James Alan Cowthran, M.D.
NPI 1659729796ActiveIndividual· Otolaryngology· San Antonio, TX
Otolaryngology (M.D.) with Skilled Facility Health Care Solutions Inc and 1 other group, practicing in San Antonio, Texas. In 2024 Medicare paid $847,868 for 417 patients, and Part D covered 66 of their prescriptions, 71% of them generic. Kyowa Kirin, Inc. was the largest of 2 companies reporting payments in 2025, $134.90 in all, mostly food and beverage.
Overview
| NPI | 1659729796 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 31, 2016 |
| Last updated in NPPES | Jul 28, 2022 |
| Certified by provider | Jul 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | S8974 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Otolaryngology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 417 |
|---|---|
| Services billed | 6,937 across 18 procedure codes |
| Paid by Medicare | $847,868 |
Part D prescriptions in 2024
| Prescriptions (claims) | 66 · 67 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $25,858 |
| Generic share | 71% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Otolaryngology |
Medical groups
- Skilled Facility Health Care Solutions IncSanta Monica, CA · 60 clinicians
- Skilled Biologics IncLos Angeles, CA · 26 clinicians
Industry payments (Open Payments)
- 2025$134.90 · 2 payments from 2 companies
- 2024$144.04 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kyowa Kirin, Inc. | $120.20 | 1 |
| Smith+nephew, Inc. | $14.70 | 1 |
What the 2025 payments were for
- Food and Beverage$134.90 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 77 otolaryngologists in San Antonio · All otolaryngologists in Texas