DONALD B FOWLER JR. MD
NPI 1316977143
Family Medicine in Sunnyvale, TX

Q: What is Donald Fowler's NPI number?

The NPI number for Donald Fowler is 1316977143. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Donald Fowler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Fowler was last updated on January 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment

490 US HIGHWAY 80 E STE 200, SUNNYVALE, TX 75182(972) 329-1996(972) 329-0211 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Donald B Fowler Jr. Md NPPES

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

DONALD B FOWLER JR. MD (NPI 1316977143) is an individual family medicine provider in Sunnyvale, Texas, licensed in Texas (L0178) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1993).

NPPES Registry Identity

NPI1316977143

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDONALD B FOWLER JR.Credential: MD

Location Address490 US HIGHWAY 80 E STE 200Sunnyvale, TX 75182-9212

Mailing Address490 Us Highway 80 E Ste 200Sunnyvale, TX 75182-9212 · (972) 329-1996 · Fax (972) 329-0211

Phone(972) 329-1996

Fax(972) 329-0211

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1993

Enumeration DateJuly 4, 2006

Last NPPES UpdateJanuary 10, 2020

✔ NPI 1316977143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · L0178

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

490 US HIGHWAY 80 E STE 200, Sunnyvale, TX 75182

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Other Identifiers 2

Medicaid145172601TX

Medicaid145172602TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Donald B Fowler Jr. 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 ID4587689971

PECOS Enrollment IDI20051014000308

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 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.

170 services82 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

43 services43 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

30 services30 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

28 services28 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

24 services24 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450352

Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County

Emergency services Birthing friendly

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450462

Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County

Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670044

Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75182 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers12 claims21 services$4.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

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

JOYCE M JOSEPH

Nurse Practitioner (Family)