Active NPI 1285637405 Individual Practitioner Male Practitioner

Dr. Robert J Mcgowen , MD

Internal Medicine • Wareham, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Robert Mcgowen, MD is a certified Internal Medicine practicing in Wareham, MA. With approximately 40 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 1986, Dr. Mcgowen delivers high-quality medical care to the local community at 100 ROSEBROOK WAY.

Dr. Mcgowen is affiliated with Southcoast Physicians Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Rosebrook Way
2nd Floor

Wareham, MA 025712097

Telephone 5082734950

Fax 5082734951

Associated Practice Facility / Clinic

🏢 Southcoast Physicians Group, Inc. Facility NPI 1336137629

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wareham, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +11.3 yrs vs City Avg

City Avg: 28.7 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

12 Specialists

Practicing in Wareham, MA (7127 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcgowen (40 Years) 40 Yrs

Wareham Specialty Average (28.7 Years) 28.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	624	100	$195.15	$67.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	299	$396.22	$136.17
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	399	256	$49.51	$17.31
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	349	77	$147.32	$51.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$404.52	$141.93
99213 Established patient office or other outpatient visit, typically 15 minutes	112	90	$281.04	$97.22
G0008 Administration of influenza virus vaccine	67	66	$147.67	$32.81
92250 Photography of the retina	66	57	$70.56	$18.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	46	$559.34	$193.60
90653 Vaccine for influenza for injection into muscle	55	55	$208.38	$81.82
99496 Transitional care management services for problem of high complexity	54	46	$860.81	$302.51
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	33	$171.15	$58.02
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	20	17	$409.20	$144.46
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$54.44	$15.23
99495 Transitional care management services for problem of at least moderate complexity	15	14	$635.33	$207.38
83036 Hemoglobin A1C level	13	13	$42.77	$9.52
G0444 Annual depression screening, 5 to 15 minutes	11	11	$59.09	$20.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	768	109	$193.00	$64.55
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	608	99	$146.00	$49.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	522	328	$392.00	$131.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	207	207	$400.00	$134.34
99213 Established patient office or other outpatient visit, typically 15 minutes	150	123	$278.00	$93.73
G0008 Administration of influenza virus vaccine	56	53	$144.00	$31.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	48	$551.00	$185.37
99496 Transitional care management services for problem of high complexity	49	42	$852.00	$287.80
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	44	43	$138.00	$74.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	32	$169.00	$54.45
92250 Photography of the retina	35	28	$68.74	$18.78
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	31	11	$213.00	$72.80
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	30	21	$406.00	$137.76
83036 Hemoglobin A1C level	22	21	$42.00	$9.52
99495 Transitional care management services for problem of at least moderate complexity	18	18	$632.00	$212.48
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$568.43	$260.61
G0009 Administration of pneumococcal vaccine	13	13	$144.00	$31.47
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	11	$61.25	$29.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,000	124	$146.62	$66.41
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	624	112	$121.38	$50.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	583	332	$385.55	$134.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	216	216	$395.11	$138.15
99213 Established patient office or other outpatient visit, typically 15 minutes	214	176	$271.53	$94.04
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	93	93	$104.00	$41.20
G0008 Administration of influenza virus vaccine	75	73	$138.56	$30.87
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	56	56	$133.00	$70.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	43	$541.51	$189.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	37	$169.00	$55.96
99496 Transitional care management services for problem of high complexity	41	34	$839.32	$293.33
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	38	38	$544.00	$278.94
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	37	25	$333.89	$139.84
G0009 Administration of pneumococcal vaccine	37	37	$113.68	$30.90
99442 Telephone medical discussion with physician, 11-20 minutes	34	32	$260.00	$95.39
93000 Routine ekg using at least 12 leads including interpretation and report	26	19	$54.00	$15.15
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	22	13	$183.14	$73.25
92250 Photography of the retina	20	12	$57.60	$18.86
83036 Hemoglobin A1C level	19	18	$42.00	$9.56
99495 Transitional care management services for problem of at least moderate complexity	19	18	$617.68	$218.73
81002 Urinalysis, manual test	13	12	$14.00	$3.17
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$160.00	$59.24
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	11	11	$60.00	$31.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,115	223	$131.00	$43.15
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	598	189	$111.00	$39.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	545	316	$353.37	$136.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$375.96	$140.76
99213 Established patient office or other outpatient visit, typically 15 minutes	101	88	$245.60	$95.94
99442 Telephone medical discussion with physician, 11-20 minutes	97	72	$260.00	$97.05
G0008 Administration of influenza virus vaccine	93	93	$92.46	$17.86
90662 Influenza vaccine split virus, preservative free	75	75	$119.20	$65.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	68	53	$169.00	$56.17
0003A Adm sarscov2 30mcg/0.3ml 3rd	51	51	$85.00	$41.93
99496 Transitional care management services for problem of high complexity	43	40	$790.91	$289.87
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	33	27	$290.00	$97.04
99443 Telephone medical discussion with physician, 21-30 minutes	30	24	$380.00	$137.34
