SHAWN EDWIN COWPER (MD) – Dermatology Physician, NPI 1396736773

SHAWN EDWIN COWPER (MD) is a healthcare provider. based in New haven, Connecticut. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 039638 (CT). The NPI Number for SHAWN EDWIN COWPER (MD) is 1396736773

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN EDWIN COWPER (MD)
NPI
1396736773
Phone
Not provided
Address
PO BOX 9805
Enumeration Date
3 November 2005
Last Update Date
26 June 2008

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2036884242
Graduation Year
1990 (36 years ago)
PAC ID
3072644418
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20100628000978
Address ID
CT065103220NE20XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

323 PATHOLOGY in CT

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Provider Addresses for SHAWN EDWIN COWPER (MD)

  • 9805, Northwest Ash Street, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States

    300 GEORGE ST 6TH FLOOR

    NEW HAVEN, CT 065360805

    Phone:

    Type: Mailing

  • Lippard Laboratory, 15, York Street, Downtown, New Haven, New Haven County, Connecticut, 06511, United States

    NEW HAVEN, CT 065103221

    Phone: (203) 785-4091

    Fax: (203) 785-6869

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100628000978IPathologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity2819$0
View full utilization report →

Insurance plans in this area (ZIP 06536)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

Can I verify SHAWN EDWIN COWPER (MD) with an NPI only?
You can start verification with NPI 1396736773 for SHAWN EDWIN COWPER (MD), then check state licensing separately.
Is SHAWN EDWIN COWPER (MD) still practicing?
SHAWN EDWIN COWPER (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes SHAWN EDWIN COWPER (MD)?
For research purposes, treat SHAWN EDWIN COWPER (MD) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does SHAWN EDWIN COWPER (MD) serve?
SHAWN EDWIN COWPER (MD)'s listing highlights New Haven, Connecticut; more addresses can appear in NPPES.
Why does SHAWN EDWIN COWPER (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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