DR. STEPHEN R BOWEN PH.D., M.D. NPI 1689688111

Internal Medicine in Sylacauga, AL

NPI 1689688111 Individual Male Years of Experience 38 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About STEPHEN BOWEN

Stephen Bowen is an internal medicine provider established in Sylacauga, Alabama and his medical specialization is internal medicine with more than 38 years of experience. He graduated from University Of Alabama School Of Medicine in 1984. The NPI number of Stephen Bowen is 1689688111 and was assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number 10458 (AL). The provider is registered as an individual and his NPI record was last updated 14 years ago.

An internist like Dr. Stephen R Bowen Ph.d., M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Stephen Bowen is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Stephen Bowen is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Coosa Valley Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: annual registration in the prescription drug monitoring program, consultation of the prescription drug monitoring program, documentation of current medications in the medical record, e-prescribing, health information exchange, immunization registry reporting, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: influenza immunization, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging, security risk analysis, specialized registry reporting, tobacco use, use of high-risk medications in the elderly and use of high-risk medications in the elderly. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1689688111

Provider NameDR. STEPHEN R BOWEN PH.D., M.D.
Provider Location Address209 W SPRING ST SUITE 200 SYLACAUGA, AL 35150
Provider Mailing Address209 W SPRING ST SUITE 200 SYLACAUGA, AL 35150
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year1984
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-28-2006
Last Update Date05-16-2008


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.10458
License StateAL
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. STEPHEN R BOWEN PH.D., M.D.
209 W SPRING ST
SUITE 200
SYLACAUGA, AL
ZIP 35150
Phone: (256) 245-5241
Fax: (256) 245-0194

Get Directions


Mailing Address

DR. STEPHEN R BOWEN PH.D., M.D.
209 W SPRING ST
SUITE 200
SYLACAUGA, AL
ZIP 35150
Phone: (256) 245-5241
Fax: (256) 245-0194



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6305846916
PECOS Enrollment IDI20100330001162
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1031Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 602Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 406Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 278Hemoglobin A1C level (HCPCS:83036)
  • 113Administration of influenza virus vaccine (HCPCS:G0008)
  • 110Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 95Administration of pneumococcal vaccine (HCPCS:G0009)
  • 88Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 70Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 64Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 63X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 58Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 43Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Documentation of Current Medications in the Medical Record 98% 2661
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 95% 2294
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 40% 25
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Patient-Specific Education 56% 522
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 38% 599
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 94% 1269
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Influenza Immunization 17% 783
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 50% 181
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95% 687
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84% 687
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 59% 522
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 1% 522
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Use of High-Risk Medications in the Elderly 13% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
599
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
Use of High-Risk Medications in the Elderly 28% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
599
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Stephen Bowen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
COOSA VALLEY MEDICAL CENTER315 W HICKORY ST
SYLACAUGA, AL 35150
(256) 249-5000Acute Care Hospitals10164

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C73071MEDICARE UPIN (02)AL
009971300MEDICAID (05)AL
51075938OTHER (01)AL
00075938MEDICARE ID-TYPE UNSPECIFIED (04)AL
110229290OTHER (01)AL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114911518DR. NADER BISHARA M.D.
Individual
Pediatrics209 W SPRING ST SUITE 100
SYLACAUGA, AL 35150
(256) 245-1237
1184669483CRADDOCK HEALTH CENTER P C
Organization
Internal Medicine209 W SPRING ST SUITE 200
SYLACAUGA, AL 35150
(256) 245-5241
1285648048MR. WALTER P PINSON M.D.
Individual
Internal Medicine209 W SPRING ST SUITE 200
SYLACAUGA, AL 35150
(256) 245-5241
1780698225DR. LAURA G DEICHMANN M.D.
Individual
Internal Medicine209 W SPRING ST SUITE 200
SYLACAUGA, AL 35150
(256) 245-5241
1073527826DR. MOHAMED AMMAR ALDAHER M.D.
Individual
Internal Medicine209 W SPRING ST SUITE 200
SYLACAUGA, AL 35150
(256) 245-5241
1093725624MR. IMAD KHDAIR MD
Individual
Internal Medicine209 W SPRING ST SUITE 200
SYLACAUGA, AL 35150
(256) 245-5241
1861503831MRS. TERESA K PAYTON PT
Individual
Physical Therapist209 W SPRING ST SUITE 302
SYLACAUGA, AL 35150
(256) 249-2249
1356531099COOSA VALLEY PEDIATRICS
Organization
Pediatrics209 W SPRING ST SUITE 304
SYLACAUGA, AL 35150
(256) 208-0060
1306071550MR. WILLIAM THOMAS WRIGHT MSSW, LCSW
Individual
Social Worker (Clinical)209 W SPRING ST SUITE 304
SYLACAUGA, AL 35150
(256) 401-4695
1962790816ORTHOSPORTS ASSOCIATES, LLC
Organization
Orthopaedic Surgery209 W SPRING ST SUITE 301
SYLACAUGA, AL 35150
(205) 249-2249
1861596090 RENEE S DAVIS M.D.
Individual
Family Medicine209 W SPRING ST SUITE 102
SYLACAUGA, AL 35150
(256) 401-4686
1205923554 CLAYTON H. DAVIS M.D.
Individual
Family Medicine209 W SPRING ST SUITE 102
SYLACAUGA, AL 35150
(256) 401-4686
1770874695 ANTHONY JEROME NIX JR. M.D.
Individual
Family Medicine209 W SPRING ST SUITE 100
SYLACAUGA, AL 35150
(256) 401-4686
1083014658PATHWAY PEDIATRICS, INC.
Organization
Pediatrics209 W SPRING ST SUITE 300
SYLACAUGA, AL 35150
(256) 208-0060
1912049420DR. LESLIE ROBINSON SAWYER M.D.
Individual
Pediatrics209 W SPRING ST SUITE 300
SYLACAUGA, AL 35150
(256) 208-0060
1821101320HEMATOLOGY AND ONCOLOGY ASSOCIATES OF ALABAMA, LLC
Organization
Internal Medicine (Hematology & Oncology)209 W SPRING ST SUITE 303
SYLACAUGA, AL 35150
(256) 401-0417
1073904561MS. LAURA TUBBS CRNP
Individual
Nurse Practitioner (Pediatrics)209 W SPRING ST #300
SYLACAUGA, AL 35150
(256) 208-0060
1790773380DR. ALICE MANSELL HARDY M.D.
Individual
Pediatrics209 W SPRING ST SUITE 300
SYLACAUGA, AL 35150
(256) 208-0060
1912135542TROPEANO ORTHOPAEDICS AND SPORTS MEDICINE
Organization
Orthopaedic Surgery (Sports Medicine)209 W SPRING ST SUITE 301
SYLACAUGA, AL 35150
(256) 208-0118
1003261033 KRISTEN LAWHORN CRNP
Individual
Nurse Practitioner (Primary Care)209 W SPRING ST SUITE 300
SYLACAUGA, AL 35150
(256) 208-0060

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.