Catherine McGowan, MD
Infectious Disease Physician in Nashville, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,537 in Infectious Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
What the federal data shows
Catherine McGowan, MD reported a CMS MIPS final score of 97.1/100 - above the 83.5 national average - and filed 104 Medicare Part D claims in 2024.
- 97.1/100
- MIPS score · +14 vs avg
- 104
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥84th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Catherine McGowan, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1205819695), first enumerated 11/21/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 104 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 97.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1205819695 · Infectious Disease Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1205819695
- ENUM-LEGACY 2005
- TAX-MID 9K Infectious Disease
- MIPS-ELITE 97.1/100
- RX-LIGHT 104
- BOOK-THIN 145 in Tennessee
- PHOTO-FINISH Kevin Winthrop · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- McGowan · this p…
McGowan · this provider
97.1 MIPS pts
- Tuhina Cornelius…
Tuhina Cornelius
97.2 MIPS pts
- Kevin Winthrop ·…
Kevin Winthrop
97.2 MIPS pts
- Shih-Han Chan · …
Shih-Han Chan
97.2 MIPS pts
- Yared Aklilu · n…
Yared Aklilu
97.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Catherine McGowan, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
97 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Catherine McGowan, MD sits
This provider among infectious disease physician peers
Across the 2,130 infectious disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Catherine McGowan, MD writes more Part D claims than 18% of them and scores higher on MIPS quality than 82% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one infectious disease physician peer from a representative sample of 60; the gold marker is Catherine McGowan, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Catherine McGowan, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Catherine McGowan, MD?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Tennessee
How Infectious Disease Physician compares to other specialties among Tennessee providers
Infectious Disease Physician ranks #94 among Tennessee's specialties (0.1% of in-state providers)
Each bar is a specialty's share of the Tennessee provider total, by primary NUCC taxonomy. The highlighted bar is Infectious Disease Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Catherine McGowan, MD's 2023 MIPS final score plotted against the Infectious Disease Physician national average
- MIPS Final Score
- 97.1/100
- vs 83.5 national avg · 2023 performance year
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Specialty volume Infectious Disease Physician US NPIs
97.1/100 MIPS final score - 13.6 pts above the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Infectious Disease Physician. Quality dim: 85.6.
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1205819695 |
|---|---|
| Specialty | Infectious Disease Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 11/21/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Catherine McGowan, MD's current license status, disciplinary history, and board certifications with the Tennessee Board of Medical Examiners in Tennessee before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1205819695 is the unique 10-digit identifier CMS uses to link McGowan across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
Prescribing Breakdown
- 30-Day Fills
- 134
- Total Day Supply
- 4,015
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 63.3 years
- Avg HCC Risk Score
- 1.96
- Age Distribution
- <65: 19, 65-74: 14, 75-84: N/A, 85+: N/A
Infectious Disease Physician Overview
How Catherine McGowan, MD fits within the Infectious Disease Physician landscape nationally.
Catherine McGowan, MD's 104 claims are below the specialty average of 807.
Nationwide Infectious Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for McGowan, both outside Tennessee so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.1 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Infectious Disease Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as McGowan.
One of 145 Infectious Disease Physician providers enrolled in Tennessee, 5 are shown here.
Compare Infectious Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Catherine McGowan, MD's specialty? ▼
How much does Catherine McGowan, MD prescribe under Medicare Part D? ▼
What is Catherine McGowan, MD's Medicare quality score? ▼
Where is Catherine McGowan, MD located? ▼
What is Catherine McGowan, MD's NPI number? ▼
How many Infectious Disease Physician providers are there in the US? ▼
Does Catherine McGowan, MD accept Medicare? ▼
How can I verify Catherine McGowan, MD's credentials? ▼
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.
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