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CAITLIN MCGOWAN PA
NPI 1881095610
Physician Assistant in Coronado, CA

Active since September 11, 2014PECOS EnrolledAccepts Medicare Assignment
230 PROSPECT PL STE 340B, CORONADO, CA 92118(619) 522-4000 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, Dec 11, 2020 (2 updates tracked since 2020).

About Caitlin Mcgowan Pa NPPES

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

CAITLIN MCGOWAN PA (NPI 1881095610) is an individual physician assistant in Coronado, California, licensed in California (58460) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Philadelphia College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1881095610
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAITLIN MCGOWANCredential: PA
Location Address230 PROSPECT PL STE 340BCoronado, CA 92118-1991
Mailing Address230 Prospect Pl Ste 340bCoronado, CA 92118-1991 · (619) 522-4000
Phone(619) 522-4000
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2014
Enumeration DateSeptember 11, 2014
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1881095610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · 58460✔ Licensed in NJ · 25MP00785300✔ Licensed in VA · 0110005369
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
230 PROSPECT PL STE 340B, Coronado, CA 92118
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Other Names 1

Former Name (1)Caitlin Mumford Pa

Secondary Practice Locations 2

Location 13520 High St, SUITE 100Portsmouth, VA 23707-3126 · Phone (757) 738-1900 · Fax (757) 393-0815
Location 2132 Grove StHaddonfield, NJ 08033-1224 · Phone (856) 354-2211

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

Caitlin Mcgowan Pa 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 ID3274754767
PECOS Enrollment IDI20240410002664
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 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.
90 services79 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.
50 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92118 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
59%87 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
36%28 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
66%119 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%112 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
76%45 patients4/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
8%49 patients1/55-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 11

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

SHARP HEALTHCARE
General Practice
230 PROSPECT PL STE 340B
CORONADO, CA 92118
San Diego County (619) 522-4000
DR. NEAL PATRICK RIDGE D.O.
Family Medicine
230 PROSPECT PL STE 340B
CORONADO, CA 92118
San Diego County (619) 522-4000
ROSALIND FENTON FNP-BC, GNP-BC
Nurse Practitioner (Family)
230 PROSPECT PL STE 340B
CORONADO, CA 92118
San Diego County (619) 522-4000
DAYNA VAN DOOREN PA-C
Physician Assistant
230 PROSPECT PL STE 340B
CORONADO, CA 92118
San Diego County (619) 522-4000
SARAH DELABAHAN NP-C
Nurse Practitioner
230 PROSPECT PL STE 340B
SAN DIEGO, CA 92118
San Diego County (619) 435-2600
LINDSAY OLSON MACK NP
Nurse Practitioner
230 PROSPECT PL STE 340B
CORONADO, CA 92118
San Diego County (619) 522-4000
MRS. SADAF ILYAS P.A.
Physician Assistant (Medical)
230 PROSPECT PL STE 340B
CORONADO, CA 92118
San Diego County (949) 713-3998
LYNN D BERGER NP
Nurse Practitioner (Adult Health)
230 PROSPECT PL STE 340B
CORONADO, CA 92118
San Diego County (619) 522-4000

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 Caitlin Mcgowan's NPI number?

The NPI number for Caitlin Mcgowan is 1881095610. It was assigned to this individual provider in the NPPES registry on September 11, 2014. The provider is also known as Caitlin Mumford PA.

Where is Caitlin Mcgowan located?

Caitlin Mcgowan practices at 230 Prospect Pl Ste 340B, Coronado, CA 92118. The listed phone number is (619) 522-4000.

What is Caitlin Mcgowan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Caitlin Mcgowan enrolled in Medicare?

Yes. Caitlin Mcgowan 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.

When was this NPI record last updated?

The NPPES record for Caitlin Mcgowan was last updated on February 8, 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.