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CRYSTAL MELANIE BOWDEN-MCKAY M.D.
NPI 1871810069
Internal Medicine - Gastroenterology in Cedar Park, TX

Active since April 27, 2010PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1401 MEDICAL PARKWAY, BLDG. B, SUITE 211, CEDAR PARK, TX 78613(512) 260-1581(512) 406-7309 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2020, Sep 16, 2019, Apr 19, 2018 and 1 more (4 updates tracked since 2018).

About Crystal Melanie Bowden-mckay M.d. NPPES

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

CRYSTAL MELANIE BOWDEN-MCKAY M.D. (NPI 1871810069) is an individual gastroenterology provider in Cedar Park, Texas, licensed in Texas (P6785) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Northwest, and is a graduate of University Of Texas Medical School At Houston (2010).

NPPES Registry Identity

NPI1871810069
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameCRYSTAL MELANIE BOWDEN-MCKAYCredential: M.D.
Location Address1401 MEDICAL PARKWAY, BLDG. B, SUITE 211Cedar Park, TX 78613-5013
Mailing Address12701 Rr 620 N, Ste 101Austin, TX 78750-1141 · (512) 593-6022 · Fax (512) 599-9130
Phone(512) 260-1581
Fax(512) 406-7309
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2010
Enumeration DateApril 27, 2010
Last NPPES UpdateAugust 10, 20204 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1871810069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · P6785
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License P6785 (TX)
1401 MEDICAL PARKWAY, Cedar Park, TX 78613
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Other Identifiers 2

Medicaid328450703TX
Medicaid328450704TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Crystal Melanie Bowden-mckay 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 ID749427441
PECOS Enrollment IDI20131028000777
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.

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.
44 services44 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.
40 services39 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.
38 services28 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
35 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Northwest

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450867
Location11113 Research BoulevardAustin, TX 78759 · Travis County
Emergency services Birthing friendly

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78613 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
73%260 patients4/55-star benchmark: 93%
Cervical Cancer Screening
52%278 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
30%23 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
82%488 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
66%253 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
11%99 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
22%99 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
81%1,057 patients3/55-star benchmark: 100%
e-Prescribing
99%100 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
60%266 patients3/55-star benchmark: 100%
HIV Screening
9%489 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%655 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
97%544 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%504 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 572 patients
Patients screened: 90% · 572 patients
51%39 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%267 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%248 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 271 patients
Patients totalRate: 15% · 283 patients
16%283 patients3/55-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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE MARIE SPALLIN DO
Obstetrics & Gynecology
1401 MEDICAL PARKWAY, BLDG C SUITE 125
CEDAR PARK, TX 78613
Williamson County (512) 528-7385
CLINTON J BAIRD PLC
Neurological Surgery
1401 MEDICAL PARKWAY, BUILDING B SUITE 412
CEDAR PARK, TX 78613
Williamson County (512) 409-9903
KELLY H. SIMPSON MD
Allergy & Immunology
1401 MEDICAL PARKWAY, BLDG. B #220
CEDAR PARK, TX 78613
Williamson County (512) 260-1581
TEMPLE VAMC
Clinic/Center (VA)
1401 MEDICAL PARKWAY, BUILDING C, SUITE 400
CEDAR PARK, TX 78613
Williamson County (615) 355-3451
MAMTA KUMAR M.D.
Internal Medicine
1401 MEDICAL PARKWAY
CEDAR PARK, TX 78613
Williamson County (512) 324-4083
AARON BRADON BALL PA-C
Physician Assistant
1401 MEDICAL PARKWAY, BUILDING B, STE 407
CEDAR PARK, TX 78613
Williamson County (512) 879-1461
AZURE GAIL ADKINS M.D.
Surgery
1401 MEDICAL PARKWAY, BLDG. B., SUITE 200
CEDAR PARK, TX 78613
Williamson County (512) 260-1581
DR. CHRISTOPHER WILLIAM BAILEY MD, FACS
Surgery
1401 MEDICAL PARKWAY, BLDG B SUTIE 200
CEDAR PARK, TX 78613
Williamson County (512) 260-1581

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 Crystal Bowden-mckay's NPI number?

The NPI number for Crystal Bowden-mckay is 1871810069. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Where is Crystal Bowden-mckay located?

Crystal Bowden-mckay practices at 1401 Medical Parkway Bldg. B, Suite 211, Cedar Park, TX 78613. The listed phone number is (512) 260-1581.

What is Crystal Bowden-mckay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Crystal Bowden-mckay enrolled in Medicare?

Yes. Crystal Bowden-mckay 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 Crystal Bowden-mckay accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Crystal Bowden-mckay 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 Crystal Bowden-mckay affiliated with any hospitals?

According to CMS data, Crystal Bowden-mckay is affiliated with Ascension Seton Northwest and Ascension Seton Williamson.

When was this NPI record last updated?

The NPPES record for Crystal Bowden-mckay was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.