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SUSAN MCDOWELL MD
NPI 1861712440
Family Medicine in Asheville, NC

Active since June 07, 2010PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
218 ELKWOOD AVE STE 12, ASHEVILLE, NC 28804(828) 257-4747(828) 257-4763 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2024, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Susan Mcdowell Md NPPES

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

SUSAN MCDOWELL MD (NPI 1861712440) is an individual family medicine provider in Asheville, North Carolina, licensed in North Carolina (2012-00353) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1861712440
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN MCDOWELLCredential: MD
Location Address218 ELKWOOD AVE STE 12Asheville, NC 28804-2211
Mailing AddressPo Box 69Marshall, NC 28753-0069 · (828) 649-9566 · Fax (828) 649-3786
Phone(828) 257-4747
Fax(828) 257-4763
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJune 7, 2010
Last NPPES UpdateNovember 4, 20244 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1861712440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2012-00353
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
218 ELKWOOD AVE STE 12, Asheville, NC 28804
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Secondary Practice Locations 4

Location 180 Guntertown RdMarshall, NC 28753-7806 · Phone (828) 656-2611 · Fax (828) 656-9434
Location 266 NW US 25 70 HwyHot Springs, NC 28743 · Phone (828) 622-3245 · Fax (828) 622-7446
Location 3119 Mountain View RdMars Hill, NC 28754-9500 · Phone (828) 689-3507 · Fax (828) 689-3505
Location 4590 Medical Park DrMarshall, NC 28753-6807 · Phone (828) 649-3500 · Fax (828) 649-1032

Other Identifiers 1

Medicaid1861712440NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and more.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

Susan Mcdowell 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 ID3577712827
PECOS Enrollment IDI20131031001142
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.

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28804 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims22 services$6.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.46 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
3 suppliers25 claims25 services$66.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Susan Mcdowell's NPI number?

The NPI number for Susan Mcdowell is 1861712440. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Susan Mcdowell located?

Susan Mcdowell practices at 218 Elkwood Ave Ste 12, Asheville, NC 28804. The listed phone number is (828) 257-4747.

What is Susan Mcdowell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Mcdowell enrolled in Medicare?

Yes. Susan Mcdowell 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 Susan Mcdowell accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Susan Mcdowell 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 Susan Mcdowell affiliated with any hospitals?

According to CMS data, Susan Mcdowell is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Susan Mcdowell was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.