JOSEPH E ROWANE D.O.
NPI 1891762431
Internal Medicine - Pulmonary Disease in Erie, PA

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
204 W 26TH ST, ERIE, PA 16508(814) 864-4755(814) 864-5430 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2026, Oct 5, 2020 (2 updates tracked since 2020).

About Joseph E Rowane D.o. NPPES

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

JOSEPH E ROWANE D.O. (NPI 1891762431) is an individual pulmonary disease provider in Erie, Pennsylvania, licensed in Pennsylvania (OS009188L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Mahaska Health Partnership, and maintains a secondary practice location in Oskaloosa.

NPPES Registry Identity

NPI1891762431
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJOSEPH E ROWANECredential: D.O.
Location Address204 W 26TH STErie, PA 16508-1806
Mailing Address204 W 26th StErie, PA 16508-1806 · (814) 864-4755 · Fax (814) 864-5430
Fax(814) 864-5430
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1990
Enumeration DateMarch 2, 2006
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1891762431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · OS009188L
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License DO-07115 (IA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License OS009188L (PA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License OS009188L (PA)
204 W 26TH ST, Erie, PA 16508

Secondary Practice Location 1

Location 11229 C AVE EOSKALOOSA, IA 52577-4298 · Phone (641) 627-3394

Other Identifiers 1

Medicaid0016507070002PA

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

Joseph E Rowane D.o. 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 ID446284079
PECOS Enrollment IDI20050923000064
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 21

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.

Follow-up inpatient or observation ventilation assistance and management 94003
Follow-up inpatient or observation ventilation assistance and management involves continuous monitoring and adjustment of your ventilator while in the hospital. This ensures your lungs receive the right amount of air, promoting your recovery and well-being.
644 services46 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.
534 services55 patients
Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services 93798
Outpatient heart rehabilitation involves regular visits to a clinic for heart health improvement after a cardiac event. During these sessions, an electrocardiogram (ECG) monitors heart activity, while healthcare professionals provide personalized care and education on lifestyle changes, ensuring a safe recovery and reducing future heart risks.
234 services41 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.
219 services38 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.
157 services145 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.
107 services91 patients

Hospital Affiliations CMS Care Compare 3

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

Mahaska Health Partnership

Critical Access Hospitals · Oskaloosa, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161379
Location1229 C Avenue EastOskaloosa, IA 52577 · Mahaska County
Emergency services Birthing friendly

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16508 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers102 claims102 services$37.99 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers191 claims191 services$89.29 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers177 claims490 services$34.52 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers113 claims586 services$18.95 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers42 claims236 services$15.10 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers172 claims172 services$56.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
204 W 26TH ST
ERIE, PA 16508
Nurse Practitioner (Acute Care)
204 W 26TH ST
ERIE, PA 16508
Physician Assistant
204 W 26TH ST, ORTHOPEDIC SURGEONS INC.
ERIE, PA 16508
Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508
Physician Assistant
204 W 26TH ST
ERIE, PA 16508
Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508
Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508
Nurse Practitioner
204 W 26TH ST
ERIE, PA 16508

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 Joseph Rowane's NPI number?

The NPI number for Joseph Rowane is 1891762431. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Joseph Rowane located?

Joseph Rowane practices at 204 W 26th St, Erie, PA 16508. The listed phone number is (814) 864-4755.

What is Joseph Rowane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Joseph Rowane enrolled in Medicare?

Yes. Joseph Rowane 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 Joseph Rowane accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Joseph Rowane 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 Joseph Rowane affiliated with any hospitals?

According to CMS data, Joseph Rowane is affiliated with Mahaska Health Partnership, Saint Vincent Hospital and Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Joseph Rowane was last updated on January 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.