DR. THEODORE BOWEN MD
NPI 1366853459
Psychiatry & Neurology - Neurology in Cleveland, OH
About Dr. Theodore Bowen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THEODORE BOWEN MD (NPI 1366853459) is an individual neurology provider in Cleveland, Ohio, licensed in Ohio (35.133825) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Ohio State University College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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. Theodore Bowen 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 Reassignments
3Medicare enrollment records show Theodore Bowen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cleveland, OH 44109
- Reassigned Medicare billing, Ohio enrollment
- 2,147 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Canton, OH 44710
- Reassigned Medicare billing, Ohio enrollment
- 189 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Metrohealth System
Acute Care Hospitals · Cleveland, OHAultman Hospital
Acute Care Hospitals · Canton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44109 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, OH 44109
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 Theodore Bowen's NPI number?
The NPI number for Theodore Bowen is 1366853459. It was assigned to this individual provider in the NPPES registry on May 12, 2014.
Where is Theodore Bowen located?
Theodore Bowen practices at 2500 Metrohealth Dr, Cleveland, OH 44109. The listed phone number is (216) 778-7800.
What is Theodore Bowen's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Theodore Bowen enrolled in Medicare?
Yes. Theodore 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.
Which organizations bill Medicare for Theodore Bowen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Bowen reassigns Medicare benefits to 3 organizations: The Metrohealth System (Cleveland, OH), University Hospitals Medical Group Inc (Cleveland, OH) and Ohio Physician Professional Corporation (Canton, OH). Each 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 Theodore Bowen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Bowen accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Theodore Bowen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Theodore Bowen affiliated with any hospitals?
According to CMS data, Theodore Bowen is affiliated with Metrohealth System and Aultman Hospital.
When was this NPI record last updated?
The NPPES record for Theodore Bowen was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Theodore Bowen, MD · NPI 1366853459
Neurology physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since May 12, 2014.
## Identity
- **NPI:** 1366853459 (Entity type: Individual)
- **Enumerated:** May 12, 2014
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 35.133825 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 METROHEALTH DR, Cleveland, OH 44109-1900
- **Phone:** (216) 778-7800
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): The Metrohealth System (NPI 1053353896, Cleveland, OH); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH); Ohio Physician Professional Corporation (NPI 1417016973, Canton, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366853459) · Data from the CMS NPPES public registry.