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RUSSELL C COWAN PA
NPI 1164405403
Physician Assistant in Kingsland, TX

Active since November 21, 2005Opted out of Medicare · through Oct 1, 2027
2112 HWY 1431, KINGSLAND, TX 78639(325) 388-3515(325) 388-9417 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Russell C Cowan Pa NPPES

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

RUSSELL C COWAN PA (NPI 1164405403) is an individual physician assistant in Kingsland, Texas, licensed in Texas (PA03054) and active in the NPI registry since November 2005. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164405403
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRUSSELL C COWANCredential: PA
Location Address2112 HWY 1431Kingsland, TX 78639-6010
Mailing Address200 W Ollie StLlano, TX 78643-2628 · (325) 247-5040 · Fax (325) 248-2801
Phone(325) 388-3515
Fax(325) 388-9417
Sole ProprietorNo
Enumeration DateNovember 21, 2005
Last NPPES UpdateOctober 17, 2019
✔ NPI 1164405403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA03054
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2112 HWY 1431, Kingsland, TX 78639
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Russell C Cowan Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78639 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

LLANO COUNTY HOSPITAL AUTHORITY
Clinic/Center (Rural Health)
2112 HWY 1431
KINGSLAND, TX 78639
Llano County (325) 388-3515
JAMES P DONOHUE PA
Physician Assistant
2112 HWY 1431
KINGSLAND, TX 78639
Llano County (325) 388-3515

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 Russell Cowan's NPI number?

The NPI number for Russell Cowan is 1164405403. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Russell Cowan located?

Russell Cowan practices at 2112 Hwy 1431, Kingsland, TX 78639. The listed phone number is (325) 388-3515.

What is Russell Cowan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Russell Cowan enrolled in Medicare?

No. Russell Cowan has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Russell Cowan was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.