BRIAN GUY DOWLING D.P.M.
NPI 1316908221
Podiatrist in Everett, PA

Q: What is Brian Dowling's NPI number?

The NPI number for Brian Dowling is 1316908221. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Q: What is Brian Dowling's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Dowling was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

138 MEMORIAL DR, EVERETT, PA 15537(814) 623-6191(814) 623-5519 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Dec 4, 2023 (2 updates tracked since 2023).

On this page

About Brian Guy Dowling D.p.m. NPPES

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

BRIAN GUY DOWLING D.P.M. (NPI 1316908221) is an individual podiatrist in Everett, Pennsylvania, licensed in Maryland (01258) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Bedford Memorial, and is a graduate of North Carolina Medical School (1991).

NPPES Registry Identity

NPI1316908221

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameBRIAN GUY DOWLINGCredential: D.P.M.

Location Address138 MEMORIAL DREverett, PA 15537-7028

Mailing Address138 Memorial DrEverett, PA 15537-7028 · (814) 623-6191 · Fax (814) 623-5519

Phone(814) 623-6191

Fax(814) 623-5519

Sole ProprietorYes

Medical School CMSNorth Carolina Medical SchoolGraduated 1991

Enumeration DateMarch 30, 2006

Last NPPES UpdateApril 8, 20252 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1316908221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in MD · 01258

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

138 MEMORIAL DR, Everett, PA 15537

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Other Identifiers 9

Other4526650001MD · Dmerc

Other456543Mamsi

Other54967902Bllue Cross Blue Shield

Medicaid027460900DC

Other4526650001WV · Dmerc

Medicaid0100074000WV

Medicaid022500200MD

Other5658587MD · Aetna

OtherR094National Blue Cross

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

Brian Guy Dowling D.p.m. 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 ID3072560473

PECOS Enrollment IDI20070409000188, I20240523004223

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 14

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

1,232 services671 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

226 services151 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

146 services109 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.

135 services85 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.

133 services94 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

119 services85 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

92 services58 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

44 services43 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

44 services32 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

40 services40 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.

37 services37 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

17 services11 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

15 services12 patients

Removal of fingernails or toenails, 6 or more nails 11721

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390117

Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15537 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

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.

DR BRANDON J WILT DPM LLC

Podiatrist

138 MEMORIAL DR
EVERETT, PA 15537

Bedford County (814) 623-6191

CHRISTOPHER MICHAEL LANCE DMD

Dentist (Oral and Maxillofacial Surgery)

138 MEMORIAL DR
EVERETT, PA 15537

Bedford County (814) 623-1022

DR. BRANDON JASON WILT

Podiatrist

138 MEMORIAL DR
EVERETT, PA 15537

Bedford County (814) 623-6191

GREGORY WYNN PYLE DMD

Dentist (Oral and Maxillofacial Surgery)

138 MEMORIAL DR
EVERETT, PA 15537

Bedford County (814) 623-1022

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 Brian Dowling's NPI number?

The NPI number for Brian Dowling is 1316908221. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Brian Dowling located?

Brian Dowling practices at 138 Memorial Dr, Everett, PA 15537. The listed phone number is (814) 623-6191.

What is Brian Dowling's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Brian Dowling enrolled in Medicare?

Yes. Brian Dowling 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.

Is Brian Dowling affiliated with any hospitals?

According to CMS data, Brian Dowling is affiliated with Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Brian Dowling was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.