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BRIAN MCDOWELL PA-C
NPI 1962815787
Physician Assistant - Medical in Lexington, KY

Active since June 09, 2014PECOS EnrolledAccepts Medicare Assignment
161 N EAGLE CREEK DR, STE 400, LEXINGTON, KY 40509(859) 226-0031(859) 226-0041 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2020, Aug 15, 2016, Aug 10, 2016 and 1 more (4 updates tracked since 2016).

About Brian Mcdowell Pa-c NPPES

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

BRIAN MCDOWELL PA-C (NPI 1962815787) is an individual medical provider in Lexington, Kentucky and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Harrison Memorial Hospital, and is a graduate of University Of Kentucky College Of Medicine (2014).

NPPES Registry Identity

NPI1962815787
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRIAN MCDOWELLCredential: PA-C
Location Address161 N EAGLE CREEK DR, STE 400Lexington, KY 40509-9038
Mailing Address161 N Eagle Creek Dr, Ste 400Lexington, KY 40509-9038 · (859) 226-0031 · Fax (859) 226-0041
Phone(859) 226-0031
Fax(859) 226-0041
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2014
Enumeration DateJune 9, 2014
Last NPPES UpdateSeptember 3, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
✔ NPI 1962815787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA1937 (KY)
161 N EAGLE CREEK DR, Lexington, KY 40509
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Other Identifiers 1

Medicaid7100335880KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Brian Mcdowell Pa-c 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 ID5890913974
PECOS Enrollment IDI20140903000683
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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
432 services232 patients
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.
312 services188 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.
57 services50 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.
38 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Harrison Memorial Hospital

Acute Care Hospitals · Cynthiana, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180079
Location1210 Ky Hwy 36 ECynthiana, KY 41031 · Harrison County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier23 claims23 services$2,223.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MUBASHIR QAZI MD FACC FSCAI
Internal Medicine (Interventional Cardiology)
161 N EAGLE CREEK DR, SUITE 400
LEXINGTON, KY 40509
Fayette County (859) 226-0031
AVICHAI ERES MD FACC FSCAI FSVM
Internal Medicine (Interventional Cardiology)
161 N EAGLE CREEK DR, SUITE 400
LEXINGTON, KY 40509
Fayette County (859) 226-0031
KENTUCKY CARDIOLOGY, PLLC
Specialist
161 N EAGLE CREEK DR, STE 400
LEXINGTON, KY 40509
Fayette County (859) 226-0031
CRISTY JACKSON PA-C
Physician Assistant
161 N EAGLE CREEK DR, STE 400
LEXINGTON, KY 40509
Fayette County (859) 226-0031

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 Brian Mcdowell's NPI number?

The NPI number for Brian Mcdowell is 1962815787. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Brian Mcdowell located?

Brian Mcdowell practices at 161 N Eagle Creek Dr Ste 400, Lexington, KY 40509. The listed phone number is (859) 226-0031.

What is Brian Mcdowell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brian Mcdowell enrolled in Medicare?

Yes. Brian Mcdowell 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 Brian Mcdowell accept?

Health plans from CareSource list Brian Mcdowell 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 Brian Mcdowell affiliated with any hospitals?

According to CMS data, Brian Mcdowell is affiliated with Harrison Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brian Mcdowell was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.