DR. THOMAS MARTIN COWAN MD
NPI 1558655423
Hospitalist in Columbus, OH

Active since June 08, 2011PECOS EnrolledAccepts Medicare Assignment
82.53/100
CMS Quality Rating
3555 OLENTANGY RIVER RD STE 1080, COLUMBUS, OH 43214(614) 268-8164(614) 268-8406 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2017, Jun 28, 2017 (2 updates tracked since 2017).

About Dr. Thomas Martin Cowan Md NPPES

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

DR. THOMAS MARTIN COWAN MD (NPI 1558655423) is an individual hospitalist provider in Columbus, Ohio, licensed in Ohio (35.130906) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2011).

NPPES Registry Identity

NPI1558655423
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. THOMAS MARTIN COWANCredential: MD
Location Address3555 OLENTANGY RIVER RD STE 1080Columbus, OH 43214-3984
Mailing Address3555 Olentangy River Road, Suite 1080Columbus, OH 43214-3984 · (614) 268-8164 · Fax (614) 268-8406
Fax(614) 268-8406
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2011
Enumeration DateJune 8, 2011
Last NPPES UpdateAugust 21, 20172 updates tracked since enumeration
NPI 1558655423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 35.130906
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 35.130906 (OH)
3555 OLENTANGY RIVER RD STE 1080, Columbus, OH 43214

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

Dr. Thomas Martin Cowan 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.

PECOS PAC ID6709005481
PECOS Enrollment IDI20170724001402
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

82.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers42 claims42 services$15.02 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers46 claims46 services$70.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Hospitalist
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Internal Medicine
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Internal Medicine
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Internal Medicine
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Physician Assistant (Medical)
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Physician Assistant
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214
Internal Medicine
3555 OLENTANGY RIVER RD STE 1080
COLUMBUS, OH 43214

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 Thomas Cowan's NPI number?

The NPI number for Thomas Cowan is 1558655423. It was assigned to this individual provider in the NPPES registry on June 8, 2011.

Where is Thomas Cowan located?

Thomas Cowan practices at 3555 Olentangy River Rd Ste 1080, Columbus, OH 43214. The listed phone number is (614) 268-8164.

What is Thomas Cowan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Thomas Cowan enrolled in Medicare?

Yes. Thomas Cowan 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 Thomas Cowan accept?

Health plans from CareSource and Oscar Health Insurance list Thomas Cowan 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 Thomas Cowan affiliated with any hospitals?

According to CMS data, Thomas Cowan is affiliated with Riverside Methodist Hospital, Mount Carmel St Ann's, Mount Carmel East & West and Mount Carmel New Albany Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Cowan was last updated on August 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.