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NICHOLAS HARDING FOWLER MD
NPI 1861079337
Ophthalmology in Lexington, KY

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
110 CONN TER STE 550, LEXINGTON, KY 40508(859) 323-5867(859) 323-8510 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2025, Apr 10, 2025, Mar 29, 2021 (3 updates tracked since 2021).

About Nicholas Harding Fowler Md NPPES

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

NICHOLAS HARDING FOWLER MD (NPI 1861079337) is an individual ophthalmology provider in Lexington, Kentucky, licensed in Kentucky (60569) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Georgetown Community Hospital, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1861079337
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNICHOLAS HARDING FOWLERCredential: MD
Location Address110 CONN TER STE 550Lexington, KY 40508-3206
Mailing Address110 Conn Ter Ste 550Lexington, KY 40508-3206 · (301) 704-0733
Phone(859) 323-5867
Fax(859) 323-8510
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2020
Enumeration DateMarch 29, 2021
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1861079337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KY · 60569
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
110 CONN TER STE 550, Lexington, KY 40508
Open in Google Maps ↗

Secondary Practice Locations 10

Location 1120 N Eagle Creek Dr Ste 500Lexington, KY 40509-1827 · Phone (859) 263-3900
Location 2418 Whirlaway DrDanville, KY 40422-9037 · Phone (859) 263-3900
Location 3850 Hail Knob RdSomerset, KY 42503-3418 · Phone (859) 263-3900
Location 4713 Broadway St Ste 201Paintsville, KY 41240-1612 · Phone (859) 263-3900
Location 52935 Dolphin Dr Bldg 300Elizabethtown, KY 42701-4111 · Phone (859) 263-3900
Location 61700 Winchester AveAshland, KY 41101-7649 · Phone (859) 263-3900
Location 7315 Leonardwood Rd Ste 4Frankfort, KY 40601-6532 · Phone (859) 263-3900
Location 8120 N Eagle Creek Dr Ste 440Lexington, KY 40509-1827 · Phone (859) 263-3900
Location 9120 N Eagle Creek Dr Ste 104Lexington, KY 40509-1827 · Phone (859) 263-3900
Location 106450 Dutchmans PkwyLouisville, KY 40205-3338 · Phone (502) 895-2600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Harding Fowler 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 ID9739555038
PECOS Enrollment IDI20250509002473
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicholas Fowler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
0.2 mi
Family
UK COLLEGE OF DENTISTRY, 770 ROSE STREET, MN328
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1215449590 (859) 323-3368
Kentucky Medical Services Foundation, Inc
3.6 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910
Retina And Vitreous Associates Of Kentucky PLLC
4.5 mi
Retina Specialist
120 N EAGLE CREEK DR, STE 500
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 16 clinicians in this Medicare group
NPI 1619949971 (859) 263-3900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 20

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

SHADEN HAMDY FATHY YASSIN MD
Ophthalmology (Retina Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
KAREN SANTOS MCCLOUD OD
Optometrist
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
DR. PETER JOHN TIMONEY MBBCH
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
DR. CLAIRE ELIZABETH FRASER M.D., PH.D.
Ophthalmology (Retina Specialist)
110 CONN TER STE 550, UNIVERSITY OF KENTUCKY DEPT OF OPHTHALMOLOGY
LEXINGTON, KY 40508
Fayette County (859) 323-5867
MANOKAMNA AGARWAL MD
Ophthalmology (Cornea and External Diseases Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
ELIZABETH GAMMELTOFT MD
Student in an Organized Health Care Education/Training Program
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 218-2631
MATTHEW PFANNENSTIEL MD
Ophthalmology
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
AMANDA LIMBAUGH MARZOLF M.D.
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867

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 Nicholas Fowler's NPI number?

The NPI number for Nicholas Fowler is 1861079337. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Nicholas Fowler located?

Nicholas Fowler practices at 110 Conn Ter Ste 550, Lexington, KY 40508. The listed phone number is (859) 323-5867.

What is Nicholas Fowler's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nicholas Fowler enrolled in Medicare?

Yes. Nicholas 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.

Which organizations bill Medicare for Nicholas Fowler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Fowler reassigns Medicare benefits to 3 organizations: University Of Kentucky (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY) and Retina And Vitreous Associates Of Kentucky PLLC (Lexington, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Fowler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Fowler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 4 other insurers list Nicholas 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 Nicholas Fowler affiliated with any hospitals?

According to CMS data, Nicholas Fowler is affiliated with Georgetown Community Hospital and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Nicholas Fowler was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.