JAMES A MCGOWAN MD
NPI 1922216308
Anesthesiology - Pain Medicine in Charlottesville, VA
About James A Mcgowan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES A MCGOWAN MD (NPI 1922216308) is an individual pain medicine provider in Charlottesville, Virginia, licensed in Virginia (0101260343) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Sentara Martha Jefferson Hospital, and is a graduate of University Of Virginia School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
James A Mcgowan Md 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.
Medicare Billing Reassignment
Medicare enrollment records show James Mcgowan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 307 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 25
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sentara Martha Jefferson Hospital
Acute Care Hospitals · Charlottesville, VAMedicare 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTESVILLE, VA 22911
CHARLOTTESVILLE, VA 22911
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 Mcgowan's NPI number?
The NPI number for James Mcgowan is 1922216308. It was assigned to this individual provider in the NPPES registry on May 18, 2007.
Where is James Mcgowan located?
James Mcgowan practices at 3263 Proffit Rd Suite 202, Charlottesville, VA 22911. The listed phone number is (434) 654-4660.
What is James Mcgowan's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is James Mcgowan enrolled in Medicare?
Yes. James 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.
Which organization bills Medicare for James Mcgowan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Mcgowan reassigns Medicare benefits to Martha Jefferson Medical Group LLC (Charlottesville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Mcgowan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Mcgowan accept?
Health plans from Taro Health list James Mcgowan 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 James Mcgowan affiliated with any hospitals?
According to CMS data, James Mcgowan is affiliated with Sentara Martha Jefferson Hospital.
When was this NPI record last updated?
The NPPES record for James Mcgowan was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.