MR. GARY MATTHEW FOWLER MD
NPI 1073503405
Family Medicine in Winfield, AL

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
92.97/100
CMS Quality Rating
191 CARAWAY DR, SUITE A, WINFIELD, AL 35594(205) 487-1586(205) 487-1589 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Gary Matthew Fowler Md NPPES

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

MR. GARY MATTHEW FOWLER MD (NPI 1073503405) is an individual family medicine provider in Winfield, Alabama, licensed in Alabama (18265) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1993).

NPPES Registry Identity

NPI1073503405
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. GARY MATTHEW FOWLERCredential: MD
Location Address191 CARAWAY DR, SUITE AWinfield, AL 35594-5067
Mailing Address191 Caraway Dr, Suite AWinfield, AL 35594-5067 · (205) 487-1586 · Fax (205) 487-1589
Fax(205) 487-1589
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1993
Enumeration DateOctober 26, 2005
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
NPI 1073503405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 18265
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
191 CARAWAY DR, Winfield, AL 35594

Other Identifiers 1

Medicaid000046678AL

Accepted Insurance

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

Mr. Gary Matthew Fowler Md 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 ID2668448127
PECOS Enrollment IDI20040907000378
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 29

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.
918 services291 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
369 services112 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
352 services76 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.
278 services141 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
252 services54 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
180 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35594 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost76.57

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
80%211 patients4/55-star benchmark: 87%
Controlling High Blood Pressure
88%693 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
8%280 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%4,521 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,309 patients5/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,079 patients
Patients screened: 98% · 1,079 patients
66%154 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 12% · 408 patients
Patients totalRate: 49% · 408 patients
50%408 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers42 claims98 services$6.66 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers11 claims11 services$2.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers19 claims24 services$1.15 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers13 claims13 services$105.83 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers12 claims12 services$66.54 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers14 claims14 services$21.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Obstetrics & Gynecology
191 CARAWAY DR, SUITE A-1
WINFIELD, AL 35594
Obstetrics & Gynecology
191 CARAWAY DR, SUITE A1
WINFIELD, AL 35594

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 Gary Fowler's NPI number?

The NPI number for Gary Fowler is 1073503405. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Gary Fowler located?

Gary Fowler practices at 191 Caraway Dr Suite A, Winfield, AL 35594. The listed phone number is (205) 487-1586.

What is Gary Fowler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gary Fowler enrolled in Medicare?

Yes. Gary 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.

What insurance does Gary Fowler accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Gary Fowler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Fowler was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.