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DR. CLAIRE NICOLE MCDOWELL MD
NPI 1124030689
Pediatrics in Englewood, OH

Active since August 13, 2006PECOS Enrolled
200 ROCKRIDGE RD STE 110, ENGLEWOOD, OH 45322(937) 836-9921(937) 836-1298 Get Directions Write a Review

NPPES record last updated: October 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Claire Nicole Mcdowell Md NPPES

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

DR. CLAIRE NICOLE MCDOWELL MD (NPI 1124030689) is an individual pediatrics provider in Englewood, Ohio, licensed in Ohio (35086513) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124030689
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. CLAIRE NICOLE MCDOWELLCredential: MD
Location Address200 ROCKRIDGE RD STE 110Englewood, OH 45322-2751
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129
Phone(937) 836-9921
Fax(937) 836-1298
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateOctober 15, 2023
NPPES CertifiedOctober 15, 2023
✔ NPI 1124030689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35086513
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 ROCKRIDGE RD STE 110, Englewood, OH 45322
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Other Identifiers 1

Medicaid2604480OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Claire Nicole Mcdowell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 45322 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

RACHEL ELIZABETH SIDWELL MD
Pediatrics
200 ROCKRIDGE RD STE 110
ENGLEWOOD, OH 45322
Montgomery County (937) 836-9921
CHRISTOPHER LYNN HARPER MD
Pediatrics
200 ROCKRIDGE RD STE 110
ENGLEWOOD, OH 45322
Montgomery County (937) 836-9921
SAMUEL JAMES DRESSLER MD
Pediatrics
200 ROCKRIDGE RD STE 110
ENGLEWOOD, OH 45322
Montgomery County (937) 836-9921

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 Claire Mcdowell's NPI number?

The NPI number for Claire Mcdowell is 1124030689. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Claire Mcdowell located?

Claire Mcdowell practices at 200 Rockridge Rd Ste 110, Englewood, OH 45322. The listed phone number is (937) 836-9921.

What is Claire Mcdowell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Claire Mcdowell enrolled in Medicare?

Yes. Claire Mcdowell is registered in the Medicare PECOS enrollment system.

What insurance does Claire Mcdowell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Claire Mcdowell 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 Claire Mcdowell was last updated on October 15, 2023. 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.