DOUGLAS TRENTON LOWERY M.D.
NPI 1609819168
Otolaryngology in Birmingham, AL

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1809 GADSDEN HWY, BIRMINGHAM, AL 35235(205) 838-3755(205) 838-3758 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Trenton Lowery M.d. NPPES

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

DOUGLAS TRENTON LOWERY M.D. (NPI 1609819168) is an individual otolaryngology provider in Birmingham, Alabama, licensed in Alabama (17441) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1609819168
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDOUGLAS TRENTON LOWERYCredential: M.D.
Location Address1809 GADSDEN HWYBirmingham, AL 35235-3134
Mailing Address1809 Gadsden HwyBirmingham, AL 35235-3134 · (205) 838-3755 · Fax (205) 838-3758
Fax(205) 838-3758
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 13, 2006
Last NPPES UpdateJanuary 21, 2014
NPI 1609819168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in AL · 17441
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1809 GADSDEN HWY, Birmingham, AL 35235

Other Identifiers 2

Medicare UPING12560
Medicare PIN32215AL

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

Douglas Trenton Lowery 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 ID7113089715
PECOS Enrollment IDI20081216000257
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 18

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,860 services29 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.
251 services167 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.
146 services105 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.
104 services104 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
96 services86 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
87 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 8

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

Otolaryngology
1809 GADSDEN HWY
BIRMINGHAM, AL 35235
Otolaryngology
1809 GADSDEN HWY
BIRMINGHAM, AL 35235
Audiologist
1809 GADSDEN HWY
BIRMINGHAM, AL 35235
Otolaryngology
1809 GADSDEN HWY
BIRMINGHAM, AL 35235
Audiologist
1809 GADSDEN HWY
BIRMINGHAM, AL 35235
Audiologist
1809 GADSDEN HWY
BIRMINGHAM, AL 35235
Otolaryngology
1809 GADSDEN HWY
BIRMINGHAM, AL 35235
Speech-Language Pathologist
1809 GADSDEN HWY
BIRMINGHAM, AL 35235

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 Douglas Lowery's NPI number?

The NPI number for Douglas Lowery is 1609819168. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Douglas Lowery located?

Douglas Lowery practices at 1809 Gadsden Hwy, Birmingham, AL 35235. The listed phone number is (205) 838-3755.

What is Douglas Lowery's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Douglas Lowery enrolled in Medicare?

Yes. Douglas Lowery 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 Douglas Lowery accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Douglas Lowery 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.

When was this NPI record last updated?

The NPPES record for Douglas Lowery was last updated on January 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.