Dr. Payton K. McGowen, MD
- Medicare services, 2024
- 452
- Medicare patients, 2024
- 266
- Part D claims, 2024
- 251
- MIPS score, 2024
- 100
- Hospital affiliations
- 5
- Practice address
- 1 St Elizabeth Blvd, O'Fallon, IL 62269
- Practice phone
- Call (217) 492-9651
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
HSHS St. Elizabeth's Hospital
O'Fallon, Illinois
Find Dr. McGowen's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Payton K. McGowen is a hospitalist in O'Fallon, Illinois
Dr. McGowen practices at HSHS St. Elizabeth's Hospital in O'Fallon, Illinois.
Dr. McGowen's NPI, 1629381256, was assigned on July 25, 2010. Dr. McGowen graduated from University of Missouri, Kansas City, School of Medicine in 2010. Dr. McGowen holds Illinois license 036132150.
- NPI
- 1629381256NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5597905935
- NPI enumeration date
- July 25, 2010
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (217) 492-9651
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 42
- Medical school graduation
- 2010
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Payton K. McGowen practices at HSHS St. Elizabeth's Hospital in O'Fallon, Illinois
Dr. McGowen's primary practice is HSHS St. Elizabeth's Hospital, at 1 St Elizabeth Blvd, O'Fallon, IL 62269 in Saint Clair County. The practice phone is (217) 492-9651.
- HSHS St. Elizabeth's Hospital1 St Elizabeth Blvd, O'Fallon, IL 62269 · Saint Clair CountyPhone(217) 492-9651
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Payton K. McGowen is affiliated with 10 sites of care and 4 medical groups
Dr. McGowen's primary practice is HSHS St. Elizabeth's Hospital in O'Fallon, Illinois. Dr. McGowen is also affiliated with HSHS St. Elizabeth's Hospital. The medical group on file is Vituity (formerly CEP America). Dmand AI also links Dr. McGowen to 4 more hospitals, 4 group practices and clinics and 3 medical groups, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Payton K. McGowen's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. McGowen practices, 9 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| HSHS St. Elizabeth's Hospital | Available with a free account |
| +9 more sites and 3 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Payton K. McGowen is one of 1,321 hospitalists in Illinois
Hospitalist is Dr. McGowen's primary specialty in the NPI Registry, under taxonomy code 208M00000X. Dr. McGowen is licensed in Illinois.
Specialties and state licenses
- Hospitalist, IllinoisPrimary
Hospitalists near Dr. McGowen
Counts of hospitalists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Payton K. McGowen billed Medicare for 452 services in 2024
CMS data shows 452 Medicare services from Dr. McGowen across 7 procedure codes in 2024, for 266 Medicare patients. Medicare paid $42,840 for them. Every service was in a facility, such as a hospital, rather than an office.
Dr. McGowen's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 5782024: 45222%
Dr. McGowen compared with the Illinois median for hospitalists, 2024
- Dr. McGowen
- Illinois median
- Medicare services
- 452vs 54317% below
- Medicare patients
- 266vs 24210% above
- Part D claims
- 50vs 536% below
Medians across 1,248 hospitalists in Illinois with Dmand AI profiles that report each measure.
Dr. McGowen's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Payton K. McGowen treated 266 Medicare patients in 2024, average age 78
CMS counts 266 Medicare patients who saw Dr. McGowen in 2024. The largest group is 75 to 84, with 94 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 26% are also on Medicaid. Their average risk score is 2.53, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. McGowen's median patient age at 72, with 53% women.
Dr. McGowen's Medicare patients by age, 2024
Dr. McGowen's Medicare patients by sex, 2024
- Women16662%
- Men10038%
Chronic conditions among Dr. McGowen's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis67%
- Chronic kidney disease61%
- Heart failure59%
- Ischemic heart disease56%
- Mood disorders52%
- Anxiety50%
Share of Medicare patients with each condition. A patient can have several.
Dr. McGowen's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 72
Patient panel by sex, all payers
- Women53%
- Men46%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Payton K. McGowen wrote 251 Medicare Part D claims in 2024
In 2024, Dr. McGowen wrote 251 Medicare Part D claims for 113 patients. 86% of them were for generic drugs. CMS names the drug for 50 of them, across 4 drugs with 11 or more claims each, at $699 in total drug cost. In 2023, CMS named 153 claims across 11 drugs.
Dr. McGowen's Part D claims by kind of drug, 2024
- Generic215 claims86%
- Brand-name36 claims14%
Dr. McGowen's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. McGowen's Part D claims, 2024
- Opioids4%11 of 251 claims
- Antibiotics15%37 of 251 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1532024: 5067%
Drugs named by CMS: 4 in 2024, 11 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Payton K. McGowen scored 100 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. McGowen for performance year 2024, reported as part of a group. Dr. McGowen accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. McGowen's MIPS scores, performance year 2024
- 100of 100Final score
- 96.6of 100Quality
- 40of 100Improvement Activities
- 82of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Payton K. McGowen received $232 in industry payments from 2016 to 2020
CMS Open Payments shows 8 general payments to Dr. McGowen from 6 drug and device companies from 2016 to 2020. Food and beverage make up the largest share, 100% of the total. Genentech, Inc. paid the most, $127.
General payments to Dr. McGowen by program year, 2016 to 2020
Companies that paid Dr. McGowen the most, 2016 to 2020
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Payton K. McGowen graduated from University of Missouri, Kansas City, School of Medicine
Dr. McGowen graduated from University of Missouri, Kansas City, School of Medicine in 2010.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Payton K. McGowen's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Payton K. McGowen
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Payton K. McGowen's NPI number?
Dr. Payton K. McGowen's NPI number is 1629381256. It was assigned on July 25, 2010, and it is active in the NPI Registry.
What kind of doctor is Dr. Payton K. McGowen?
Dr. Payton K. McGowen is a hospitalist in O'Fallon, Illinois. The primary specialty in the NPI Registry is Hospitalist Physician (taxonomy code 208M00000X).
Where does Dr. Payton K. McGowen practice?
Dr. McGowen practices at 1 St Elizabeth Blvd, O'Fallon, IL 62269. Dr. McGowen's primary practice is HSHS St. Elizabeth's Hospital in O'Fallon, Illinois. Dmand AI also links Dr. McGowen to 4 hospitals, 4 group practices and clinics and 3 medical groups.
What is Dr. Payton K. McGowen's office phone number?
The practice phone on file for Dr. McGowen is (217) 492-9651.
What is Dr. Payton K. McGowen's medical license number?
Dr. McGowen holds Illinois license 036132150.
Which hospitals is Dr. Payton K. McGowen affiliated with?
Dr. McGowen is affiliated with HSHS St. Elizabeth's Hospital. Dmand AI links Dr. McGowen to 4 more hospitals.
What medical group is Dr. Payton K. McGowen part of?
Dr. McGowen is linked to Vituity (formerly CEP America). Dmand AI links Dr. McGowen to 3 more medical groups.
Does Dr. Payton K. McGowen accept Medicare?
Yes. CMS data shows Dr. McGowen billed Medicare for 452 services in 2024, and Dr. McGowen accepts Medicare assignment.
What is Dr. Payton K. McGowen's MIPS score?
Dr. McGowen's MIPS final score for performance year 2024 is 100 out of 100, reported as part of a group.
How many Medicare patients does Dr. Payton K. McGowen see?
CMS counts 266 Medicare patients who saw Dr. McGowen in 2024, with an average age of 78.
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What services does Dr. Payton K. McGowen bill to Medicare?
In 2024, Dr. McGowen's most billed Medicare services were hospital inpatient care (99233), hospital inpatient care (99239) and hospital inpatient care (99223).
Where did Dr. Payton K. McGowen go to medical school?
Dr. McGowen graduated from University of Missouri, Kansas City, School of Medicine in 2010.
What drugs does Dr. Payton K. McGowen prescribe most?
In 2024 Medicare Part D data, Dr. McGowen's most prescribed drugs by claims were Amiodarone HCl, Pantoprazole Sodium and Metoprolol Succinate.
Has Dr. Payton K. McGowen received payments from drug or device companies?
CMS Open Payments shows $232 in general payments to Dr. McGowen from 6 companies from 2016 to 2020. The largest total came from Genentech, Inc.
How long has Dr. Payton K. McGowen been practicing?
Dr. McGowen graduated from medical school in 2010, 16 years ago.
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