JOHN TERRY FOWLER M.D.
NPI 1528075348
Internal Medicine in Beaumont, TX

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
755 N 11TH ST, SUITE P-5200, BEAUMONT, TX 77702(409) 898-2994(409) 899-5542 Get Directions Write a Review

NPPES record last updated: September 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Terry Fowler M.d. NPPES

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

JOHN TERRY FOWLER M.D. (NPI 1528075348) is an individual internal medicine provider in Beaumont, Texas, licensed in Texas (L2891) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of University Of Texas Medical Branch At Galveston (1998).

NPPES Registry Identity

NPI1528075348
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN TERRY FOWLERCredential: M.D.
Location Address755 N 11TH ST, SUITE P-5200Beaumont, TX 77702-1501
Mailing Address755 N 11th St, Suite P-5200Beaumont, TX 77702-1501 · (409) 898-2994 · Fax (409) 899-5542
Fax(409) 899-5542
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1998
Enumeration DateAugust 2, 2006
Last NPPES UpdateSeptember 22, 2014
NPI 1528075348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · L2891
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
755 N 11TH ST, Beaumont, TX 77702

Other Identifiers 1

Medicare UPINH51638TX

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

John Terry 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 ID3779569421
PECOS Enrollment IDI20040624001631
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 45

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
846 services451 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
830 services446 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
790 services445 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.
767 services389 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
760 services435 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
720 services423 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450346
Location3080 College StreetBeaumont, TX 77701 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77702 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
$124.88 typical visit price
range $54.04 – $164.93
Typical copayment $31.22 (range $13.51 – $41.23)
Most-billed visit code 99204
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 21

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
12 suppliers48 claims172 services$6.07 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier18 claims18 services$2.44 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers27 claims48 services$1.04 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$31.46 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers15 claims15 services$65.33 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers13 claims35 services$25.76 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 Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Internal Medicine
755 N 11TH ST, SUITE P-5200
BEAUMONT, TX 77702
Anesthesiology
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Family Medicine
755 N 11TH ST, SUITE P-5200
BEAUMONT, TX 77702
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Anesthesiology
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Nurse Practitioner (Family)
755 N 11TH ST, STE. P2200
BEAUMONT, TX 77702

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 John Fowler's NPI number?

The NPI number for John Fowler is 1528075348. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is John Fowler located?

John Fowler practices at 755 N 11th St Suite P-5200, Beaumont, TX 77702. The listed phone number is (409) 898-2994.

What is John Fowler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Fowler enrolled in Medicare?

Yes. John 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 John Fowler accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice, Molina Healthcare and WellPoint list John 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 John Fowler affiliated with any hospitals?

According to CMS data, John Fowler is affiliated with Mount Carmel East & West, Christus Southeast Texas- St Elizabeth and Baptist Beaumont Hospital.

When was this NPI record last updated?

The NPPES record for John Fowler was last updated on September 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.