David Marcos Bowen, M.D.
Individual provider Active NPI Interventional Pain Medicine Physician · Tyler, TX
NPI 1972990976 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1972990976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- License
- S6804 (TX)
- Practice address
- 3414 Golden Rd
Tyler, TX 75701-8336 - Phone
- (903) 939-7500
- Fax
- (903) 939-7728
- NPI assigned
- Apr 17, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Texas Medical Branch at Galveston, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ortholonestar PLLC
Practice addresses (Care Compare)
3414 Golden Rd
Tyler, TX 75701-8336
Phone (903) 939-7500
Hospital & facility affiliations
- Baylor Scott & White Texas Spine & Joint Hospital
- Nacogdoches Medical Center
- Christus Mother Frances Hospital
- University of Texas Health Science Center at Tyler
- Christus Good Shepherd Medical Center
- Ut Health East Texas Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.75 of 100
- Promoting interoperability
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200615000668 | TX | Practitioner - Anesthesiology |
5597078196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortholonestar, PLLC | Current |
Accepting new patients | |
| Ortholonestar, PLLC | Current |
Accepting new patients |
Locations
3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034
925 W Loop 281
Longview, TX 75604
Phone (430) 240-6029
3816 N University Dr
Nacogdoches, TX 75965
Phone (936) 305-5301
3414 Golden Rd
Tyler, TX 75701
Phone (903) 590-3050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | S6804 | TX | Yes |
Addresses
Primary practice location
3414 Golden Rd
Tyler, TX 75701-8336
Mailing address
3414 Golden Rd
Tyler, TX 75701-8336
Phone (903) 939-7500
Other practice location 1
3816 N University Dr
Nacogdoches, TX 75965-2011
Phone (903) 939-7500
Other practice location 2
925 W Loop 281
Longview, TX 75604-2918
Phone (903) 939-7500
Other providers in Tyler, TX
- Michele C Bosworth
- Robert A Boudreau
- Coby Bounds
- Yullyza Maria Bouza
- Billie Ruth Bowen
- Alicia Bowles
- Melissa Bowling
- Jeta Laurie Bowman
- Katherine E Bowman
- Vanessa Bowman
All providers in Tyler, TX · Interventional Pain Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.