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MR. JAMES EDWARD COWGER JR. APN
NPI 1902056138
Nurse Practitioner - Family in Flora, IL

Active since September 24, 2008PECOS EnrolledAccepts Medicare Assignment
929 STACEY BURK DR, FLORA, IL 62839(618) 662-2191(618) 662-8090 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. James Edward Cowger Jr. Apn NPPES

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

MR. JAMES EDWARD COWGER JR. APN (NPI 1902056138) is an individual family provider in Flora, Illinois, licensed in Illinois (209.009553) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Clay County Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902056138
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JAMES EDWARD COWGER JR.Credential: APN
Location Address929 STACEY BURK DRFlora, IL 62839-3241
Mailing Address929 Stacey Burk Dr, Po Box 40Flora, IL 62839-3241 · (618) 662-2191 · Fax (618) 662-8090
Phone(618) 662-2191
Fax(618) 662-8090
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 24, 2008
Last NPPES UpdateJune 26, 2012
✔ NPI 1902056138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.009553
Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X · License 000593533 (IL)
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.336590 (IL), 2007005874 (MO)
929 STACEY BURK DR, Flora, IL 62839
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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

Mr. James Edward Cowger Jr. Apn 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 ID6608003819
PECOS Enrollment IDI20131216000155
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.

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.
142 services53 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.
66 services45 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
65 services48 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
45 services30 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
29 services28 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62839 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%76 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers18 claims18 services$910.91 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
2 suppliers16 claims16 services$118.88 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 15

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

JESSICA LEWIS MPT
Physical Therapist
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-8060
SCOUT SANDERS
Social Worker (Clinical)
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-2131
BRANDON CYCHOLL
Family Medicine
929 STACEY BURK DR, CLAY COUNTY HOSPITAL MEDICAL CLINIC
FLORA, IL 62839
Clay County (618) 662-2131
JENNIFER HENSON RN, CHC
Registered Nurse
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-2191
MRS. ANGELA CASOLARI APN
Nurse Practitioner (Family)
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-2191
HEATHER LEIGH IRVIN FNP-C
Nurse Practitioner (Family)
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-2131
MRS. GAYLE LOAR ERXLEBEN APN
Nurse Practitioner (Adult Health)
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-2191
MS. JEANNE E. HOLDREN APN
Nurse Practitioner (Psychiatric/Mental Health)
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-2191

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 James Cowger's NPI number?

The NPI number for James Cowger is 1902056138. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Where is James Cowger located?

James Cowger practices at 929 Stacey Burk Dr, Flora, IL 62839. The listed phone number is (618) 662-2191.

What is James Cowger's specialty?

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

Is James Cowger enrolled in Medicare?

Yes. James Cowger 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.

Is James Cowger affiliated with any hospitals?

According to CMS data, James Cowger is affiliated with Clay County Hospital.

When was this NPI record last updated?

The NPPES record for James Cowger was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.