Dr. Nicholas Cowley, MD
624 E Front Ave, Spokane, WA 99202 • +1-974-555-3886
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Spokane Percentiles
NPI #1043742646 • CBSA Regional • Internal Medicine
CMS Medicare Part B utilization records credit Dr. Nicholas Cowley (MD, NPI 1043742646) at 624 E Front Ave in Spokane with 688 annual clinical services (196 beneficiaries), corresponding to a -0.32σ regional deviation and focused low-volume boutique caseload (17.86th Spokane percentile) with sub-specialty concentration in 10 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Nicholas Cowley (99202) place 99214 at the top of the practice ledger (310 yearly units, 17.86th metro rank), rounded out by 99213 and 93000.
Cash-pay intake data for NPI 1043742646 (624 E Front Ave, Spokane) indicates $222.00 typical out-of-pocket visit spend against a $222.00 locality benchmark, paired with 9-minute average reception wait and 4.90/5 biomarker openness.
Patients evaluating Dr. Nicholas Cowley in ZIP 99202 note 12 years of post-doctoral tenure (null, 2014) alongside 3.5 annual CMS procedures per patient.
Compared against Spokane, WA Internal Medicine peers
688 annual services across 196 beneficiaries
Standard deviations from WA Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 310 | 17.86th | $164 – $225 |
| 99213 | Established Preventive & Chronic Care Visit | 179 | 19.86th | $126 – $172 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 89 | 22.86th | $60 – $82 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 69 | 22.86th | $193 – $264 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 41 | 21.86th | $228 – $313 |
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Dr. Nicholas Cowley, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cowley National Provider Identifier | NPI #1043742646 (MD) | CMS NPPES Registry (99202) |
| Dr. Cowley Spokane CMS Volume Rank | 17.86th Pct (688 CMS svcs; Z -0.321σ) | CMS Medicare Part B (WA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spokane, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 9 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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