ADAIR M. BOWLBY MD
NPI 1487730768
Family Medicine in Cody, WY

Q: What is Adair Bowlby's NPI number?

The NPI number for Adair Bowlby is 1487730768. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Q: What is Adair Bowlby'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 Adair Bowlby was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 28, 2006PECOS EnrolledAccepts Medicare Assignment

94.3/100

CMS Quality Rating

201 YELLOWSTONE AVE, CODY, WY 82414(307) 527-7561 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Adair M. Bowlby Md NPPES

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

ADAIR M. BOWLBY MD (NPI 1487730768) is an individual family medicine provider in Cody, Wyoming, licensed in Wyoming (7069A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of University Of Vermont College Of Medicine (1994).

NPPES Registry Identity

NPI1487730768

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameADAIR M. BOWLBYCredential: MD

Location Address201 YELLOWSTONE AVECody, WY 82414-9313

Mailing AddressPo Box 35100Billings, MT 59107-5100 · (406) 238-2500

Phone(307) 527-7561

Sole ProprietorNo

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1994

Enumeration DateOctober 28, 2006

Last NPPES UpdateFebruary 8, 2022

NPPES CertifiedFebruary 8, 2022

✔ NPI 1487730768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WY · 7069A

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.

201 YELLOWSTONE AVE, Cody, WY 82414

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Other Identifiers 4

Other0140140MT · Mt Mdcd Pin

Other119800900WY · Wy Mdcd Pin

Other312886WY · Wy Bcbs Pin

Other925161041459WY · Preferred One Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming, Mountain Health CO-OP.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

Adair M. Bowlby 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 ID5496729246

PECOS Enrollment IDI20040825001588, I20130920000621

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 15

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, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,740 services24 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.

632 services401 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.

275 services210 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.

231 services231 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.

127 services111 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.

54 services54 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.

51 services51 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

35 services35 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

33 services28 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

27 services24 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

26 services26 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.

22 services22 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.

19 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services13 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Billings Clinic

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270004

Location2800 10th Ave NBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Washakie Medical Center

Critical Access Hospitals · Worland, WY

OwnershipGovernment - Local

CMS Certification Number531306

Location400 South 15th StreetWorland, WY 82401 · Washakie County

Emergency services

North Big Horn Hospital District

Critical Access Hospitals · Lovell, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531309

Location1115 Lane 12Lovell, WY 82431 · Big Horn County

Emergency services

Powell Valley Hospital

Critical Access Hospitals · Powell, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531310

Location777 Avenue HPowell, WY 82435 · Park County

Emergency services

Cody Regional Health

Critical Access Hospitals · Cody, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531312

Location707 Sheridan AvenueCody, WY 82414 · Park County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82414 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

$87.12 typical visit price

range $56.42 – $170.72

Typical copayment $21.78 (range $14.10 – $42.68)

Most-billed visit code 99203

Established Patient

$99.46 typical visit price

range $18.19 – $139.32

Typical copayment $24.86 (range $4.54 – $34.83)

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.

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.

94.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.58

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 26

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

8 suppliers102 claims288 services$5.89 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers16 claims20 services$0.93 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

4 suppliers17 claims350 services$8.09 avg. paid by Medicare

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419

DME-Orthotic Devices · category DF010N

2 suppliers12 claims720 services$1.40 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604