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	13	$130.00	$43.73
99495 Transitional care management services for problem of at least moderate complexity	25	24	$593.96	$218.84
99441 Telephone medical discussion with physician, 5-10 minutes	23	21	$160.00	$59.66
93000 Routine ekg using at least 12 leads including interpretation and report	21	19	$54.00	$15.75
90682 Influenza vaccine, quadrivalent derived from recombinant dna	18	18	$119.78	$65.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$483.14	$191.70
81002 Urinalysis, manual test	13	13	$14.00	$3.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$243.00	$124.92
G0009 Administration of pneumococcal vaccine	12	12	$91.50	$17.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	931	255	$131.73	$44.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	387	251	$345.00	$115.15
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	341	157	$118.00	$39.73
99442 Telephone medical discussion with physician, 11-20 minutes	239	158	$248.39	$80.01
99213 Established patient office or other outpatient visit, typically 15 minutes	153	130	$236.24	$79.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	136	136	$369.29	$123.73
G0008 Administration of influenza virus vaccine	118	116	$83.07	$17.73
90662 Influenza vaccine split virus, preservative free	100	99	$109.85	$60.43
99443 Telephone medical discussion with physician, 21-30 minutes	85	63	$360.05	$114.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	55	44	$169.76	$56.91
99441 Telephone medical discussion with physician, 5-10 minutes	55	46	$148.98	$48.41
99496 Transitional care management services for problem of high complexity	36	32	$744.39	$260.40
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	15	$131.56	$43.71
G0009 Administration of pneumococcal vaccine	31	31	$81.13	$17.61
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$233.22	$116.10
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	20	18	$292.70	$96.95
99495 Transitional care management services for problem of at least moderate complexity	19	18	$532.26	$196.25
90682 Influenza vaccine, quadrivalent derived from recombinant dna	17	16	$109.65	$59.19
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$54.73	$18.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	904	454	$301.53	$113.81
99213 Established patient office or other outpatient visit, typically 15 minutes	277	203	$203.70	$78.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	200	200	$334.10	$122.85
G0008 Administration of influenza virus vaccine	179	178	$84.28	$17.42
90662 Influenza vaccine split virus, preservative free	150	149	$105.20	$54.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	21	$54.58	$17.71
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	89	19	$4.00	$1.80
99496 Transitional care management services for problem of high complexity	77	67	$645.82	$241.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	66	59	$152.82	$56.27
G0009 Administration of pneumococcal vaccine	54	54	$97.27	$17.42
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	41	41	$221.34	$110.85
93000 Routine ekg using at least 12 leads including interpretation and report	36	34	$47.22	$18.09
99495 Transitional care management services for problem of at least moderate complexity	34	34	$474.50	$173.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	11	$116.25	$43.65
90682 Influenza vaccine, quadrivalent derived from recombinant dna	28	28	$100.50	$54.89
81002 Urinalysis, manual test	23	21	$13.00	$3.41
90670 Pneumococcal vaccine for injection into muscle	14	14	$417.50	$194.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$414.62	$153.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	720	445	$282.98	$110.84
99213 Established patient office or other outpatient visit, typically 15 minutes	275	209	$192.53	$76.23
G0008 Administration of influenza virus vaccine	144	140	$114.49	$21.55
90662 Influenza vaccine split virus, preservative free	133	129	$87.52	$50.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	127	127	$307.65	$122.09
99496 Transitional care management services for problem of high complexity	125	93	$609.64	$236.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	115	26	$65.74	$21.68
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	106	25	$5.62	$1.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	97	84	$142.20	$56.35
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	55	27	$109.51	$43.88
G0009 Administration of pneumococcal vaccine	47	47	$110.23	$21.55
99495 Transitional care management services for problem of at least moderate complexity	34	34	$432.47	$171.84
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$178.92	$105.59
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$45.00	$17.89
90670 Pneumococcal vaccine for injection into muscle	21	21	$335.10	$199.85
85610 Blood test, clotting time	17	15	$16.47	$4.75
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$37.40	$17.41
81002 Urinalysis, manual test	13	13	$11.31	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	784	505	$271.73	$110.07
99213 Established patient office or other outpatient visit, typically 15 minutes	289	203	$183.97	$75.43
99496 Transitional care management services for problem of high complexity	179	137	$438.84	$239.03
G0008 Administration of influenza virus vaccine	145	144	$91.98	$26.66
90662 Influenza vaccine split virus, preservative free	126	125	$62.29	$47.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	29	$68.59	$26.77
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	95	85	$140.76	$55.74
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	90	27	$15.80	$2.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$293.67	$119.76
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	45	31	$107.84	$43.08
G0009 Administration of pneumococcal vaccine	43	43	$87.98	$26.66
85610 Blood test, clotting time	30	18	$12.00	$5.28
90670 Pneumococcal vaccine for injection into muscle	28	28	$289.00	$187.17
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	21	21	$27.86	$17.76
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$43.60	$17.66
99495 Transitional care management services for problem of at least moderate complexity	17	17	$331.65	$169.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$364.94	$149.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$134.67	$96.29
81002 Urinalysis, manual test	12	11	$8.25	$3.43
83036 Hemoglobin A1C level	11	11	$35.09	$13.05

