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ANDRE BOWN DO
NPI 1922502616
Obstetrics & Gynecology in Marion, OH

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
1040 DELAWARE AVE, MARION, OH 43302(740) 383-8080(740) 383-8084 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2022, Mar 19, 2018 (2 updates tracked since 2018).

About Andre Bown Do NPPES

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

ANDRE BOWN DO (NPI 1922502616) is an individual obstetrics & gynecology provider in Marion, Ohio, licensed in Ohio (34.015758) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1922502616
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameANDRE BOWNCredential: DO
Location Address1040 DELAWARE AVEMarion, OH 43302-6416
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(740) 383-8080
Fax(740) 383-8084
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2018
Enumeration DateMarch 19, 2018
Last NPPES UpdateJuly 14, 20222 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1922502616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 34.015758
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1040 DELAWARE AVE, Marion, OH 43302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Andre Bown Do 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 ID6608123484
PECOS Enrollment IDI20220607002428
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

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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.45
Promoting Interoperability96.03
Improvement Activities40

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.

DR. BERNARD HAROLD NOWACKI MD
Orthopaedic Surgery
1040 DELAWARE AVE
MARION, OH 43302
Marion County (740) 383-8070
MEGAN COCHRAN STUDENT
Ophthalmology
1040 DELAWARE AVE
MARION, OH 43302
Marion County (740) 383-8050
DR. SIRISHA DONEPUDI M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1040 DELAWARE AVE
MARION, OH 43302
Marion County (740) 375-6492
PAUL ALEXANDER BONNER DO
Surgery
1040 DELAWARE AVE
MARION, OH 43302
Marion County (403) 837-9507
JAMES BAZZOLI MD
Obstetrics & Gynecology
1040 DELAWARE AVE
MARION, OH 43302
Marion County (740) 383-8080
AMY J COOPER NP
Nurse Practitioner (Family)
1040 DELAWARE AVE
MARION, OH 43302
Marion County (740) 692-4436
MR. STEPHEN PAUL MORANVILLE RPH
Pharmacist
1040 DELAWARE AVE
MARION, OH 43302
Marion County (740) 383-7979
JULIE CIMINO PNP
Nurse Practitioner (Pediatrics)
1040 DELAWARE AVE
MARION, OH 43302
Marion County (740) 383-8090

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 Andre Bown's NPI number?

The NPI number for Andre Bown is 1922502616. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Andre Bown located?

Andre Bown practices at 1040 Delaware Ave, Marion, OH 43302. The listed phone number is (740) 383-8080.

What is Andre Bown's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andre Bown enrolled in Medicare?

Yes. Andre Bown 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 Andre Bown accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Andre Bown 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 Andre Bown affiliated with any hospitals?

According to CMS data, Andre Bown is affiliated with Riverside Methodist Hospital and Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Andre Bown was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.