Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891784377 Individual Practitioner Male Practitioner

Dr. Michael R Cowan , DO

Pediatrics • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cowan, DO is a registered healthcare professional specializing in Pediatrics in Fort Worth, TX. Practice services are available at 4200 SOUTH FWY STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for influenza virus, established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4200 South Fwy Ste 100

Fort Worth, TX 761151407

Telephone 8177507334
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
174 Specialists

Practicing in Fort Worth, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
87804 Detection test by immunoassay with direct visual observation for influenza virus
28 13 $35.00 $16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 12 $204.41 $125.57
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
13 12 $150.00 $34.62

Medical Specialties & State Licenses

CMS Verified: 2021-08-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX H9459

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License TX H9459

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine - Pediatric Emergency Medicine

NUCC Taxonomy Code: 207PP0204X

State License TX H9459

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
137166812 (TX)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Heather Hurford , RN, MSN, CPNP-PC

Nurse Practitioner - Primary Care

NPI 1073858338

Registered Nurse, Master of Science in Nursing, CPNPPC

Erin Blaylock , NP

Nurse Practitioner - Pediatrics

NPI 1184175598

Nurse Practitioner

NPI 1366535445

Doctor of Medicine (M.D.)

Jamie Underhill , NP

Nurse Practitioner - Family

NPI 1508330838

Nurse Practitioner

Dallas Nazar , PA-C

Physician Assistant

NPI 1679284160

Physician Assistant (Certified)

Breanne Randall , PNP

Nurse Practitioner - Pediatrics

NPI 1760981039

Pediatric Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 25, 2021

Registered at 4200 SOUTH FWY STE 100, FORT WORTH, TX 761151407 (Tel: 8177507334)

📍
Updated Business Mailing Address August 25, 2021

Registered at 4200 SOUTH FWY STE 100, FORT WORTH, TX 761151407 (Tel: 8177507334)

📍
Updated Practice Location June 19, 2019

Registered at 3000 S HULEN ST STE 180, FORT WORTH, TX 761091933 (Tel: 8177507334)

📍
Updated Business Mailing Address June 19, 2019

Registered at 3000 S HULEN ST STE 180, FORT WORTH, TX 761091933 (Tel: 8177507334)

NPI Profile Active October 29, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2007

Registered at 1421 S MAIN ST, SUITE 111, BOERNE, TX 780063321 (Tel: 8302499995)

📍
Updated Business Mailing Address October 29, 2007

Registered at 1421 S MAIN ST, SUITE 111, BOERNE, TX 780063321 (Tel: 8302499995)

👤
Provider Name / Credentials Updated October 29, 2007

Recorded as MICHAEL COWAN, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2007

Emergency Medicine (License #H9459 in TX)

🟢
Initial NPI Registration & Enumeration October 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891784377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2005
Last Update: August 25, 2021
Sole Proprietor: No

Mailing Address

4200 South Fwy Ste 100

Fort Worth, TX 761151407

Phone: 8177507334

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.