DR. STEVEN COWART M.D. NPI 1184675118
Internal Medicine - Endocrinology, Diabetes & Metabolism in Huntsville, AL

Individual Male Years of Experience 39 Internal Medicine Endocrinology, Diabetes & Metabolism PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 30 Medicare Quality Reporting

About DR. STEVEN COWART M.D.

Steven Cowart is an internist established in Huntsville, Alabama and his medical specialization is Internal Medicine with a focus in endocrinology, diabetes & metabolism with more than 39 years of experience. He graduated from University Of Alabama School Of Medicine in 1984. The NPI number of Steven Cowart is 1184675118 and was assigned on May 2006. The practitioner's primary taxonomy code is 207RE0101X with license number 16318 (AL). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1184675118
Provider NameDR. STEVEN COWART M.D.
Provider Location Address201 SIVLEY RD SW SUITE 450 HUNTSVILLE, AL 35801
Provider Mailing Address201 SIVLEY RD SW SUITE 450 HUNTSVILLE, AL 35801
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year1984
Is Sole Proprietor?N/A
Enumeration Date05-15-2006
Last Update Date07-08-2007

An internist like Dr. Steven Cowart M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Steven Cowart is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Steven Cowart is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Huntsville Hospital, Athens Limestone Hospital, Marshall Medical Centers, Decatur Morgan Hospital - Decatur Campus and Crestwood Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: annual registration in the prescription drug monitoring program, diabetes: foot exam, diabetes: medical attention for nephropathy, documentation of current medications in the medical record, e-prescribing, immunization registry reporting, implementation of use of specialist reports back to referring clinician or group to close referral loop, medication reconciliation, patient-specific education, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: influenza immunization, provide patient access, secure messaging, security risk analysis, specialized registry reporting and use of high-risk medications in the elderly.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.26 for a new patient copayment and $24.83 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207RE0101X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationEndocrinology, Diabetes & Metabolism
License No.16318
License StateAL
Taxonomy DescriptionAn internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Business Address

DR. STEVEN COWART M.D.
201 SIVLEY RD SW
SUITE 450
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 551-4505
Fax: (256) 551-4474

Get Directions


Mailing Address

DR. STEVEN COWART M.D.
201 SIVLEY RD SW
SUITE 450
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 551-4505
Fax: (256) 551-4474


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3274617378
PECOS Enrollment IDI20080228000132
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 35801 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.54 $170.61 $129.05
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.88 $42.65 $32.26
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.93 $139.08 $99.33
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.23 $34.77 $24.83

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 30
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Diabetes: Foot Exam 100% 1632
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
Diabetes: Medical Attention for Nephropathy 49% 1632
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
Documentation of Current Medications in the Medical Record 87% 6852
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 95% 2447
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Immunization Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral LoopYesN/A
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.
Medication Reconciliation 100% 198
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.
Patient-Specific Education 10% 1841
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.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 21% 3583
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Influenza Immunization 7% 2379
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Provide Patient Access 92% 1841
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 certain information.
Secure Messaging 4% 1841
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 message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.
Use of High-Risk Medications in the Elderly 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
1380
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1806Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • 1463Hemoglobin A1C level (HCPCS:83036)
  • 57Administration of influenza virus vaccine (HCPCS:G0008)
  • 17Fine needle aspiration using imaging guidance (HCPCS:10022)
  • 15Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Steven Cowart is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HUNTSVILLE HOSPITAL101 SIVLEY RD
HUNTSVILLE, AL 35801
(256) 265-1000Acute Care Hospitals10039
ATHENS LIMESTONE HOSPITAL700 WEST MARKET STREET
ATHENS, AL 35611
(256) 233-9292Acute Care Hospitals10079
MARSHALL MEDICAL CENTERS2505 U S HIGHWAY 431 NORTH
BOAZ, AL 35957
(256) 593-8310Acute Care Hospitals10005
DECATUR MORGAN HOSPITAL - DECATUR CAMPUS1201 7TH STREET SE
DECATUR, AL 35601
(256) 341-2000Acute Care Hospitals10085
CRESTWOOD MEDICAL CENTERONE HOSPITAL DR SE
HUNTSVILLE, AL 35801
(256) 882-3100Acute Care Hospitals10131

