Medicare Enrolled
Dr. Iden Cowan, M.D.
Anesthesiology · Austin, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 →
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What this data tells you about Dr. Cowan
Dr. Iden Cowan is an anesthesiology specialist in Austin, TX, with 17 years of NPI registration. Based on federal Medicare data, Dr. Cowan performed 6,179 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Cowan received a total of $288,121 from 48 pharmaceutical and/or device companies across 1013 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 17 years of NPI registration
▲ Top 1% volume in TX
$288,121 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗6,179
Medicare services
Top 1% in TX for anesthesiology
Not available
Unique patients (not deduplicated)
$93
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,427 | $93 | $765 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
1,084 | $60 | $600 |
| Triamcinolone acetonide injection, 1 mg An injection of triamcinolone acetonide, a corticosteroid medication, administered in a 1 mg dose without preservatives. |
1,003 | $3 | $27 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
506 | $241 | $1,300 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
426 | $193 | $1,300 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
293 | $153 | $1,300 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
250 | $65 | $514 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
221 | $0 | $1 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
108 | $107 | $652 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
107 | $60 | $377 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
80 | $126 | $1,165 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
74 | $226 | $1,599 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
74 | $68 | $428 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
68 | $99 | $807 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
60 | $247 | $2,959 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
42 | $41 | $373 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
39 | $119 | $761 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
39 | $67 | $437 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
36 | $82 | $601 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
36 | $78 | $713 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
31 | $51 | $429 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
28 | $32 | $296 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
26 | $217 | $1,621 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
26 | $75 | $490 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
19 | $81 | $771 |
| Destruction of nerve branches of knee using imaging guidance | 19 | $157 | $1,062 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
17 | $74 | $1,300 |
| Destruction of peripheral nerve or branch | 14 | $105 | $955 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
13 | $39 | $395 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
13 | $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. These counts do not measure clinical quality or years of experience.
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
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
48
Companies
1,013
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
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)
Abbott Laboratories
$8,090
Boston Scientific Corporation
$7,475
ABBVIE INC.
$68
Medtronic, Inc.
$48
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$21
Saluda Medical Americas, Inc.
$11
Top 3 companies account for 99.5% of 2024 payments
All-time payments by company (2018-2024) ›
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 all-time 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? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Anesthesiologists in nearby ZIP areas
254
County median income
$97,169
Nearest hospital to ZIP centroid (approximate)
NORTHWEST HILLS SURGICAL HOSPITAL
2.1 mi
2.1 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Cowan is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), with 17 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. 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. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Cowan receive payments from pharmaceutical companies?
Yes. Dr. Cowan received a total of $288,121 from 48 companies across 1,013 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 anesthesiologists 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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.
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