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CYNTHIA MCGOWAN D.O.
NPI 1952545741
Family Medicine in Lancaster, OH

Active since April 24, 2009PECOS EnrolledAccepts Medicare Assignment
2405 N COLUMBUS ST STE 260, LANCASTER, OH 43130(740) 687-8690(740) 687-6959 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cynthia Mcgowan D.o. NPPES

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

CYNTHIA MCGOWAN D.O. (NPI 1952545741) is an individual family medicine provider in Lancaster, Ohio, licensed in Ohio (34.009552) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of Ohio State University College Of Medicine (2006).

NPPES Registry Identity

NPI1952545741
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCYNTHIA MCGOWANCredential: D.O.
Location Address2405 N COLUMBUS ST STE 260Lancaster, OH 43130-8100
Mailing Address2405 N Columbus St Ste 260Lancaster, OH 43130-8100 · (740) 687-8690 · Fax (740) 687-6959
Phone(740) 687-8690
Fax(740) 687-6959
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2006
Enumeration DateApril 24, 2009
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1952545741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34.009552
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.
2405 N COLUMBUS ST STE 260, Lancaster, OH 43130
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Other Identifiers 1

Medicaid3000353OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and more.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

Cynthia Mcgowan D.o. 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 ID5294877486
PECOS Enrollment IDI20100127000062
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Cynthia Mcgowan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairfield Community Health Center
2.9 mi
Federally Qualified Health Center (FQHC)
220 E WALNUT ST
Lancaster, OH 43130
  • Reassigned Medicare billing, Ohio enrollment
  • 30 clinicians in this Medicare group
NPI 1457676736 (740) 277-6043
Fairfield Healthcare Professionals, Inc.
3.5 mi
Urgent Care
1155 E MAIN ST
Lancaster, OH 43130
  • Reassigned Medicare billing, Ohio enrollment
  • 158 clinicians in this Medicare group
NPI 1700334182 (740) 687-2273

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 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.

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.
81 services44 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.
35 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services17 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
18 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 4

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

RAJEEV SACHDEVA MD
Internal Medicine
2405 N COLUMBUS ST STE 260
LANCASTER, OH 43130
Fairfield County (740) 687-8397
DR. IMTHIAZ MOHAMMED KHAN MD
Internal Medicine
2405 N COLUMBUS ST STE 260
LANCASTER, OH 43130
Fairfield County (740) 687-8397
NIMRAH HASSAN IMAM DO
Student in an Organized Health Care Education/Training Program
2405 N COLUMBUS ST STE 260
LANCASTER, OH 43130
Fairfield County (740) 687-8397
IMTISAAL WARIS
Student in an Organized Health Care Education/Training Program
2405 N COLUMBUS ST STE 260
LANCASTER, OH 43130
Fairfield County (740) 637-8397

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 Cynthia Mcgowan's NPI number?

The NPI number for Cynthia Mcgowan is 1952545741. It was assigned to this individual provider in the NPPES registry on April 24, 2009.

Where is Cynthia Mcgowan located?

Cynthia Mcgowan practices at 2405 N Columbus St Ste 260, Lancaster, OH 43130. The listed phone number is (740) 687-8690.

What is Cynthia Mcgowan's specialty?

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

Is Cynthia Mcgowan enrolled in Medicare?

Yes. Cynthia 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 organizations bill Medicare for Cynthia Mcgowan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Mcgowan reassigns Medicare benefits to 2 organizations: Fairfield Community Health Center (Lancaster, OH) and Fairfield Healthcare Professionals, Inc. (Lancaster, OH). Each 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 Cynthia Mcgowan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Mcgowan accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Cynthia 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 Cynthia Mcgowan affiliated with any hospitals?

According to CMS data, Cynthia Mcgowan is affiliated with Fairfield Medical Center.

When was this NPI record last updated?

The NPPES record for Cynthia Mcgowan was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.