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MICHAEL SIMON COWHER MD
NPI 1669622734
Surgery - Surgical Oncology in Pittsburgh, PA

Active since September 25, 2008PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
300 HALKET ST, PITTSBURGH, PA 15213(412) 715-9485 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2022, Apr 29, 2022, Apr 8, 2021 and 4 more (7 updates tracked since 2017).

About Michael Simon Cowher Md NPPES

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

MICHAEL SIMON COWHER MD (NPI 1669622734) is an individual surgical oncology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD432080) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Northeastern Ohio University College Of Medicine (2004).

NPPES Registry Identity

NPI1669622734
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameMICHAEL SIMON COWHERCredential: MD
Location Address300 HALKET STPittsburgh, PA 15213-3108
Mailing Address300 Halket StPittsburgh, PA 15213-3108 · (724) 720-3623
Phone(412) 715-9485
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2004
Enumeration DateSeptember 25, 2008
Last NPPES UpdateAugust 31, 20227 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1669622734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in PA · MD432080
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 28283 (WV), MD432080 (PA)
300 HALKET ST, Pittsburgh, PA 15213
Open in Google Maps ↗

Other Identifiers 2

Medicaid3084031OH
Medicaid102992729PA

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

Michael Simon Cowher 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 ID6901099290
PECOS Enrollment IDI20150121000248
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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
45 services45 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
32 services27 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

KIMBERLY BARCASKEY
Nurse Practitioner (Obstetrics & Gynecology)
300 HALKET ST, SUITE 0610
PITTSBURGH, PA 15213
Allegheny County (412) 641-6412
CHELSEA RENEE ANDERSON
Nurse Practitioner
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 354-3907
ALLISON JOY DIPLACIDO
Nurse Practitioner (Neonatal, Critical Care)
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (844) 300-7606
MEENA SETHURAMAN MD
Student in an Organized Health Care Education/Training Program
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 641-4455
JEFFREY FINE
Pathology (Anatomic Pathology & Clinical Pathology)
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 641-5400
ZENAIDA ROSADO
Obstetrics & Gynecology
300 HALKET ST, SUITE 5120
PITTSBURGH, PA 15213
Allegheny County (412) 641-6476
EDNA CHEUNG PHARM.D.
Pharmacist
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 641-4356
BENJAMIN ASCARI CRNA
Nurse Anesthetist, Certified Registered
300 HALKET ST, UPMC EAST
PITTSBURGH, PA 15213
Allegheny County (866) 696-2433

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 Michael Cowher's NPI number?

The NPI number for Michael Cowher is 1669622734. It was assigned to this individual provider in the NPPES registry on September 25, 2008.

Where is Michael Cowher located?

Michael Cowher practices at 300 Halket St, Pittsburgh, PA 15213. The listed phone number is (412) 715-9485.

What is Michael Cowher's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Michael Cowher enrolled in Medicare?

Yes. Michael Cowher 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.

Is Michael Cowher affiliated with any hospitals?

According to CMS data, Michael Cowher is affiliated with Upmc Jameson, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Michael Cowher was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.