Michael Francis Gowen, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036161428 Issued in IL

Practice address

4573 Benes Road
Glen Carbon, IL 64064

Phone

(618) 961-1950

NPI assigned

May 23, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Micrographic Dermatologic Surgery (MDS)

Education

Tufts University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Skin Specialists Illinois LTD PCGroup PAC ID 6709138258, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
• SSM Health St Mary's Hospital -Centralia Hospital, Centralia, IL, CCN 140034

Merit-based Incentive Payment System (MIPS)

Final score

95.75 of 100Reported as group

Promoting interoperability

95

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.gowen@schweigerderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Skin Specialists Illinois LTD, PC

  dba Schweiger Dermatology Group

  • Dermatology Physician
  • Mount Vernon, IL
  • NPI 1194225268
  Medicare reassignment Care Compare group NPD
• Skin Care Center of Southern Il LLC

  • Dermatopathology Physician
  • Mount Vernon, IL
  • NPI 1669599841
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Regional Health Center

  dba SSM Health Good Samaritan Hospital - Mt. Vernon

  • General Acute Care Hospital
  • Mount Vernon, IL
  • NPI 1609897339
  Care Compare affiliation
• St Mary's Hospital, Centralia, Illinois

  dba SSM Health St. Mary's Hospital - Centralia

  • General Acute Care Hospital
  • Centralia, IL
  • NPI 1083617245
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1508357799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CARLSON PKWY N",
            "address_2": "STE 240",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474485",
            "telephone_number": "763-367-7110",
            "fax_number": "763-317-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4573 BENES ROAD",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "64064",
            "telephone_number": "618-961-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWEN",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036161428",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036161428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Carbon Fire Protection District
• Glen Ed Pharmacy LLC
• Kristin Goeb
• Sarah Goshorn
• Alexandra Lynn Goss, RBT
• Marissa Gowey, PHD
• Granite City Illinois Hospital Company LLC (Gateway Urgent Care)
• Granite City Orthopedic Physicians Company LLC (Illinois SW Orthopedics LTD)
• Granite City Orthopedic Physicians Company LLC (Illinois SW Orthopedics)
• Quinisa Grant

• Dermatology Physician in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.