DONALD ANDREW BOWSHER FNP
NPI 1730460528
Nurse Practitioner - Family in Newark, OH

Active since September 07, 2011PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
1320 W MAIN ST, NEWARK, OH 43055(220) 564-7750 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2024, Jan 25, 2022, Mar 19, 2019 and 1 more (4 updates tracked since 2017).

About Donald Andrew Bowsher Fnp NPPES

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

DONALD ANDREW BOWSHER FNP (NPI 1730460528) is an individual family provider in Newark, Ohio, licensed in Ohio (APRN.CNP.022820) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1730460528
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDONALD ANDREW BOWSHERCredential: FNP
Location Address1320 W MAIN STNewark, OH 43055-1822
Mailing Address1320 W Main StNewark, OH 43055-1822 · (220) 564-7750
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 7, 2011
Last NPPES UpdateJuly 3, 20244 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
NPI 1730460528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in OH · APRN.CNP.022820 Licensed in WV · 57555
1320 W MAIN ST, Newark, OH 43055

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

Donald Andrew Bowsher Fnp 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 ID2163681131
PECOS Enrollment IDI20190516002458
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 6

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.

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.
247 services202 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.
95 services88 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
91 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services29 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services13 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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
$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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Pharmacist
1320 W MAIN ST
NEWARK, OH 43055
Nurse Practitioner
1320 W MAIN ST
NEWARK, OH 43055
Pharmacist (Emergency Medicine)
1320 W MAIN ST
NEWARK, OH 43055
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055

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 Donald Bowsher's NPI number?

The NPI number for Donald Bowsher is 1730460528. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Where is Donald Bowsher located?

Donald Bowsher practices at 1320 W Main St, Newark, OH 43055. The listed phone number is (220) 564-7750.

What is Donald Bowsher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Donald Bowsher enrolled in Medicare?

Yes. Donald Bowsher 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 Donald Bowsher accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Donald Bowsher 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 Donald Bowsher affiliated with any hospitals?

According to CMS data, Donald Bowsher is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald Bowsher was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.