ANDREW MCGOWAN
NPI 1386004828
Emergency Medicine in Portsmouth, VA

Active since February 25, 2016PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-0669 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Jan 14, 2021, Feb 25, 2016 (3 updates tracked since 2016).

About Andrew Mcgowan NPPES

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

ANDREW MCGOWAN (NPI 1386004828) is an individual emergency medicine provider in Portsmouth, Virginia, licensed in California (A170736) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Virtua Willingboro Hospital, and is a graduate of Albany Medical College Of Union University (2016).

NPPES Registry Identity

NPI1386004828
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANDREW MCGOWAN
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address45 Pinewood AveAlbany, NY 12208-2711 · (203) 940-0028
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2016
Enumeration DateFebruary 25, 2016
Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1386004828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CA · A170736 Licensed in NJ · 25MA11983300
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.
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708

Accepted 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

Andrew Mcgowan 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 ID2961796719
PECOS Enrollment IDI20240416003828
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 4

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.
203 services198 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
40 services39 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.
35 services33 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.
25 services24 patients

Hospital Affiliations CMS Care Compare

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

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23708 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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

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 Andrew Mcgowan's NPI number?

The NPI number for Andrew Mcgowan is 1386004828. It was assigned to this individual provider in the NPPES registry on February 25, 2016.

Where is Andrew Mcgowan located?

Andrew Mcgowan practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-0669.

What is Andrew Mcgowan's specialty?

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

Is Andrew Mcgowan enrolled in Medicare?

Yes. Andrew 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 Andrew Mcgowan accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Andrew 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 Andrew Mcgowan affiliated with any hospitals?

According to CMS data, Andrew Mcgowan is affiliated with Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Mcgowan was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.