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WAYNE A FOWLER O.D.
NPI 1184626822
Optometrist in Lowell, MA

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
9 CENTRAL ST, LOWELL, MA 01852(978) 458-4546(978) 934-9264 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wayne A Fowler O.d. NPPES

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

WAYNE A FOWLER O.D. (NPI 1184626822) is an individual optometrist in Lowell, Massachusetts, licensed in Massachusetts (4051) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1992).

NPPES Registry Identity

NPI1184626822
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameWAYNE A FOWLERCredential: O.D.
Location Address9 CENTRAL STLowell, MA 01852-1927
Mailing Address22 Rocky Hill RdAndover, MA 01810-6118 · (978) 623-8195 · Fax (978) 934-9264
Phone(978) 458-4546
Fax(978) 934-9264
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1992
Enumeration DateAugust 12, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184626822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 4051
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
9 CENTRAL ST, Lowell, MA 01852
Open in Google Maps ↗

Other Identifiers 14

Other174713MA · Cigna
Medicare ID-Type UnspecifiedW17405MA
Other3200852MA · Aetna
Other980952MA · Nteworkhealth
Medicaid0312479MA
OtherW16119MA · Bc/bs Of Mass
Other41642MA · John Hancocl/childern
Other158296XXMA · Phcs
Medicare UPINU68881MA
Other35222MA · Fallon Health Care
Other774609MA · Tufts Health Plan
Other151507MA · Harvard Pilgrim
Other3193MA · Anthem Bs
Other40485MA · Nh/vermont Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Wayne A Fowler O.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 ID3274784954
PECOS Enrollment IDI20121105000639
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 9

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
360 services342 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
123 services112 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
106 services106 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
45 services42 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
43 services40 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.
43 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01852 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

DORA E BUOTE
Counselor (Mental Health)
9 CENTRAL ST
LOWELL, MA 01852
Middlesex County (978) 459-3366
DR. MIGUEL VERDAGUER M.D.
Psychiatry & Neurology (Psychiatry)
9 CENTRAL ST, SUITE 607
LOWELL, MA 01852
Middlesex County (978) 452-1282
CHRISTINE L RUSSIAN OD
Optometrist
9 CENTRAL ST
LOWELL, MA 01852
Middlesex County (978) 458-4546
DR. BARBARA LEE DAY PSYD, MSW
Psychologist (Clinical)
9 CENTRAL ST, SUITE 201
LOWELL, MA 01852
Middlesex County (617) 905-4331

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 Wayne Fowler's NPI number?

The NPI number for Wayne Fowler is 1184626822. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Wayne Fowler located?

Wayne Fowler practices at 9 Central St, Lowell, MA 01852. The listed phone number is (978) 458-4546.

What is Wayne Fowler's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Wayne Fowler enrolled in Medicare?

Yes. Wayne 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 Wayne Fowler accept?

Health plans from Anthem Blue Cross and Blue Shield list Wayne 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 Wayne Fowler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.