DAVID JAMES BOWERS CRNP
NPI 1770857542
Nurse Practitioner - Family in Berkeley Springs, WV
NPI Status: Active since February 26, 2012
Contact Information
261 BERKMORE PL
SUITE 1A
BERKELEY SPRINGS, WV
ZIP 25411
Phone: (304) 258-5790
Fax: (304) 258-3745
- Individual
- Male
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About DAVID BOWERS
This page provides the complete NPI Profile along with additional information for David Bowers, a provider established in Berkeley Springs, West Virginia with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1770857542 assigned on February 2012. The practitioner's primary taxonomy code is 363LF0000X with license number APRN62872-FNP-BC (WV). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1770857542
- Provider Name
- DAVID JAMES BOWERS CRNP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 261 BERKMORE PL SUITE 1A BERKELEY SPRINGS, WV 25411
- Location Phone
- (304) 258-5790
- Location Fax
- (304) 258-3745
- Mailing Address
- 109 RAYLOC DR HANCOCK, MD 21750
- Mailing Phone
- (301) 678-5187
- Mailing Fax
- (304) 258-3745
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-26-2012
- Last Update Date
- 12-31-2015
- Code Navigator
A nurse practitioner (NP) like David Bowers is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- APRN62872-FNP-BC
- License State
- WV
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | R162950 (MD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Deductible Silver 4500 $3 Generic Drugs - HMO
- Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
- my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Silver 7000 - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 1500 - PPO
- my Blue Access WV PPO Standard Silver 5000 - PPO
- my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 511021 | OTHER (01) | WV | MEDICARE FQHC |
Medicare Participation & PECOS Enrollment Status
David Bowers is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 16 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 25411 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.49
- Minimum New Patient Price $53.2
- Maximum New Patient Price $164.59
- Average New Patient Copayment $20.87
- Minimum New Patient Copayment $13.3
- Maximum New Patient Copayment $41.14
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.81
- Minimum Established Patient Price $16.47
- Maximum Established Patient Price $133.29
- Average Established Patient Copayment $23.7
- Minimum Established Patient Copayment $4.11
- Maximum Established Patient Copayment $33.32
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 46% | 24 |
| Diabetes: Eye Exam | 38% | 26 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 42% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 26 |
| Preventive Care and Screening: Influenza Immunization | 1% | 224 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 32% | 406 |
Reviews for DAVID JAMES BOWERS CRNP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 8 | 5 | 7 | 5 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 16 | 5 | 14 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 6 + 5 + 1 + 4 + 5 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1770857542 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326045576 | KENNETH R REED R.PH. Individual | Pharmacist | 261 BERKMORE PL SUITE 1C BERKELEY SPRINGS, WV 25411 (304) 258-3800 |
| 1235136482 | TALLY R REED R.PH. Individual | Pharmacist | 261 BERKMORE PL SUITE 1C BERKELEY SPRINGS, WV 25411 (304) 258-3800 |
| 1346228293 | TAMMY WALKER DAVISON RPH Individual | Pharmacist | 261 BERKMORE PL SUITE 1C BERKELEY SPRINGS, WV 25411 (304) 258-3800 |
| 1083055081 | TRI-STATE COMMUNITY HEALTH CENTER, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 261 BERKMORE PL SUITE 1A BERKELEY SPRINGS, WV 25411 (304) 258-5790 |
| 1598039364 | MRS. SARITA ELAINE BOWERS FNP-BC Individual | Nurse Practitioner (Family) | 261 BERKMORE PL SUITE 1A BERKELEY SPRINGS, WV 25411 (304) 258-5790 |
| 1609958487 | REEDS PHARMACY LLC Organization | Pharmacy (Community/Retail Pharmacy) | 261 BERKMORE PL STE 1C BERKELEY SPRINGS, WV 25411 (304) 258-3800 |
| 1437271707 | GRAVES MEDICAL PRACTICE INC Organization | Family Medicine | 261 BERKMORE PL SUITE 1A BERKELEY SPRINGS, WV 25411 (304) 258-6327 |
| 1336845825 | DR. KRISTI NICOLE ASHTON FNP-C Individual | Nurse Practitioner (Family) | 261 BERKMORE PL BERKELEY SPRINGS, WV 25411 (304) 258-5790 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770857542, enumerated in the NPI registry as an "individual" on February 26, 2012
The provider is located at 261 Berkmore Pl Suite 1a Berkeley Springs, Wv 25411 and the phone number is (304) 258-5790
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: CareSource, Highmark Blue Cross Blue Shield West. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.49 with an average copayment of $20.87 for new patient appointments. Established patients should expect a typical charge of $94.81 and an average copayment of 23.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes.
This NPI record was last updated on February 26, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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