PHILIP R. MCDOWELL M.D.
NPI 1992735740
Pathology - Anatomic Pathology & Clinical Pathology in Baltimore, MD

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
89.56/100
CMS Quality Rating
6701 N CHARLES ST, BALTIMORE, MD 21204(443) 849-2253(443) 849-3016 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip R. Mcdowell M.d. NPPES

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

PHILIP R. MCDOWELL M.D. (NPI 1992735740) is an individual anatomic pathology & clinical pathology provider in Baltimore, Maryland, licensed in Maryland (D47221) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Greater Baltimore Medical Center, and is a graduate of University Of Maryland School Of Medicine (1990).

NPPES Registry Identity

NPI1992735740
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NamePHILIP R. MCDOWELLCredential: M.D.
Location Address6701 N CHARLES STBaltimore, MD 21204-6808
Mailing Address6701 N Charles StBaltimore, MD 21204-6808 · (443) 849-2253 · Fax (443) 849-3016
Fax(443) 849-3016
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1990
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1992735740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in MD · D47221
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
6701 N CHARLES ST, Baltimore, MD 21204

Other Identifiers 4

OtherR2980007DC · Ghmsi/bluechoice
Other60266401MD · Carefirst Of Md
Medicare ID-Type UnspecifiedKL52D706MD
Medicare UPING04755MD

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

Philip R. Mcdowell M.d. 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 ID6507905551
PECOS Enrollment IDI20110721000104
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 24

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,219 services591 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
598 services155 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
282 services211 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
152 services106 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
139 services53 patients
Pathology examination of specimen during surgery, first tissue block 88331
A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
124 services38 patients

Hospital Affiliations CMS Care Compare

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

Greater Baltimore Medical Center

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210044
Location6701 North Charles StreetBaltimore, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

89.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.12
Improvement Activities40

Reported Quality Measures

Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients
This is a measure based on whether quantitative evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) by immunohistochemistry (IHC) uses the system recommended in the current ASCO/CAP Guidelines for Human Epidermal Growth Factor Receptor 2…
100%23 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant
6701 N CHARLES ST, LABOR & DELIVERY
BALTIMORE, MD 21204
Anesthesiology
6701 N CHARLES ST
TOWSON, MD 21204
Internal Medicine (Hospice and Palliative Medicine)
6701 N CHARLES ST, SUITE 4105
BALTIMORE, MD 21204
Anesthesiology
6701 N CHARLES ST
TOWSON, MD 21204
Pathology (Anatomic Pathology & Clinical Pathology)
6701 N CHARLES ST
BALTIMORE, MD 21204
Pediatrics
6701 N CHARLES ST, DEPT OF PEDIATRICS
BALTIMORE, MD 21204
Pathology (Anatomic Pathology & Clinical Pathology)
6701 N CHARLES ST
BALTIMORE, MD 21204
Advanced Practice Midwife
6701 N CHARLES ST, DEPT OF LABOR AND DELIVERY
BALTIMORE, MD 21204

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 Philip Mcdowell's NPI number?

The NPI number for Philip Mcdowell is 1992735740. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Philip Mcdowell located?

Philip Mcdowell practices at 6701 N Charles St, Baltimore, MD 21204. The listed phone number is (443) 849-2253.

What is Philip Mcdowell's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Philip Mcdowell enrolled in Medicare?

Yes. Philip 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.

Is Philip Mcdowell affiliated with any hospitals?

According to CMS data, Philip Mcdowell is affiliated with Greater Baltimore Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Mcdowell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.