DR. MARC XAVIER BOWEN M.D.
NPI 1205815032
Internal Medicine - Pulmonary Disease in New York, NY

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
90.04/100
CMS Quality Rating
209 W 19TH ST, NEW YORK, NY 10011(212) 480-4062(646) 582-1434 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2020, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Marc Xavier Bowen M.d. NPPES

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

DR. MARC XAVIER BOWEN M.D. (NPI 1205815032) is an individual pulmonary disease provider in New York, New York, licensed in New York (197205) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1205815032
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MARC XAVIER BOWENCredential: M.D.
Location Address209 W 19TH STNew York, NY 10011-4001
Mailing Address209 W 19th StNew York, NY 10011-4001 · (212) 480-4062 · Fax (646) 582-1434
Fax(646) 582-1434
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJanuary 19, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
NPI 1205815032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 197205
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 197205 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 197205 (NY)
209 W 19TH ST, New York, NY 10011

Other Identifiers 1

Medicaid01537282NY

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. Marc Xavier 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 ID143353698
PECOS Enrollment IDI20100804000273
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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
761 services291 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
67 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services26 patients
Diagnostic exam of lung airway using an endoscope 31622
This procedure involves a doctor inserting a thin, flexible tube called an endoscope into your lung airway. It allows the doctor to view the airway and diagnose any issues. The process is safe and helps in accurate diagnosis.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330332
Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

90.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.33
Improvement Activities40
Cost59.05

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.

Internal Medicine (Pulmonary Disease)
209 W 19TH ST
NEW YORK, NY 10011
Allergy & Immunology
209 W 19TH ST
NEW YORK, NY 10011

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 Marc Bowen's NPI number?

The NPI number for Marc Bowen is 1205815032. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Marc Bowen located?

Marc Bowen practices at 209 W 19th St, New York, NY 10011. The listed phone number is (212) 480-4062.

What is Marc Bowen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Marc Bowen enrolled in Medicare?

Yes. Marc 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.

Is Marc Bowen affiliated with any hospitals?

According to CMS data, Marc Bowen is affiliated with Nyu Langone Hospitals and Chsli St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Marc Bowen was last updated on January 19, 2024. 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.