Medicare Enrolled

Dr. Iden Cowan, M.D.

Anesthesiology · Austin, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
8015 SHOAL CREEK BLVD STE 103, Austin, TX 78757
5124677246
In practice since 2009 (16 years)
NPI: 1700029832 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Cowan from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Cowan? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Cowan

Dr. Iden Cowan is an anesthesiology in Austin, TX, with 16 years in practice. Based on federal Medicare data, Dr. Cowan performed 6,179 Medicare services across 3,023 unique beneficiaries.

Between the years covered by Open Payments, Dr. Cowan received a total of $288,121 from 48 pharmaceutical and/or device companies across 1013 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Cowan is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 16 years in practice▲ Top 1% volume in TX$ $288,121 industry payments

Medicare Practice Summary

Medicare Utilization ↗
6,179
Medicare services
Top 1% in TX for anesthesiology
3,023
Unique beneficiaries
$93
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~386 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)1,427$93$765
Drug screening test1,084$60$600
Injection, triamcinolone acetonide, preservative free, 1 mg1,003$3$27
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms506$241$1,300
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms426$193$1,300
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms293$153$1,300
Office visit, established patient (20-29 min)250$65$514
Dexamethasone injection (steroid)221$0$1
Injection of lower or sacral spine facet joint using imaging guidance, single level108$107$652
Injection of lower or sacral spine facet joint using imaging guidance, second level107$60$377
New patient office visit (45-59 min)80$126$1,165
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint74$226$1,599
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint74$68$428
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level68$99$807
Insertion of spinal neurostimulator electrode array through skin60$247$2,959
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level42$41$373
Injection of upper or middle spine facet joint using imaging guidance, single level39$119$761
Injection of upper or middle spine facet joint using imaging guidance, second level39$67$437
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance36$82$601
Injection of substance into lower spine canal using imaging guidance36$78$713
Joint injection, major joint31$51$429
Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming28$32$296
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint26$217$1,621
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint26$75$490
Injection of substance into middle or upper spine canal using imaging guidance19$81$771
Destruction of nerve branches of knee using imaging guidance19$157$1,062
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms17$74$1,300
Destruction of peripheral nerve or branch14$105$955
Injection of trigger points, 1-2 muscles13$39$395
Insertion of spinal neurostimulator generator or receiver13$143$2,583
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$288,121
Total received (2018-2024)
Avg $41,160/year across 7 years
Top 0% in TX for anesthesiology
48
Companies
1,013
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$233,374 (81.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$39,572 (13.7%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$15,175 (5.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$15,713
2023
$31,485
2022
$77,950
2021
$140,322
2020
$8,147
2019
$12,509
2018
$1,996

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
BOSTON SCIENTIFIC CORPORATION
$138,536
Boston Scientific Corporation
$80,623
Abbott Laboratories
$21,796
Medtronic, Inc.
$20,138
Stimwave Technologies Incorporated
$13,830
Medtronic USA, Inc.
$4,890
Vertiflex, Inc.
$1,683
Vertos Medical, Inc.
$1,592
SPR Therapeutics, Inc
$1,148
Southern Spine, LLC
$639
Relievant Medsystems, Inc.
$477
Nevro Corp.
$289
DePuy Synthes Sales Inc.
$223
SI-BONE, Inc.
$192
Allergan, Inc.
$191
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$153
Foundation Fusion Solutions, LLC
$140
Flexion Therapeutics, Inc.
$139
Spinal Simplicity, LLC
$138
Jazz Pharmaceuticals Inc.
$123
AbbVie Inc.
$114
PFIZER INC.
$102
ABBVIE INC.
$97
Saluda Medical Americas, Inc.
$90
Collegium Pharmaceutical, Inc.
$87
SCILEX PHARMACEUTICALS INC.
$66
Amgen Inc.
$65
Teva Pharmaceuticals USA, Inc.
$59
Stryker Corporation
$50
MML US, Inc.
$48
Biohaven Pharmaceutical Holding Company Ltd.
$47
Vertical Pharmaceuticals, LLC
$35
Arbor Pharmaceuticals, Inc.
$34
Nalu Medical, Inc.
$31
ARBOR PHARMACEUTICALS, INC.
$29
Almatica Pharma LLC
$29
Forte Bio-Pharma LLC
$21
SPINEFRONTIER, INC.
$20
Curonix LLC
$19
Bioventus LLC
$18
Zyla Life Sciences, Inc.
$18
GRT US Holding, Inc.
$17
IMPEL PHARMACEUTICALS INC.
$16
Zyla Life Sciences
$15
Scilex Pharmaceuticals Inc.
$15
Assertio Therapeutics, Inc.
$15
Allergan Inc.
$12
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$12
Top 3 companies account for 83.6% of total payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AJOVY · Aimovig · BELBUCA · BOTOX · Belbuca · CONFIDENCE · CONFIDENCE SPINAL CEMENT SYSTEM · Cardiovascular- Research only · Durolane · ETERNA · Evoke · Evoke SCS · FLECTOR · GENERAL THERAPIES · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GRALISE · General - Pain Management · HA MINUTEMAN G3-R · Horizant · INFINITY · INTELLIS · INTELLIS ADAPTIVESTIM · Infinion 16 · Inspan · Intracept · LORZONE · LYRICA · MAKO · NAPRELAN · NURTEC ODT · Nalu Neurostimulation System · Nucynta · ORTHOVISC · Octrode SCS Leads · Omnia · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · PROLATE · Prialt · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · Qutenza · RELISTOR · RESTORE · ReActiv8 · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SUPERION · SYNCHROMED · SYNCHROMEDII · Senza Spinal Cord Stimulation System · StimQ Peripheral Nerve StimulatorSystem · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion · Superion ISS · Superion Indirect Decompression System · Trudhesa · UBRELVY · VANTA ADAPTIVESTIM · VECTRIS · VERTECEM · VenaSeal · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · ZIPSOR · ZTLido · Zilretta · iFuse Implant · mild Device Kit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (81%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in anesthesiology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for anesthesiology in TX.

Equivalent to $4,663 per 100 Medicare services performed
Looking for a anesthesiology in Austin?
Compare anesthesiologys in the Austin area by procedure volume, costs, and industry payment transparency.
Browse anesthesiologys nearby

Geographic Context

Anesthesiologys within 10 mi
254
Per 100K population
19.4
County median income
$97,169
Nearest hospital
NORTHWEST HILLS SURGICAL HOSPITAL
2.1 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Cowan is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), and high industry engagement (speaking/promotional, top 0%), with 16 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Cowan experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Cowan performed 1,427 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Cowan receive payments from pharmaceutical companies?
Yes. Dr. Cowan received a total of $288,121 from 48 companies across 1,013 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Cowan's costs compare to other anesthesiologys in Austin?
Dr. Cowan's average Medicare payment per service is $93. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Cowan) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →