GEOFFREY FOWLER PSY.D
NPI 1417475435
Psychologist - Clinical in Leesburg, VA

Q: What is Geoffrey Fowler's NPI number?

The NPI number for Geoffrey Fowler is 1417475435. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Q: What is Geoffrey Fowler's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Geoffrey Fowler was last updated on October 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 30, 2017PECOS EnrolledAccepts Medicare Assignment

199 LIBERTY ST SW, LEESBURG, VA 20175(703) 621-7121(703) 665-7686 Get Directions Write a Review

NPPES record last updated: October 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2023, Nov 18, 2019, Aug 30, 2017 (3 updates tracked since 2017).

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About Geoffrey Fowler Psy.d NPPES

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

GEOFFREY FOWLER PSY.D (NPI 1417475435) is an individual clinical provider in Leesburg, Virginia, licensed in Virginia (0810006348) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417475435

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameGEOFFREY FOWLERCredential: PSY.D

Location Address199 LIBERTY ST SWLeesburg, VA 20175-2715

Mailing Address9202 Center Oak CtMechanicsville, VA 23116-2744 · (804) 207-6737

Phone(703) 621-7121

Fax(703) 665-7686

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 30, 2017

Last NPPES UpdateOctober 14, 20233 updates tracked since enumeration

NPPES CertifiedOctober 14, 2023

✔ NPI 1417475435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810006348

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

199 LIBERTY ST SW, Leesburg, VA 20175

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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

Geoffrey Fowler Psy.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 ID2961874631

PECOS Enrollment IDI20231018002491

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20175 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 17

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

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