DR. TERRY TY FOWLER M.D.
NPI 1447474705
Orthopaedic Surgery in Grove City, OH

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
86.55/100
CMS Quality Rating
5500 N MEADOWS DR, GROVE CITY, OH 43123(614) 488-1816(614) 488-0390 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Terry Ty Fowler M.d. NPPES

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

DR. TERRY TY FOWLER M.D. (NPI 1447474705) is an individual orthopaedic surgery provider in Grove City, Ohio, licensed in Ohio (35.089382) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Wayne State University School Of Medicine (2005).

NPPES Registry Identity

NPI1447474705
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. TERRY TY FOWLERCredential: M.D.
Location Address5500 N MEADOWS DRGrove City, OH 43123-7687
Mailing Address340 Polaris PkwyWesterville, OH 43082-7971 · (614) 488-1816 · Fax (614) 488-0390
Fax(614) 488-0390
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2005
Enumeration DateApril 11, 2007
Last NPPES UpdateDecember 31, 2024
NPPES CertifiedDecember 31, 2024
NPI 1447474705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 35.089382
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5500 N MEADOWS DR, Grove City, OH 43123

Accepted 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

Dr. Terry Ty 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 ID6608973847
PECOS Enrollment IDI20070522000589
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
635 services107 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
217 services191 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.
156 services124 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
145 services109 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
88 services88 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.
79 services74 patients

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43123 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

86.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability98
Improvement Activities40
Cost75.27

Referred Medical Equipment & Supplies CMS DME claims 3

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers27 claims27 services$42.66 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims17 services$15.07 avg. paid by Medicare
Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment L1686
DME-Orthotic Devices · category DF000N
1 supplier57 claims57 services$781.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
5500 N MEADOWS DR
GROVE CITY, OH 43123
Physical Therapist
5500 N MEADOWS DR
GROVE CITY, OH 43123
Occupational Therapist (Hand)
5500 N MEADOWS DR
GROVE CITY, OH 43123
Physical Therapist
5500 N MEADOWS DR
GROVE CITY, OH 43123
Physical Therapist
5500 N MEADOWS DR
GROVE CITY, OH 43123
Physical Therapist
5500 N MEADOWS DR
GROVE CITY, OH 43123
Physical Therapist
5500 N MEADOWS DR
GROVE CITY, OH 43123
Physical Therapist
5500 N MEADOWS DR
GROVE CITY, OH 43123

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 Terry Fowler's NPI number?

The NPI number for Terry Fowler is 1447474705. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Terry Fowler located?

Terry Fowler practices at 5500 N Meadows Dr, Grove City, OH 43123. The listed phone number is (614) 488-1816.

What is Terry Fowler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Terry Fowler enrolled in Medicare?

Yes. Terry 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.

What insurance does Terry Fowler accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and MedMutual list Terry Fowler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Terry Fowler affiliated with any hospitals?

According to CMS data, Terry Fowler is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Terry Fowler was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.