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DR. JASON DEAN FOWLER M.D., PH.D.
NPI 1851690697
Plastic Surgery in Sioux Falls, SD

Active since March 18, 2011PECOS EnrolledAccepts Medicare Assignment
1417 S CLIFF AVE STE 200, SIOUX FALLS, SD 57105(605) 322-4130 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2022, Jul 21, 2022, Oct 24, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Jason Dean Fowler M.d., Ph.d. NPPES

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

DR. JASON DEAN FOWLER M.D., PH.D. (NPI 1851690697) is an individual plastic surgery provider in Sioux Falls, South Dakota, licensed in Minnesota (56875) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of University Of Minnesota Medical School (2011).

NPPES Registry Identity

NPI1851690697
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. JASON DEAN FOWLERCredential: M.D., PH.D.
Location Address1417 S CLIFF AVE STE 200Sioux Falls, SD 57105-1009
Mailing Address1417 S Cliff Ave Ste 200Sioux Falls, SD 57105-1009 · (605) 322-4130
Phone(605) 322-4130
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2011
Enumeration DateMarch 18, 2011
Last NPPES UpdateSeptember 28, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1851690697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MN · 56875
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1417 S CLIFF AVE STE 200, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Jason Dean Fowler M.d., Ph.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 ID7618120700
PECOS Enrollment IDI20221025002773
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 6

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.

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.
34 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients
Repair of wound by transferring skin, each additional 30.0 sq cm 14302
This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.
20 services12 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.
17 services15 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
15 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

Other Providers at the Same Location NPPES 3

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

BROOKE MUNK CNP
Nurse Practitioner (Family)
1417 S CLIFF AVE STE 200
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-4130
AVERA MCKENNAN
Surgery (Plastic and Reconstructive Surgery)
1417 S CLIFF AVE STE 200
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-4130
DR. LAURA M FIGURA MD
Surgery
1417 S CLIFF AVE STE 200
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-4130

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 Jason Fowler's NPI number?

The NPI number for Jason Fowler is 1851690697. It was assigned to this individual provider in the NPPES registry on March 18, 2011.

Where is Jason Fowler located?

Jason Fowler practices at 1417 S Cliff Ave Ste 200, Sioux Falls, SD 57105. The listed phone number is (605) 322-4130.

What is Jason Fowler's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jason Fowler enrolled in Medicare?

Yes. Jason 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.

What insurance does Jason Fowler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Jason Fowler 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 Jason Fowler affiliated with any hospitals?

According to CMS data, Jason Fowler is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Jason Fowler was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.