DR. MARK MATTHEW BOWMAN DDS MSD INC.
NPI 1417067430
Dentist - Periodontics in Medina, OH

Active since August 30, 2006PECOS Enrolled
3637 MEDINA RD, SUITE 215, MEDINA, OH 44256(330) 722-6884(330) 722-0575 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Matthew Bowman Dds Msd Inc. NPPES

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

DR. MARK MATTHEW BOWMAN DDS MSD INC. (NPI 1417067430) is an individual periodontics provider in Medina, Ohio, licensed in Ohio (20639) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417067430
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MARK MATTHEW BOWMANCredential: DDS MSD INC.
Location Address3637 MEDINA RD, SUITE 215Medina, OH 44256-8154
Mailing Address3637 Medina Rd, Suite 215Medina, OH 44256-8154 · (330) 722-6884 · Fax (330) 722-0575
Fax(330) 722-0575
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 12, 2012
NPI 1417067430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in OH · 20639
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3637 MEDINA RD, Medina, OH 44256

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark Matthew Bowman Dds Msd Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44256 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
3637 MEDINA RD, SUITE 220
MEDINA, OH 44256
Dentist (General Practice)
3637 MEDINA RD, SUITE #200
MEDINA, OH 44256
Family Medicine
3637 MEDINA RD, SUITE 70
MEDINA, OH 44256
Dentist (General Practice)
3637 MEDINA RD, SUITE #200
MEDINA, OH 44256
Family Medicine
3637 MEDINA RD
MEDINA, OH 44256
Dentist (General Practice)
3637 MEDINA RD, SUITE 100
MEDINA, OH 44256
Dentist (General Practice)
3637 MEDINA RD, SUITE 145
MEDINA, OH 44256
Dentist (General Practice)
3637 MEDINA RD, SUITE 200
MEDINA, OH 44256

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 Mark Bowman's NPI number?

The NPI number for Mark Bowman is 1417067430. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mark Bowman located?

Mark Bowman practices at 3637 Medina Rd Suite 215, Medina, OH 44256. The listed phone number is (330) 722-6884.

What is Mark Bowman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Mark Bowman enrolled in Medicare?

Yes. Mark Bowman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Bowman was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.