MICHAEL WESTON MCDOWELL DO
NPI 1255655825
Emergency Medicine in South Boston, VA

Active since March 25, 2010PECOS EnrolledAccepts Medicare Assignment
2204 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-3660 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Weston Mcdowell Do NPPES

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

MICHAEL WESTON MCDOWELL DO (NPI 1255655825) is an individual emergency medicine provider in South Boston, Virginia, licensed in Virginia (0102203818) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Sentara Halifax Regional Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1255655825
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL WESTON MCDOWELLCredential: DO
Location Address2204 WILBORN AVESouth Boston, VA 24592-1645
Mailing Address1131 Brook Run RdHalifax, VA 24558-3088 · (434) 517-3660
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 25, 2010
Last NPPES UpdateFebruary 14, 2017
NPI 1255655825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in VA · 0102203818
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2204 WILBORN AVE, South Boston, VA 24592

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

Michael Weston Mcdowell Do 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 ID6002052156
PECOS Enrollment IDI20140829000407
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
111 services102 patients
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.
77 services76 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490013
Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%28 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospice Care, Community Based
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Emergency Medicine
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Specialist
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Nurse Practitioner (Family)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Durable Medical Equipment & Medical Supplies
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Clinic/Center (Emergency Care)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Registered Nurse (Critical Care Medicine)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Radiology (Diagnostic Radiology)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592

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 Michael Mcdowell's NPI number?

The NPI number for Michael Mcdowell is 1255655825. It was assigned to this individual provider in the NPPES registry on March 25, 2010.

Where is Michael Mcdowell located?

Michael Mcdowell practices at 2204 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-3660.

What is Michael Mcdowell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Mcdowell enrolled in Medicare?

Yes. Michael Mcdowell 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 Michael Mcdowell affiliated with any hospitals?

According to CMS data, Michael Mcdowell is affiliated with Sentara Halifax Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michael Mcdowell was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.