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

Q: What is Susan Fowell's NPI number?

The NPI number for Susan Fowell is 1821091075. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Susan Fowell's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Susan Fowell was last updated on July 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

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: August 09, 2026.

On this page

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

Phone(815) 226-4990

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

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINE18961IL

Medicaid036073359IL

Other036073359IL · Il State License #

Other363734974IL · Tax Id#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans.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 14

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, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

30,421 services61 patients

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.

2,533 services513 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.

2,285 services304 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.

2,044 services159 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.

963 services41 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

749 services244 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.

557 services448 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.

355 services85 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

230 services215 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

199 services171 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.

131 services59 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.

88 services88 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

86 services84 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

17 services11 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

Quality

100

Improvement Activities

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.

DONALD H HOLDER MD

Orthopaedic Surgery

1235 N MULFORD RD
ROCKFORD, IL 61107

Winnebago County (815) 637-8637

MS. TANYA J. MUNGER NP

Nurse Practitioner

1235 N MULFORD RD, SUITE 222
ROCKFORD, IL 61107

Winnebago County (815) 397-8400

BRYN MAXINE BYERS KRAUSE NP

Nurse Practitioner

1235 N MULFORD RD, SUITE 205
ROCKFORD, IL 61107

Winnebago County (815) 484-9900

EMPICARE, INC.

Prosthetic/Orthotic Supplier

1235 N MULFORD RD, SUITE 100A
ROCKFORD, IL 61107

Winnebago County (815) 226-5600

DAVID L MCCARTY MD

Orthopaedic Surgery

1235 N MULFORD RD, STE 100
ROCKFORD, IL 61107

Winnebago County (815) 484-9999

MRS. CHRISTINE LENOX LCPC

Counselor (Professional)

1235 N MULFORD RD, SUITE 200
ROCKFORD, IL 61107

Winnebago County (815) 965-6644

CHRISTOPHER A GREEN MD

Orthopaedic Surgery

1235 N MULFORD RD
ROCKFORD, IL 61107

Winnebago County (815) 398-7755

ADVANCED ALLERGY & ENT, LLC

Otolaryngology

1235 N MULFORD RD, SUITE 100
ROCKFORD, IL 61107

Winnebago County (815) 484-9900

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 Susan Fowell's NPI number?

The NPI number for Susan Fowell is 1821091075. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Susan Fowell located?

Susan Fowell practices at 1235 N Mulford Rd Suite 100, Rockford, IL 61107. The listed phone number is (815) 226-4990.

What is Susan Fowell's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Susan Fowell enrolled in Medicare?

Yes. Susan Fowell 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 Susan Fowell accept?

Health plans from MercyCare Health Plans list Susan Fowell 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 Susan Fowell affiliated with any hospitals?

According to CMS data, Susan Fowell is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Susan Fowell was last updated on July 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.