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DR. ROBERT E BOWEN M.D.
NPI 1124042684
Internal Medicine - Critical Care Medicine in Martinsburg, WV

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
2000 FOUNDATION WAY, SUITE 2400, MARTINSBURG, WV 25401(304) 264-9080(304) 264-9082 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Robert E Bowen M.d. NPPES

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

DR. ROBERT E BOWEN M.D. (NPI 1124042684) is an individual critical care medicine provider in Martinsburg, West Virginia, licensed in West Virginia (12922) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1124042684
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. ROBERT E BOWENCredential: M.D.
Location Address2000 FOUNDATION WAY, SUITE 2400Martinsburg, WV 25401-9003
Mailing Address2000 Foundation Way, Suite 2400Martinsburg, WV 25401-9003 · (304) 264-9080 · Fax (304) 264-9082
Phone(304) 264-9080
Fax(304) 264-9082
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1124042684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in WV · 12922
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 12922 (WV)
2000 FOUNDATION WAY, Martinsburg, WV 25401
Open in Google Maps ↗

Other Identifiers 1

Medicaid0083642000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert E Bowen 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 ID1456245281
PECOS Enrollment IDI20040218000345
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Robert Bowen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Robert E. Bowen, MD, Ltd
Same address
Medical Specialty
2000 FOUNDATION WAY, SUITE 2400
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
NPI 1093931255 (304) 264-9080
University Hematology And Oncology
0.1 mi
Clinical Medical Laboratory
2008 PROFESSIONAL CT
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 clinicians in this Medicare group
NPI 1306125612 (304) 293-7401
Potomac Valley Hospital Of Wv, Inc.
54 mi
Internal Medicine
566 S MINERAL ST
Keyser, WV 26726
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: Potomac Valley Hospital Of W Va, Inc
  • Also billed through NPI 1912979873 (West Virginia)
  • 147 clinicians in this Medicare group
NPI 1578305256 (304) 788-6685
Specialty Physicians Of Garrett County, LLC
64 mi
Mental Health (Including Community Mental Health Center)
32 CORPORATE DR
Grantsville, MD 21536
  • Reassigned Medicare billing, Maryland enrollment
  • 120 clinicians in this Medicare group
NPI 1881361442 (301) 895-8750
Grant Memorial Hospital Inc
70 mi
Critical Access
117 HOSPITAL DR
Petersburg, WV 26847
  • Reassigned Medicare billing, West Virginia enrollment
  • 85 clinicians in this Medicare group
NPI 1013603919 (304) 257-1026

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels G0400
A Home Sleep Test (HST) with a Type IV Portable Monitor is a non-invasive test done at home. It records your sleep patterns, breathing, oxygen levels, and heart rate to help diagnose sleep disorders like sleep apnea. It's unattended and uses minimum of 3 channels for data collection.
88 services88 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
67 services66 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
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.

MRS. JENNIFER W MILLER RDN
Dietitian, Registered
2000 FOUNDATION WAY, SUITE 3800
MARTINSBURG, WV 25401
Berkeley County (304) 579-6839
MRS. ALICIA WINFIELD RN, MSN, CDE
Registered Nurse (Diabetes Educator)
2000 FOUNDATION WAY, SUITE 3800
MARTINSBURG, WV 25401
Berkeley County (304) 596-6839
SARAH MCLELLAN MD
Anesthesiology
2000 FOUNDATION WAY, SUITE 3400
MARTINSBURG, WV 25401
Berkeley County (304) 264-1000
UNIVERSITY HEALTHCARE PHYSICIANS, INC
Internal Medicine (Hematology & Oncology)
2000 FOUNDATION WAY, STE 2600
MARTINSBURG, WV 25401
Berkeley County (304) 264-9202
CITY HOSPITAL INC
General Acute Care Hospital
2000 FOUNDATION WAY, SUITE 2200
MARTINSBURG, WV 25401
Berkeley County (304) 264-1247
ROBERT E. BOWEN, MD, LTD
Clinic/Center (Medical Specialty)
2000 FOUNDATION WAY, SUITE 2400
MARTINSBURG, WV 25401
Berkeley County (304) 264-9080
KIGGUNDU RADIATION THERAPY, PA
Radiology (Radiation Oncology)
2000 FOUNDATION WAY, SUITE 1100
MARTINSBURG, WV 25401
Berkeley County (304) 262-8800
BELLA SHUPP
Physician Assistant (Medical)
2000 FOUNDATION WAY
MARTINSBURG, WV 25401
Berkeley County (304) 264-1000

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 Robert Bowen's NPI number?

The NPI number for Robert Bowen is 1124042684. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Robert Bowen located?

Robert Bowen practices at 2000 Foundation Way Suite 2400, Martinsburg, WV 25401. The listed phone number is (304) 264-9080.

What is Robert Bowen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Robert Bowen enrolled in Medicare?

Yes. Robert Bowen 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.

Which organizations bill Medicare for Robert Bowen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Bowen reassigns Medicare benefits to 5 organizations: Robert E. Bowen, MD, Ltd (Martinsburg, WV), University Hematology And Oncology (Martinsburg, WV), Potomac Valley Hospital Of Wv, Inc. (Keyser, WV), Specialty Physicians Of Garrett County, LLC (Grantsville, MD) and Grant Memorial Hospital Inc (Petersburg, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Bowen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Bowen accept?

Health plans from CareSource list Robert Bowen 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 Robert Bowen affiliated with any hospitals?

According to CMS data, Robert Bowen is affiliated with Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Bowen was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.