Individual provider Active NPI

Jacqueline Renee McGowan, MD

  • Physical Medicine & Rehabilitation Physician
  • Westerville, OH
National Provider Identifier
1831365535
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35099990 Issued in OH
Practice address
460 Polaris Pkwy Ste 100
Westerville, OH 43082-6090
Phone
(614) 895-3344
Fax
(614) 895-3795
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 89201 MT
Physical Medicine & Rehabilitation Physician 208100000X 35099990 OH Primary

Addresses

Primary practice location

460 Polaris Pkwy Ste 100
Westerville, OH 43082-6090

Mailing address

460 Polaris Pkwy Ste 100
Westerville, OH 43082-6090
Phone (614) 895-3344

Other practice location 1

500 15th Ave S
Great Falls, MT 59405-4324
Phone (406) 455-2157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130904000728 OH Practitioner - Physical Medicine and Rehabilitation 8426291824 Reassigns benefits to 1 organization
I20210331000525 MT Practitioner - Physical Medicine and Rehabilitation 8426291824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical College of Wisconsin, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

568 S Cleveland Ave
Suite B
Westerville, OH 43081-8959
Phone (614) 895-3344

Hospital & facility affiliations

  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89201MTMDPhysical Medicine & Rehabilitation Physician
35099990OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Oct 30, 2020 Accepting new patients
Benefis Hospitals Inc CurrentSince Apr 1, 2021 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Physical Medicine & Rehabilitation CurrentSince Oct 30, 2020 Accepting new patients
Ohio Foot & Ankle, Inc Past Accepting new patients
Footsource MD, LLC Past Accepting new patients

Locations

500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

7269 Sawmill Rd
Ste 150
Dublin, OH 43016
Phone (614) 591-0020

568 S Cleveland Ave
Ste B
Westerville, OH 43081
Phone (614) 895-3344

460 Polaris Pkwy
Ste 100
Westerville, OH 43082
Phone (614) 895-3344

Organizations & group practices 5

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1831365535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 POLARIS PKWY STE 100",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826090",
            "telephone_number": "614-895-3344",
            "fax_number": "614-895-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 POLARIS PKWY STE 100",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826090",
            "telephone_number": "614-895-3344",
            "fax_number": "614-895-3795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 15th Ave S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594054324",
            "country_code": "US",
            "telephone_number": "406-455-2157",
            "fax_number": "406-455-2871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "JACQUELINE",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MT",
            "license": "89201",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35099990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.