DUSTIN FOWLER D.O.
NPI 1508247024
Allergy & Immunology - Allergy in Waco, TX

Active since June 10, 2015PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dustin Fowler D.o. NPPES

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

DUSTIN FOWLER D.O. (NPI 1508247024) is an individual allergy provider in Waco, Texas, licensed in Texas (S1399) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2015).

NPPES Registry Identity

NPI1508247024
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameDUSTIN FOWLERCredential: D.O.
Location Address221 JEWELL DRWaco, TX 76712-6630
Mailing Address221 Jewell DrWaco, TX 76712-6630 · (254) 753-1411
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2015
Enumeration DateJune 10, 2015
Last NPPES UpdateJuly 28, 2021
NPPES CertifiedJuly 20, 2021
NPI 1508247024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in TX · S1399
Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

Also ListedInternal MedicineTaxonomy 207R00000X · License LL37667 (SC)
Also ListedPediatricsTaxonomy 208000000X · License LL37667 (SC)
221 JEWELL DR, Waco, TX 76712

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

Dustin Fowler D.o. 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 ID3577870591
PECOS Enrollment IDI20210819002664
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.

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.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers23 claims88 services$19.01 avg. paid by Medicare
Injection, immune globulin (xembify), 100 mg J1558
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims5,120 services$10.73 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers23 claims92 services$2.39 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 5

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

Nurse Practitioner (Family)
221 JEWELL DR
WACO, TX 76712
Specialist
221 JEWELL DR
WACO, TX 76712
Allergy & Immunology
221 JEWELL DR
WACO, TX 76712
Specialist
221 JEWELL DR
WACO, TX 76712
Nurse Practitioner (Family)
221 JEWELL DR
WACO, TX 76712

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508247024, enumerated as an "individual" on June 10, 2015.

The provider is located at 221 JEWELL DR WACO, TX 76712 and the phone number is (254) 753-1411.

Allergy & Immunology with taxonomy code 207KA0200X and a focus in Allergy.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.