Medical Specialties & State Licenses

CMS Verified: 2020-04-23

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 60222

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110047380A (MA)

Hospital & Practice Group Affiliations

Southcoast Physicians Group Inc

363 Highland Ave, Fall River, MA 027203703

Phone: 5089735919

Southcoast Physicians Group Inc

534 Prospect St, Fall River, MA 027205281

Phone: 5089737766

Southcoast Physicians Group Inc

43 High St, Wareham, MA 025712097

Phone: 5089735919

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners

Karen Hussion , ANP-BC

Nurse Practitioner - Adult Health

NPI 1083737746

ANPBC

Katie Camara

Nurse Practitioner

NPI 1164188348

Dr. April Fasel , PharmD

Pharmacist - Ambulatory Care

NPI 1174456032

Doctor of Pharmacy (Pharm.D.)

Thomas Spiro , PA

Physician Assistant

NPI 1205804440

Physician Assistant

Dr. Bruce Brown , MD

Internal Medicine - Cardiovascular Disease

NPI 1205896362

Doctor of Medicine (M.D.)

Dr. Thomas Mccormack , DO

Family Medicine

NPI 1225080005

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2016

Registered at 100 ROSEBROOK WAY, 2ND FLOOR, WAREHAM, MA 025712097 (Tel: 5082734950)

📍

Updated Business Mailing Address February 17, 2016

Registered at 200 MILL ROAD, SUITE 180, FAIRHAVEN, MA 027195252 (Tel: 5089732000)

👤

Provider Name / Credentials Updated February 17, 2016

Recorded as ROBERT MCGOWEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2016

Internal Medicine (License #60222 in MA)

🟢

Initial NPI Registration & Enumeration May 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1285637405

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 23, 2005

Last Update: April 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Mill Road, Suite 180

Fairhaven, MA 027195252

Phone: 5089732000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.