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Dr. James M Mcgowan  Md image

Dr. James M Mcgowan Md

2535 S Downing St Suite 480
Denver CO 80210
303 935-5200
Medical School: Other - 1974
Accepts Medicare: No
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: No
License #: 22341
NPI: 1033175591
Taxonomy Codes:
207RG0300X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$313.48 Average Price Allowed
By Medicare:
$159.94
HCPCS Code:99203 Description:Office/outpatient visit new Average Price:$247.08 Average Price Allowed
By Medicare:
$104.77
HCPCS Code:99306 Description:Nursing facility care init Average Price:$278.00 Average Price Allowed
By Medicare:
$160.19
HCPCS Code:99309 Description:Nursing fac care subseq Average Price:$200.69 Average Price Allowed
By Medicare:
$86.57
HCPCS Code:99309 Description:Nursing fac care subseq Average Price:$199.67 Average Price Allowed
By Medicare:
$86.57
HCPCS Code:99310 Description:Nursing fac care subseq Average Price:$240.68 Average Price Allowed
By Medicare:
$128.57
HCPCS Code:99305 Description:Nursing facility care init Average Price:$225.00 Average Price Allowed
By Medicare:
$126.25
HCPCS Code:99202 Description:Office/outpatient visit new Average Price:$171.00 Average Price Allowed
By Medicare:
$72.35
HCPCS Code:G0180 Description:MD certification HHA patient Average Price:$148.62 Average Price Allowed
By Medicare:
$52.70
HCPCS Code:99308 Description:Nursing fac care subseq Average Price:$145.00 Average Price Allowed
By Medicare:
$65.82
HCPCS Code:99308 Description:Nursing fac care subseq Average Price:$145.00 Average Price Allowed
By Medicare:
$65.82
HCPCS Code:99215 Description:Office/outpatient visit est Average Price:$205.89 Average Price Allowed
By Medicare:
$139.54
HCPCS Code:99222 Description:Initial hospital care Average Price:$195.33 Average Price Allowed
By Medicare:
$132.28
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$147.71 Average Price Allowed
By Medicare:
$99.66
HCPCS Code:99221 Description:Initial hospital care Average Price:$143.39 Average Price Allowed
By Medicare:
$97.69
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$146.46 Average Price Allowed
By Medicare:
$103.92
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$102.89 Average Price Allowed
By Medicare:
$69.51
HCPCS Code:99238 Description:Hospital discharge day Average Price:$102.48 Average Price Allowed
By Medicare:
$69.57
HCPCS Code:G0008 Description:Admin influenza virus vac Average Price:$56.00 Average Price Allowed
By Medicare:
$24.20
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$91.99 Average Price Allowed
By Medicare:
$70.29
HCPCS Code:93010 Description:Electrocardiogram report Average Price:$28.79 Average Price Allowed
By Medicare:
$8.48
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$56.91 Average Price Allowed
By Medicare:
$37.95
HCPCS Code:99212 Description:Office/outpatient visit est Average Price:$61.40 Average Price Allowed
By Medicare:
$42.47
HCPCS Code:93000 Description:Electrocardiogram complete Average Price:$33.55 Average Price Allowed
By Medicare:
$19.02
HCPCS Code:99211 Description:Office/outpatient visit est Average Price:$29.47 Average Price Allowed
By Medicare:
$19.75
HCPCS Code:Q2036 Description:Flulaval vacc, 3 yrs & >, im Average Price:$19.00 Average Price Allowed
By Medicare:
$9.83
HCPCS Code:85610 Description:Prothrombin time Average Price:$10.94 Average Price Allowed
By Medicare:
$5.56

HCPCS Code Definitions

93000
Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
93010
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
99202
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
99203
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99204
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99211
Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.
99212
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99213
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99214
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99215
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99221
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit.
99222
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit.
99231
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering or improving. Typically, 15 minutes are spent at the bedside and on the patient's hospital floor or unit.
99232
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or unit.
99233
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Typically, 35 minutes are spent at the bedside and on the patient's hospital floor or unit.
99305
Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Typically, 35 minutes are spent at the bedside and on the patient's facility floor or unit.
99238
Hospital discharge day management; 30 minutes or less
99306
Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of high severity. Typically, 45 minutes are spent at the bedside and on the patient's facility floor or unit.
99308
Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 15 minutes are spent at the bedside and on the patient's facility floor or unit.
99308
Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 15 minutes are spent at the bedside and on the patient's facility floor or unit.
99309
Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient has developed a significant complication or a significant new problem. Typically, 25 minutes are spent at the bedside and on the patient's facility floor or unit.
99309
Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient has developed a significant complication or a significant new problem. Typically, 25 minutes are spent at the bedside and on the patient's facility floor or unit.
99310
Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 35 minutes are spent at the bedside and on the patient's facility floor or unit.
G0180
Physician 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 implementation of the plan of care that meets patient's needs, per certification period
G0008
Administration of influenza virus vaccine
Q2036
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1023021409
Geriatric Medicine
3,980
1477683217
Internal Medicine
2,786
1689675852
Internal Medicine
1,346
1114010436
Geriatric Medicine
1,087
1841237070
Geriatric Medicine
997
1417900200
Internal Medicine
919
1467558072
Family Practice
862
1033215199
Internal Medicine
705
1043254220
Diagnostic Radiology
696
1861488702
Cardiovascular Disease (Cardiology)
666
*These referrals represent the top 10 that Dr. Mcgowan has made to other doctors

Publications

None Found

Map & Directions

2535 S Downing St Suite 480 Denver, CO 80210
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