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
51078422OTHER (01)ALBCBS PROVIDER NUMBER
E07097MEDICARE UPIN (02)AL

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184675118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641271012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 2 + 7 + 1 + 0 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1184675118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235122177DR. EVAN SCOTT COHEN M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1639162571DR. THOMAS BENTON WASHBURN JR. M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1619960549DR. RICHARD LLOYD CLAY M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1336132281HUNTSVILLE CARDIOTHORACIC SURGEONS, PC
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1225015514DR. SHARON FOSTER GARDEPE MD
Individual
Dermatology201 SIVLEY RD SW STE 510
HUNTSVILLE, AL 35801
(256) 536-0992
1891773396HUNTSVILLE CARDIAC ANESTHESIA
Organization
Anesthesiology201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1649258260DR. ERIC MURRAY M.D.
Individual
Anesthesiology201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1437117603DR. MARCO CIOPPI MD
Individual
Surgery (Vascular Surgery)201 SIVLEY RD SW STE 305
HUNTSVILLE, AL 35801
(256) 536-9000
1790734051DR. RICK MICHIEL ROBERTS M.D.
Individual
Surgery (Vascular Surgery)201 SIVLEY RD SW SUITE 305
HUNTSVILLE, AL 35801
(256) 536-9000
1104876770DR. JAMES ROBERT LANCASTER M.D.
Individual
Surgery201 SIVLEY RD SW SUITE 320
HUNTSVILLE, AL 35801
(256) 536-7840
1902832447VASCULAR SURGERY ASSOCIATES
Organization
Preferred Provider Organization201 SIVLEY RD SW SUITE 305
HUNTSVILLE, AL 35801
(256) 536-9000
1073538732THE CENTER FOR CANCER CARE, PC
Organization
Clinic/Center (Oncology, Radiation)201 SIVLEY RD SW GROUND FLOOR
HUNTSVILLE, AL 35801
(256) 265-6590
1942228283 JESUS HERNANDEZ M.D.
Individual
Internal Medicine (Rheumatology)201 SIVLEY RD SW SUITE 600
HUNTSVILLE, AL 35801
(256) 551-6510
1932291747ENDOCRINOLOGY AND DIABETES ASSOCIATES, LLC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)201 SIVLEY RD SW SUITE 450
HUNTSVILLE, AL 35801
(256) 551-4505
1366561078 LUANN HOLLOWAY NP
Individual
Nurse Practitioner201 SIVLEY RD SW SUITE GROUND 2 BLACKWELL MEDICAL TOWER
HUNTSVILLE, AL 35801
(256) 265-6500
1891907515DR. YI JIA M.D.
Individual
Internal Medicine201 SIVLEY RD SW SUITE 500
HUNTSVILLE, AL 35801
(256) 265-3883
1700083482 VARUN RAMESH PUDUCHERI MD
Individual
Internal Medicine201 SIVLEY RD SW SUITE GROUND 2 BLACKWELL MEDICAL TOWER
HUNTSVILLE, AL 35801
(256) 265-6500
1730360629DR. SUDHEER R KANTHARAJPUR M.D., M.H.A
Individual
Hospitalist201 SIVLEY RD SW SUITE 500
HUNTSVILLE, AL 35801
(256) 265-3880
1497085013MRS. DIANE LOUISE BAREFIELD CRNP
Individual
Nurse Practitioner (Family)201 SIVLEY RD SW SUITE 30
HUNTSVILLE, AL 35801
(256) 265-6854
1801117262ALABAMA CENTER FOR INFECTIOUS DISEASE
Organization
Internal Medicine (Infectious Disease)201 SIVLEY RD SW SUITE 540
HUNTSVILLE, AL 35801
(256) 265-1902

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Steven Cowart M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.