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DR. ASHWIN GOWDA M.D.
NPI 1669447397
Psychiatry & Neurology - Sleep Medicine in Austin, TX

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
65.73/100
CMS Quality Rating
1221 W BEN WHITE BLVD, SUITE A-100, AUSTIN, TX 78704(512) 440-5757(512) 440-5858 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Ashwin Gowda M.d. NPPES

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

DR. ASHWIN GOWDA M.D. (NPI 1669447397) is an individual sleep medicine provider in Austin, Texas, licensed in Texas (L5347) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1669447397
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameDR. ASHWIN GOWDACredential: M.D.
Location Address1221 W BEN WHITE BLVD, SUITE A-100Austin, TX 78704-7192
Mailing Address1221 W Ben White Blvd, Suite A-100Austin, TX 78704-7192 · (512) 440-5757 · Fax (512) 440-5858
Phone(512) 440-5757
Fax(512) 440-5858
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 17, 2006
Last NPPES UpdateSeptember 6, 2013
✔ NPI 1669447397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License✔ Licensed in TX · L5347
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License L5347 (TX)
1221 W BEN WHITE BLVD, Austin, TX 78704
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Other Identifiers 3

Medicare PIN8F8639TX
Other8AX780TX · Bcbs Individual #
Medicare UPINH27545TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.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. Ashwin Gowda M.d. 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 ID8820172190
PECOS Enrollment IDI20080225000773
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 9

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.

Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
478 services225 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.
440 services330 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
188 services187 patients
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.
171 services161 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
59 services58 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
55 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78704 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

65.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality37.69
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%195 patients
Advance Care Plan
0%1,934 patients1/55-star benchmark: 100%
Breast Cancer Screening
0%1,268 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
0%3,494 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
28%1,063 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
0%371 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%371 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
42%11,688 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
11%3,158 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%3,951 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
98%4,191 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
58%698 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,976 patients
Patients totalRate: 6% · 1,980 patients
6%1,980 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers198 claims198 services$32.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
20 suppliers185 claims185 services$73.85 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
22 suppliers177 claims497 services$28.02 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers109 claims644 services$14.85 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers80 claims453 services$12.76 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
21 suppliers213 claims213 services$46.82 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.

CYDNEY ERIN CALDERON APRN- CNP
Nurse Practitioner
1221 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 440-5757
DR. BIBBY P MATHEW DMD
Dentist (General Practice)
1221 W BEN WHITE BLVD, SUITE 112B
AUSTIN, TX 78704
Travis County (512) 978-9700
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
1221 W BEN WHITE BLVD, STE.112B
AUSTIN, TX 78704
Travis County (512) 978-9700
MRS. NANCY A TURNER M.D.
Obstetrics & Gynecology (Gynecology)
1221 W BEN WHITE BLVD, SUITE B-250
AUSTIN, TX 78704
Travis County (512) 462-1717
DR. MARGARET ELIZABETH RAYNE D.D.S.
Dentist (General Practice)
1221 W BEN WHITE BLVD, SUITE 112A
AUSTIN, TX 78704
Travis County (512) 443-5813
EVA SHAW
Social Worker (Clinical)
1221 W BEN WHITE BLVD, SUITE B100/B200
AUSTIN, TX 78704
Travis County (877) 800-5722
JOSEF E. HOLME, MD, PA
Family Medicine
1221 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 442-1996
DR. MARK S CASTOR DDS
Dentist (General Practice)
1221 W BEN WHITE BLVD, SUITE 207 A
AUSTIN, TX 78704
Travis County (512) 441-7777

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 Ashwin Gowda's NPI number?

The NPI number for Ashwin Gowda is 1669447397. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Ashwin Gowda located?

Ashwin Gowda practices at 1221 W Ben White Blvd Suite A-100, Austin, TX 78704. The listed phone number is (512) 440-5757.

What is Ashwin Gowda's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Ashwin Gowda enrolled in Medicare?

Yes. Ashwin Gowda 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 Ashwin Gowda accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Ashwin Gowda 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.

When was this NPI record last updated?

The NPPES record for Ashwin Gowda was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.