ST, Plainville, CT 06062

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Other Identifiers 14

OtherP369836CT · Oxford

Medicare ID-Type Unspecified160000710CT

Other01029591CT · Cigna

Other1255448144CT · Ghmc Group Npi Id

Other2959101CT · Connecticare

Medicaid004196095CT

Other010029591CT01CT · Bcbs & Bcfp Id

Medicare ID-Type UnspecifiedC01373CT · Ghmc Group Medicare Id

Other160031240CT · Rail Road Medicare

Other482005CT · Aetna

Other368793CT · Wellcare Medicare

Medicaid001295915CT

Other060027CT · Health Net

Medicare UPIND85312

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. David E Sowa 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 ID446399315

PECOS Enrollment IDI20091207000156

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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

48 services48 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06062 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

95%2,024 patients4/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

71%127 patients3/55-star benchmark: 96%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

75%72 patients3/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

6%1,695 patients1/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

25%1,695 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

2%1,695 patients1/55-star benchmark: 59%

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 8

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

OOSMAN TARIQ

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