DR. THOMAS ALAN BOWHAY M.D.
NPI 1902919665
Family Medicine in Jackson, CA

Active since August 16, 2006PECOS Enrolled
63.79/100
CMS Quality Rating
18640 CLINTON ROAD, JACKSON, CA 95642(209) 418-9178(209) 223-1477 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2025, Sep 25, 2018, Sep 18, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Thomas Alan Bowhay M.d. NPPES

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

DR. THOMAS ALAN BOWHAY M.D. (NPI 1902919665) is an individual family medicine provider in Jackson, California, licensed in Colorado (DR.0026295) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902919665
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS ALAN BOWHAYCredential: M.D.
Location Address18640 CLINTON ROADJackson, CA 95642
Mailing Address18640 Clinton RoadJackson, CA 95642 · (209) 418-9178 · Fax (209) 223-1477
Fax(209) 223-1477
Sole ProprietorYes
Enumeration DateAugust 16, 2006
Last NPPES UpdateFebruary 13, 20254 updates tracked since enumeration
NPI 1902919665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CO · DR.0026295 Licensed in CA · A45383
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License A45383 (CA)
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
18640 CLINTON ROAD, Jackson, CA 95642

Other Identifiers 1

Medicaid00A453830CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Thomas Alan Bowhay M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95642 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

63.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61
Improvement Activities40
Cost31.3

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%37 patients
Breast Cancer Screening
7%371 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
4%768 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
71%277 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%103 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
91%103 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%3,524 patients4/55-star benchmark: 100%
HIV Screening
2%461 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%2,424 patients3/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 843 patients
Patients totalRate: 13% · 974 patients
14%974 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.

Referred Medical Equipment & Supplies CMS DME claims 29

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
6 suppliers115 claims226 services$5.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers24 claims24 services$0.68 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers22 claims22 services$43.52 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers15 claims15 services$108.41 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers16 claims46 services$43.96 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers24 claims103 services$23.84 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 Thomas Bowhay's NPI number?

The NPI number for Thomas Bowhay is 1902919665. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Thomas Bowhay located?

Thomas Bowhay practices at 18640 Clinton Road, Jackson, CA 95642. The listed phone number is (209) 418-9178.

What is Thomas Bowhay's specialty?

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

Is Thomas Bowhay enrolled in Medicare?

Yes. Thomas Bowhay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Bowhay was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.