PAUL BYRON FOWLER M.D.
NPI 1316940588
Specialist in Baltimore, MD

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
97.16/100
CMS Quality Rating
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239(410) 532-5258(410) 532-5276 Get Directions Write a Review

NPPES record last updated: May 27, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul Byron Fowler M.d. NPPES

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

PAUL BYRON FOWLER M.D. (NPI 1316940588) is an individual specialist in Baltimore, Maryland, licensed in Maryland (DOO44314) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and is a graduate of West Virginia University School Of Medicine (1988).

NPPES Registry Identity

NPI1316940588
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NamePAUL BYRON FOWLERCredential: M.D.
Location Address5601 LOCH RAVEN BLVDBaltimore, MD 21239-2905
Mailing Address9105 Franklin Square Dr, Ste 100Baltimore, MD 21237-5333 · (410) 682-6800 · Fax (410) 682-2783
Fax(410) 532-5276
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1988
Enumeration DateMay 23, 2005
Last NPPES UpdateMay 27, 2010
NPI 1316940588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MD · DOO44314
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5601 LOCH RAVEN BLVD, Baltimore, MD 21239

Other Identifiers 3

Medicaid48452MD
Medicare UPINF42807MD
Medicare PINK328JE23MD

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

Paul Byron Fowler 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 ID8224197561
PECOS Enrollment IDI20101029000544
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 17

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
1,286 services76 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
290 services68 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
290 services75 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
200 services81 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
132 services106 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
101 services88 patients

Hospital Affiliations CMS Care Compare 4

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

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210015
Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County
Emergency services Birthing friendly

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210024
Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County
Emergency services

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210056
Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County
Emergency services

University Of MD St Joseph Medical Center

Acute Care Hospitals · Towson, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210063
Location7601 Osler DriveTowson, MD 21204 · Baltimore County
Emergency services Birthing friendly

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.

97.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
84%363 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
86%233 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%905 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
71%69 patients3/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%991 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
83%567 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
86%243 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%235 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 20

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

Specialist
5601 LOCH RAVEN BLVD, STE 103
BALTIMORE, MD 21239
Surgery (Vascular Surgery)
5601 LOCH RAVEN BLVD, STE 303
BALTIMORE, MD 21239
Surgery (Vascular Surgery)
5601 LOCH RAVEN BLVD, STE 303
BALTIMORE, MD 21239
Surgery (Vascular Surgery)
5601 LOCH RAVEN BLVD, STE 207
BALTIMORE, MD 21239
Internal Medicine (Nephrology)
5601 LOCH RAVEN BLVD, STE 3
BALTIMORE, MD 21239
Internal Medicine (Nephrology)
5601 LOCH RAVEN BLVD, STE 3
BALTIMORE, MD 21239
Internal Medicine (Nephrology)
5601 LOCH RAVEN BLVD, STE 3
BALTIMORE, MD 21239
Surgery
5601 LOCH RAVEN BLVD, POB #100
BALTIMORE, MD 21239

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 Paul Fowler's NPI number?

The NPI number for Paul Fowler is 1316940588. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Paul Fowler located?

Paul Fowler practices at 5601 Loch Raven Blvd, Baltimore, MD 21239. The listed phone number is (410) 532-5258.

What is Paul Fowler's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Paul Fowler enrolled in Medicare?

Yes. Paul 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.

Is Paul Fowler affiliated with any hospitals?

According to CMS data, Paul Fowler is affiliated with Medstar Franklin Square Medical Center, Medstar Union Memorial Hospital, Medstar Good Samaritan Hospital and University Of MD St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Fowler was last updated on May 27, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.