Medicare Enrolled

Dr. Nicholas Cowan, M.D.

Urology Physician · Seattle, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1100 9TH AVE, Seattle, WA 98101
2063410560
Registered in NPPES since 2009
NPI: 1760626386 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. Nicholas Cowan is an urology physician in Seattle, WA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Cowan performed 641 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 $2,017 from 13 pharmaceutical and/or device companies across 18 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 ▲ 641 Medicare services $2,017 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
641
Medicare services
Bottom 31% in WA for urology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$139
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.
186 $86 $277
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.
66 $128 $392
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
57 $65 $740
Imaging of urinary tract with contrast
An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures.
53 $21 $69
Urinalysis with microscopic exam
A urine test performed manually that includes examining the sample under a microscope to check for abnormalities.
52 $3 $35
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
36 $8 $22
Endoscopic removal of foreign body, stone, or stent from urethra or bladder
A procedure to remove a foreign object, stone, or stent from the urethra or bladder using an endoscope. The endoscope is a thin tube with a camera inserted into the urinary tract to locate and extract the item.
34 $109 $958
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
30 $10 $202
Ureteral stent insertion via endoscope
A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder.
25 $111 $1,234
Kidney transplant
Surgical procedure to place a healthy kidney from a donor into a patient whose kidneys have failed.
24 $1,670 $6,359
Ureteral stone crushing with stent insertion
An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open.
23 $343 $1,228
Donor kidney preparation for transplantation
This procedure involves the preparation of a donor kidney for transplantation. It does not include the actual surgical removal or implantation of the organ.
19 $75 $186
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
13 $112 $364
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
12 $78 $289
Donor kidney and vein preparation for transplantation
This procedure involves preparing a donor kidney and its associated veins for the purpose of transplantation into a recipient.
11 $85 $277
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.
21.2% high complexity
12.9% medium
65.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,017
Total received (2018-2024)
Avg $336/year across 6 years
Top 44% in WA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
13
Companies
18
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
$1,340
2023
$151
2022
$19
2020
$104
2019
$237
2018
$165

Payments by company (2024)

Edap Technomed Inc
$624
INTUITIVE SURGICAL, INC.
$222
Boston Scientific Corporation
$162
C. R. Bard, Inc. & Subsidiaries
$146
Endo USA, Inc.
$111
COLOPLAST CORP
$75
Top 3 companies account for 75.2% of 2024 payments
All-time payments by company (2018-2024) ›
Edap Technomed Inc
$624
INTUITIVE SURGICAL, INC.
$222
Boston Scientific Corporation
$162
Progenics Pharmaceuticals, Inc.
$151
C. R. Bard, Inc. & Subsidiaries
$146
Coloplast Corp
$137
Endo USA, Inc.
$111
ConvaTec Inc.
$104
Astellas Pharma US Inc
$100
Analogic Corporation
$85
Janssen Scientific Affairs, LLC
$80
COLOPLAST CORP
$75
Alnylam Pharmaceuticals Inc.
$19
Top 3 companies account for 50.0% of all-time payments
Associated products mentioned in payments ›
Bard Urinary Drainage Bag · Da Vinci Surgical System · Erleada · GENTLECATH · OXLUMO · PYLARIFY · SENSURA MIO CONVEX · SPEEDICATH · Titan · XIAFLEX
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 →
Looking for an urology physician in Seattle?
Compare urology physicians in the Seattle area by procedure volume, costs, and industry payment transparency.
Browse urology physicians nearby

Geographic Context

Urology physicians in nearby ZIP areas
170
County median income
$122,148
Nearest hospital to ZIP centroid (approximate)
VIRGINIA MASON MEDICAL CENTER
0.0 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 moderate Medicare volume, 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 186 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 $2,017 from 13 companies across 18 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 urology physicians in Seattle?
Dr. Cowan's average Medicare payment per service is $139. 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 →
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.

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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →