CYNTHIA MARIE FOWLER M.D.
NPI 1215040316
Psychiatry & Neurology - Psychiatry in Portland, OR

Q: What is Cynthia Fowler's NPI number?

The NPI number for Cynthia Fowler is 1215040316. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Cynthia Fowler's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Cynthia Fowler enrolled in Medicare?

No. Cynthia Fowler has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Cynthia Fowler was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 16, 2006Opted out of Medicare · through Oct 1, 2026

4839 NE MARTIN LUTHER KING JR BLVD, SUITE 204, PORTLAND, OR 97211(503) 953-4491(971) 200-2662 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Cynthia Marie Fowler M.d. NPPES

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

CYNTHIA MARIE FOWLER M.D. (NPI 1215040316) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD153649) and active in the NPI registry since August 2006. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215040316

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameCYNTHIA MARIE FOWLERCredential: M.D.

Location Address4839 NE MARTIN LUTHER KING JR BLVD, SUITE 204Portland, OR 97211-3386

Mailing Address4839 Ne Martin Luther King Jr Blvd, Suite 204Portland, OR 97211-3386 · (503) 953-4491 · Fax (971) 200-2662

Phone(503) 953-4491

Fax(971) 200-2662

Sole ProprietorYes

Enumeration DateAugust 16, 2006

Last NPPES UpdateApril 21, 2015

✔ NPI 1215040316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in OR · MD153649✔ Licensed in CA · A66473

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4839 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97211

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI13244NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Cynthia Marie Fowler M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97211 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

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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

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

ELITE BODY THERAPY LLC

Massage Therapist

4839 NE MARTIN LUTHER KING JR BLVD, SUITE 201
PORTLAND, OR 97211

Multnomah County (503) 544-7778

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 Cynthia Fowler's NPI number?

The NPI number for Cynthia Fowler is 1215040316. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Cynthia Fowler located?

Cynthia Fowler practices at 4839 NE Martin Luther King Jr Blvd Suite 204, Portland, OR 97211. The listed phone number is (503) 953-4491.

What is Cynthia Fowler's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Cynthia Fowler enrolled in Medicare?

No. Cynthia Fowler has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Cynthia Fowler accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Cynthia 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 Cynthia Fowler was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.