DR. JAMES J FOWLER M.D.
NPI 1891790499
Otolaryngology in Brownwood, TX

Q: What is James Fowler's NPI number?

The NPI number for James Fowler is 1891790499. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Q: What is James Fowler's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for James Fowler was last updated on March 8, 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 June 20, 2005PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

2510 CROCKETT DR STE A, BROWNWOOD, TX 76801(325) 646-9956(325) 641-1010 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. James J Fowler M.d. NPPES

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

DR. JAMES J FOWLER M.D. (NPI 1891790499) is an individual otolaryngology provider in Brownwood, Texas, licensed in Texas (J5576) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1891790499

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. JAMES J FOWLERCredential: M.D.

Location Address2510 CROCKETT DR STE ABrownwood, TX 76801-5928

Mailing Address2510 Crockett Dr Ste ABrownwood, TX 76801-5928 · (325) 646-9956 · Fax (325) 641-1010

Phone(325) 646-9956

Fax(325) 641-1010

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateJune 20, 2005

Last NPPES UpdateMarch 8, 2017

✔ NPI 1891790499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TX · J5576

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2510 CROCKETT DR STE A, Brownwood, TX 76801

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Other Identifiers 11

Other89119GTX · Bcbs Provider Number

Medicare UPING68227TX

Medicaid126625604TX

Other112950100TX · First Care Provider Numbe

Other4230462TX · Aetna Provider Number

Other180953102TX · United Healthcare Prov No

Other1844073001TX · Cigna Provider Number

Other040012679TX · Rr Medicare - Brownwood

Other040015413TX · Railroad Medicare

Other0019CUTX · Bcbs - Brownwood

Medicaid126625601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. James J Fowler M.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 ID6103871041

PECOS Enrollment IDI20050314000940

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 11

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.

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.

162 services114 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.

134 services134 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

55 services54 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.

41 services41 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

38 services34 patients

Placement of ear probe for computerized measurement of sound with interpretation and report 92587

This procedure involves placing a small probe in your ear to measure sounds. It's a painless process that helps doctors understand your hearing ability. The results will be interpreted and a report will be provided for further assessment.

35 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450229

Location1900 PineAbilene, TX 79601 · Taylor County

Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450587

Location1501 Burnet DrBrownwood, TX 76801 · Brown County

Emergency services Birthing friendly

Comanche County Medical Center

Critical Access Hospitals · Comanche, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451382

Location10201 Hwy 16Comanche, TX 76442 · Comanche County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76801 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use

Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy

100%114 patients

Acute Otitis Externa (AOE): Topical Therapy

Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations

20%120 patients1/55-star benchmark: 100%

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms

Lower rates are better for this measure.

35%23 patients3/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%2,311 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

75%251 patients3/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

11%63 patients1/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user

88%419 patients4/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

31%526 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

2%526 patients1/55-star benchmark: 79%

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Face mask interface, replacement for full face mask, each A7031