DR. SUSAN M FOWELL MD
NPI 1821091075
Ophthalmology - Retina Specialist in Rockford, IL

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1235 N MULFORD RD, SUITE 100, ROCKFORD, IL 61107(815) 226-4990(815) 226-9472 Get Directions Write a Review

NPPES record last updated: July 6, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Susan M Fowell Md NPPES

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

DR. SUSAN M FOWELL MD (NPI 1821091075) is an individual retina specialist in Rockford, Illinois, licensed in Illinois (036073359) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Northwestern University Feinberg Medical School (1984).

NPPES Registry Identity

NPI1821091075
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameDR. SUSAN M FOWELLCredential: MD
Location Address1235 N MULFORD RD, SUITE 100Rockford, IL 61107-3879
Mailing Address1235 N Mulford Rd, Suite 100Rockford, IL 61107-3879 · (815) 226-4990 · Fax (815) 226-9472
Fax(815) 226-9472
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1984
Enumeration DateMay 23, 2005
Last NPPES UpdateJuly 6, 2017
NPI 1821091075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in IL · 036073359
Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 036073359 (IL)
1235 N MULFORD RD, Rockford, IL 61107

Other Identifiers 4

Medicare UPINE18961IL
Medicaid036073359IL
Other036073359IL · Il State License #
Other363734974IL · Tax Id#

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

Dr. Susan M Fowell Md 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 ID2062474521
PECOS Enrollment IDI20100421000117
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 16

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
3,094 services609 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,896 services178 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
2,688 services344 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
1,775 services57 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
701 services136 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
630 services494 patients

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%272 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%168 patients
Falls: Screening for Future Fall Risk
100%1,090 patients5/55-star benchmark: 100%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%25 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 662 patients
Patients screened: 100% · 662 patients
100%26 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,117 patients
Patients totalRate: 0% · 1,117 patients
0%1,117 patients5/55-star benchmark: 100%
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.

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.

Orthopaedic Surgery
1235 N MULFORD RD
ROCKFORD, IL 61107
Physical Medicine & Rehabilitation
1235 N MULFORD RD
ROCKFORD, IL 61107
Orthopaedic Surgery
1235 N MULFORD RD, STE 100
ROCKFORD, IL 61107
Orthopaedic Surgery
1235 N MULFORD RD, SUITE 100
ROCKFORD, IL 61107
Orthopaedic Surgery
1235 N MULFORD RD
ROCKFORD, IL 61107
Orthopaedic Surgery
1235 N MULFORD RD
ROCKFORD, IL 61107
Otolaryngology
1235 N MULFORD RD, SUITE 100
ROCKFORD, IL 61107
Dermatology (MOHS-Micrographic Surgery)
1235 N MULFORD RD, SUITE 100
ROCKFORD, IL 61107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821091075, enumerated as an "individual" on May 23, 2005.

The provider is located at 1235 N MULFORD RD SUITE 100 ROCKFORD, IL 61107 and the phone number is (815) 226-4990.

Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.

The provider might be accepting Accepts: MercyCare Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Susan Fowell is affiliated with: UW HEALTH.