TONYA MCGOWAN APRN
NPI 1932810900
Internal Medicine - Cardiovascular Disease in Princeton, KY

Active since December 09, 2022PECOS EnrolledAccepts Medicare Assignment
100 MEDICAL CENTER DR, PRINCETON, KY 42445(270) 365-0300 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2024, Dec 9, 2022 (2 updates tracked since 2022).

About Tonya Mcgowan Aprn NPPES

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

TONYA MCGOWAN APRN (NPI 1932810900) is an individual cardiovascular disease provider in Princeton, Kentucky, licensed in Kentucky (3018622) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Paducah, and maintains a secondary practice location in Fredonia.

NPPES Registry Identity

NPI1932810900
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameTONYA MCGOWANCredential: APRN
Location Address100 MEDICAL CENTER DRPrinceton, KY 42445-2430
Mailing AddressPo Box 410Princeton, KY 42445-0410 · (270) 365-0300
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 9, 2022
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
NPI 1932810900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in KY · 3018622
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3018622 (KY)
100 MEDICAL CENTER DR, Princeton, KY 42445

Secondary Practice Location 1

Location 1700 Cassidy AveFredonia, KY 42411-9207 · Phone (270) 545-3386

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

Tonya Mcgowan Aprn 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 ID7315317633
PECOS Enrollment IDI20230103001269
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 4

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 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.
336 services154 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
232 services151 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Caldwell Medical Center

Critical Access Hospitals · Princeton, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181322
Location100 Medical Center DrivePrinceton, KY 42445 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42445 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

Internal Medicine (Cardiovascular Disease)
100 MEDICAL CENTER DR
PRINCETON, KY 42445
Registered Nurse
100 MEDICAL CENTER DR
PRINCETON, KY 42445
Emergency Medicine
100 MEDICAL CENTER DR
PRINCETON, KY 42445
Nurse Anesthetist, Certified Registered
100 MEDICAL CENTER DR
PRINCETON, KY 42445
Internal Medicine (Cardiovascular Disease)
100 MEDICAL CENTER DR
PRINCETON, KY 42445
Emergency Medicine
100 MEDICAL CENTER DR
PRINCETON, KY 42445
Nurse Practitioner
100 MEDICAL CENTER DR
PRINCETON, KY 42445
Emergency Medicine
100 MEDICAL CENTER DR
PRINCETON, KY 42445

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 Tonya Mcgowan's NPI number?

The NPI number for Tonya Mcgowan is 1932810900. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Where is Tonya Mcgowan located?

Tonya Mcgowan practices at 100 Medical Center Dr, Princeton, KY 42445. The listed phone number is (270) 365-0300.

What is Tonya Mcgowan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Tonya Mcgowan enrolled in Medicare?

Yes. Tonya 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.

Is Tonya Mcgowan affiliated with any hospitals?

According to CMS data, Tonya Mcgowan is affiliated with Baptist Health Paducah and Caldwell Medical Center.

When was this NPI record last updated?

The NPPES record for Tonya Mcgowan was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.