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MR. SENECA C MCGOWAN PA-C
NPI 1366952699
Physician Assistant in Louisville, KY

Active since September 29, 2017PECOS EnrolledAccepts Medicare Assignment
2800 BRECKENRIDGE LN STE 300, LOUISVILLE, KY 40220(502) 259-3341(502) 259-3342 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2024, Nov 8, 2021, Oct 7, 2019 and 1 more (4 updates tracked since 2018).

About Mr. Seneca C Mcgowan Pa-c NPPES

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

MR. SENECA C MCGOWAN PA-C (NPI 1366952699) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA3102) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366952699
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SENECA C MCGOWANCredential: PA-C
Location Address2800 BRECKENRIDGE LN STE 300Louisville, KY 40220-1779
Mailing Address2800 Breckenridge Ln Ste 300Louisville, KY 40220-1779 · (502) 259-3341 · Fax (502) 259-3342
Phone(502) 259-3341
Fax(502) 259-3342
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 29, 2017
Last NPPES UpdateJuly 17, 20244 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1366952699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA3102
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2800 BRECKENRIDGE LN STE 300, Louisville, KY 40220
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Other Identifiers 2

Medicaid300011189IN
Medicaid7100577820KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Mr. Seneca C Mcgowan Pa-c 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 ID1557621224
PECOS Enrollment IDI20221212001955
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.

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.
160 services116 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services60 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
32 services29 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40220 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Seneca Mcgowan's NPI number?

The NPI number for Seneca Mcgowan is 1366952699. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Seneca Mcgowan located?

Seneca Mcgowan practices at 2800 Breckenridge Ln Ste 300, Louisville, KY 40220. The listed phone number is (502) 259-3341.

What is Seneca Mcgowan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Seneca Mcgowan enrolled in Medicare?

Yes. Seneca 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.

What insurance does Seneca Mcgowan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Seneca Mcgowan 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 Seneca Mcgowan affiliated with any hospitals?

According to CMS data, Seneca Mcgowan is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Seneca Mcgowan was last updated on July 17, 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.