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DR. MATTHEW WAYNE FOWLKES D.M.D., M.D.
NPI 1376705087
Dentist - Oral and Maxillofacial Surgery in Monroe, LA

Active since June 25, 2008Opted out of Medicare · through Jul 8, 2028
2003 FORSYTHE AVE, MONROE, LA 71201(318) 388-2621(318) 388-2835 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Matthew Wayne Fowlkes D.m.d., M.d. NPPES

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

DR. MATTHEW WAYNE FOWLKES D.M.D., M.D. (NPI 1376705087) is an individual oral and maxillofacial surgery provider in Monroe, Louisiana, licensed in Louisiana (6460) and active in the NPI registry since June 2008. He has opted out of Medicare through July 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376705087
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MATTHEW WAYNE FOWLKESCredential: D.M.D., M.D.
Location Address2003 FORSYTHE AVEMonroe, LA 71201-3608
Mailing Address2003 Forsythe AveMonroe, LA 71201-3608 · (318) 388-2621 · Fax (318) 388-2835
Phone(318) 388-2621
Fax(318) 388-2835
Sole ProprietorNo
Enumeration DateJune 25, 2008
Last NPPES UpdateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1376705087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in LA · 6460
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License MD.207238 (LA)
2003 FORSYTHE AVE, Monroe, LA 71201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Matthew Wayne Fowlkes D.m.d., 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 July 8, 2016 through July 8, 2028.

Opt-Out Effective DateJuly 8, 2016
Opt-Out In Effect ThroughJuly 8, 2028Opt-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 71201 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 3

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

DR. RICHARD DENNIS WILLIS DDS
Dentist (Oral and Maxillofacial Surgery)
2003 FORSYTHE AVE
MONROE, LA 71201
Ouachita Parish (318) 388-2621
ORAL SURGERY ASSOCIATES
Dentist (Oral and Maxillofacial Pathology)
2003 FORSYTHE AVE
MONROE, LA 71201
Ouachita Parish (318) 388-2621
ZACHARY SCOGIN
Dentist (Oral and Maxillofacial Surgery)
2003 FORSYTHE AVE
MONROE, LA 71201
Ouachita Parish (318) 388-2621

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 Matthew Fowlkes's NPI number?

The NPI number for Matthew Fowlkes is 1376705087. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Matthew Fowlkes located?

Matthew Fowlkes practices at 2003 Forsythe Ave, Monroe, LA 71201. The listed phone number is (318) 388-2621.

What is Matthew Fowlkes's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Matthew Fowlkes enrolled in Medicare?

No. Matthew Fowlkes has opted out of Medicare through July 8, 2028. 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.

When was this NPI record last updated?

The NPPES record for Matthew Fowlkes was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.