GRADY FOWLER
NPI 1033756887
Physician Assistant in Albuquerque, NM

Active since November 27, 2019PECOS EnrolledAccepts Medicare Assignment
2100 LOUISIANA BLVD NE STE 410, ALBUQUERQUE, NM 87110(505) 724-4300(505) 338-0034 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2022, Dec 27, 2021, Nov 27, 2019 (3 updates tracked since 2019).

About Grady Fowler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRADY FOWLER (NPI 1033756887) is an individual physician assistant in Albuquerque, New Mexico and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033756887
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGRADY FOWLER
Location Address2100 LOUISIANA BLVD NE STE 410Albuquerque, NM 87110-5412
Mailing Address2100 Louisiana Blvd Ne, Ste 410Albuquerque, NM 87110-5412 · (505) 724-4300 · Fax (505) 338-0034
Fax(505) 338-0034
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 27, 2019
Last NPPES UpdateJanuary 6, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
NPI 1033756887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2100 LOUISIANA BLVD NE STE 410, Albuquerque, NM 87110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Grady Fowler is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688001217
PECOS Enrollment IDI20200220002140
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
430 services313 patients
X-ray lower and sacral spine, minimum of 6 views 72114
An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.
226 services222 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
164 services143 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
114 services111 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
89 services89 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
89 services89 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110
Physical Therapist
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110
Physician Assistant
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110
Orthopaedic Surgery
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110
Physical Medicine & Rehabilitation
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110
Orthopaedic Surgery (Sports Medicine)
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110
Nurse Practitioner (Family)
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110
Physical Therapist
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grady Fowler's NPI number?

The NPI number for Grady Fowler is 1033756887. It was assigned to this individual provider in the NPPES registry on November 27, 2019.

Where is Grady Fowler located?

Grady Fowler practices at 2100 Louisiana Blvd NE Ste 410, Albuquerque, NM 87110. The listed phone number is (505) 724-4300.

What is Grady Fowler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Grady Fowler enrolled in Medicare?

Yes. Grady Fowler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Grady Fowler affiliated with any hospitals?

According to CMS data, Grady Fowler is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Grady Fowler was last updated on January 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.