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JOHN ROY FOWLER JR. M.D.
NPI 1619137205
Orthopaedic Surgery in Pittsburgh, PA

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3471 5TH AVE, SUITE 1010, PITTSBURGH, PA 15213(412) 605-3245(412) 687-3724 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Roy Fowler Jr. M.d. NPPES

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

JOHN ROY FOWLER JR. M.D. (NPI 1619137205) is an individual orthopaedic surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD437811) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Temple University School Of Medicine (2007).

NPPES Registry Identity

NPI1619137205
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN ROY FOWLER JR.Credential: M.D.
Location Address3471 5TH AVE, SUITE 1010Pittsburgh, PA 15213-3215
Mailing Address3471 5th Ave, Suite 1010Pittsburgh, PA 15213-3215 · (412) 605-3245 · Fax (412) 687-3724
Phone(412) 605-3245
Fax(412) 687-3724
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2007
Enumeration DateJune 17, 2008
Last NPPES UpdateSeptember 30, 2013
✔ NPI 1619137205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD437811
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.
3471 5TH AVE, Pittsburgh, PA 15213
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN179182N4GPA

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 Roy Fowler Jr. 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 ID1254460447
PECOS Enrollment IDI20100526000803
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 11

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, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
203 services67 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.
119 services90 patients
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.
108 services18 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.
81 services78 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
45 services31 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.
42 services42 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

DR. JOSEPH CHAK KA KWOK D.O.
Physical Medicine & Rehabilitation
3471 5TH AVE, KAUFMAN BUILDING SUITE 201
PITTSBURGH, PA 15213
Allegheny County (412) 648-6138
ALEXANDER PATRICK HOFFMAN M.D.
Orthopaedic Surgery
3471 5TH AVE, KAUFMANN MEDICAL BUILDING - SUITE 1010
PITTSBURGH, PA 15213
Allegheny County (412) 605-3277
ROBERT B NOLAND MD
Specialist
3471 5TH AVE, SUITE 102
PITTSBURGH, PA 15213
Allegheny County (412) 682-4005
MARIA BALDWIN MD
Psychiatry & Neurology (Epilepsy)
3471 5TH AVE, KAUFMANN BLDG. SUITE 810
PITTSBURGH, PA 15213
Allegheny County (412) 692-4920
LINDA SEKHON PA
Physician Assistant (Medical)
3471 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 647-8700
JAMIE ILGENFRITZ PA-C
Physician Assistant (Surgical)
3471 5TH AVE, SUITE 1010
PITTSBURGH, PA 15213
Allegheny County (412) 605-3900
UNIVERSITY OF PITTSBURGH PHYSICIANS
Orthopaedic Surgery
3471 5TH AVE, SUITE 102
PITTSBURGH, PA 15213
Allegheny County (412) 647-0100
MR. GUHA JAY GANESH
Student in an Organized Health Care Education/Training Program
3471 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345

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 1619137205. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is John Fowler located?

John Fowler practices at 3471 5th Ave Suite 1010, Pittsburgh, PA 15213. The listed phone number is (412) 605-3245.

What is John Fowler's specialty?

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

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.

Is John Fowler affiliated with any hospitals?

According to CMS data, John Fowler is affiliated with Upmc Mercy, Upmc Passavant and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for John Fowler was last updated on September 30, 2013. 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.