JAMES D FOWLER MD
NPI 1194726596
Hospitalist in Fargo, ND

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
5225 23RD AVE S, FARGO, ND 58104(701) 417-2575 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 10, 2025, Jun 13, 2023 (2 updates tracked since 2023).

About James D Fowler Md NPPES

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

JAMES D FOWLER MD (NPI 1194726596) is an individual hospitalist provider in Fargo, North Dakota, licensed in North Dakota (19748) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194726596
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJAMES D FOWLERCredential: MD
Location Address5225 23RD AVE SFargo, ND 58104-7927
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 9, 2005
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1194726596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in ND · 19748
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
5225 23RD AVE S, Fargo, ND 58104

Other Identifiers 2

Medicaid0002358VT
Other00059762VT · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James D 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 ID6800785916
PECOS Enrollment IDI20230630001488
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.

Medicare Billing Reassignment

Medicare enrollment records show James Fowler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1220 SHEYENNE ST
West Fargo, ND 58078
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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.

Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Internal Medicine
5225 23RD AVE S
FARGO, ND 58104
Hospitalist
5225 23RD AVE S
FARGO, ND 58104
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Obstetrics & Gynecology
5225 23RD AVE S
FARGO, ND 58104
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Nurse Practitioner
5225 23RD AVE S
FARGO, ND 58104

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 James Fowler's NPI number?

The NPI number for James Fowler is 1194726596. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is James Fowler located?

James Fowler practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-2575.

What is James Fowler's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is James Fowler enrolled in Medicare?

Yes. James 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.

Which organization bills Medicare for James Fowler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fowler reassigns Medicare benefits to Sanford Medical Center Fargo (West Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Fowler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fowler accept?

Health plans from Blue Cross Blue Shield of North Dakota list James 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.

Is James Fowler affiliated with any hospitals?

According to CMS data, James Fowler is affiliated with Sanford Bemidji Medical Center and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for James Fowler was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.