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ALEXANDER DOWLI M.D.
NPI 1124438544
Surgery in Plano, TX

Active since May 07, 2014PECOS EnrolledAccepts Medicare Assignment
89.46/100
CMS Quality Rating
1705 OHIO DR STE 100, PLANO, TX 75093(972) 612-0430 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2022, Aug 17, 2020 (2 updates tracked since 2020).

About Alexander Dowli M.d. NPPES

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

ALEXANDER DOWLI M.D. (NPI 1124438544) is an individual surgery provider in Plano, Texas, licensed in Texas (U0105) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124438544
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameALEXANDER DOWLICredential: M.D.
Location Address1705 OHIO DR STE 100Plano, TX 75093-5256
Mailing Address1705 Ohio Dr Ste 100Plano, TX 75093-5256 · (972) 612-0430
Phone(972) 612-0430
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 7, 2014
Last NPPES UpdateDecember 16, 20222 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
✔ NPI 1124438544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in TX · U0105✔ Licensed in ME · MD24082
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1705 OHIO DR STE 100, Plano, TX 75093
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Medical Center DrBiddeford, ME 04005-9422 · Phone (207) 283-7000
Location 21400 Vfw Pkwy, VA Boston HCSBoston, MA 02132-4927 · Phone (857) 203-5096

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Molina Healthcare, Oscar Insurance Company.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

Alexander Dowli M.d. 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 ID9537586169
PECOS Enrollment IDI20221115002114
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
83 services33 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.
76 services52 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.
52 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
27 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450890
Location4700 Alliance BoulevardPlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

89.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.13
Promoting Interoperability100
Improvement Activities40
Cost96.75

Reported Quality Measures

Advance Care Plan
60%144 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
77%159 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
82%843 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
41%96 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%245 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
2%532 patients1/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 105 patients
Patients totalRate: 3% · 105 patients
3%105 patients4/55-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.

Other Providers at the Same Location NPPES 4

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

SARAH YORK BOOSTROM MD
Colon & Rectal Surgery
1705 OHIO DR STE 100
PLANO, TX 75093
Collin County (972) 612-0430
HALLE JO MAGEE PA-C
Physician Assistant (Surgical)
1705 OHIO DR STE 100
PLANO, TX 75093
Collin County (972) 612-0430
ADAM M. LANG CRNA
Nurse Anesthetist, Certified Registered
1705 OHIO DR STE 100
PLANO, TX 75093
Collin County (972) 612-0430
COLORECTAL ASSOCIATES OF TEXAS PA
Colon & Rectal Surgery
1705 OHIO DR STE 100
PLANO, TX 75093
Collin County (972) 612-0430

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 Alexander Dowli's NPI number?

The NPI number for Alexander Dowli is 1124438544. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Alexander Dowli located?

Alexander Dowli practices at 1705 Ohio Dr Ste 100, Plano, TX 75093. The listed phone number is (972) 612-0430.

What is Alexander Dowli's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Alexander Dowli enrolled in Medicare?

Yes. Alexander Dowli 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 Alexander Dowli accept?

Health plans from Baylor Scott and White Health Plan, Molina Healthcare and Oscar Insurance Company list Alexander Dowli 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.

Is Alexander Dowli affiliated with any hospitals?

According to CMS data, Alexander Dowli is affiliated with Texas Health Presbyterian Hospital Plano and Baylor Scott & White Medical Center Plano.

When was this NPI record last updated?

The NPPES record for Alexander Dowli was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.