DR. HEATHER MCGOWAN MD
NPI 1265097364
Ophthalmology in Tinton Falls, NJ
About Dr. Heather Mcgowan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEATHER MCGOWAN MD (NPI 1265097364) is an individual ophthalmology provider in Tinton Falls, New Jersey, licensed in New Jersey (25MA11722200) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2019).
NPPES Registry Identity
Specialties & Licenses
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. Heather Mcgowan Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Heather Mcgowan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tinton Falls, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverview Medical Center
Acute Care Hospitals · Red Bank, NJMonmouth Medical Center
Acute Care Hospitals · Long Branch, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
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 Heather Mcgowan's NPI number?
The NPI number for Heather Mcgowan is 1265097364. It was assigned to this individual provider in the NPPES registry on May 3, 2019.
Where is Heather Mcgowan located?
Heather Mcgowan practices at 21 N Gilbert St, Tinton Falls, NJ 07701. The listed phone number is (732) 741-1902.
What is Heather Mcgowan's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Heather Mcgowan enrolled in Medicare?
Yes. Heather Mcgowan 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 organization bills Medicare for Heather Mcgowan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Mcgowan reassigns Medicare benefits to Monmouth Eye Center LLC (Tinton Falls, NJ). The 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 Heather Mcgowan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Heather Mcgowan affiliated with any hospitals?
According to CMS data, Heather Mcgowan is affiliated with Riverview Medical Center and Monmouth Medical Center.
When was this NPI record last updated?
The NPPES record for Heather Mcgowan was last updated on February 2, 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.
# Dr. Heather Mcgowan, MD · NPI 1265097364
Ophthalmology physician in Tinton Falls, New Jersey. Individual provider, active in the CMS NPPES registry since May 3, 2019.
## Identity
- **NPI:** 1265097364 (Entity type: Individual)
- **Enumerated:** May 3, 2019
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 25MA11722200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 21 N GILBERT ST, Tinton Falls, NJ 07701-4950
- **Phone:** (732) 741-1902
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Monmouth Eye Center LLC (NPI 1144172180, Tinton Falls, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers R W Johnson Medical School, class of 2019
## Record status
- **NPPES last updated:** February 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265097364) · Data from the CMS NPPES public registry.