DR. WYATT CHARLES FOWLER M.D.
NPI 1730287111
Surgery in Charlotte, NC

Q: What is Wyatt Fowler's NPI number?

The NPI number for Wyatt Fowler is 1730287111. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Wyatt Fowler's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Wyatt Fowler was last updated on August 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 20, 2006

125 QUEENS RD STE 430, CHARLOTTE, NC 28204(980) 302-6300(980) 302-6305 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2021, Nov 17, 2020, Oct 25, 2020 (3 updates tracked since 2020).

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About Dr. Wyatt Charles Fowler M.d. NPPES

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

DR. WYATT CHARLES FOWLER M.D. (NPI 1730287111) is an individual surgery provider in Charlotte, North Carolina, licensed in North Carolina (38940) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1730287111

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. WYATT CHARLES FOWLERCredential: M.D.

Location Address125 QUEENS RD STE 430Charlotte, NC 28204-3215

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(980) 302-6300

Fax(980) 302-6305

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateAugust 13, 20213 updates tracked since enumeration

NPPES CertifiedAugust 13, 2021

✔ NPI 1730287111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NC · 38940

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 38940 (NC)

125 QUEENS RD STE 430, Charlotte, NC 28204

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Other Identifiers 3

MedicaidN38940SC

Medicaid8910272NC

Other10272NC · Blue Cross And Blue Shiel

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

80%126 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

57%167 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

35%204 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

54%65 patients3/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.