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DR. KARL F BOWMAN JR. MD
NPI 1891910790
Orthopaedic Surgery - Sports Medicine in Clayton, NC

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
2076 HWY. 42 WEST, CLAYTON, NC 27520(919) 763-1050(919) 313-1276 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2020, Jan 3, 2019 (2 updates tracked since 2019).

About Dr. Karl F Bowman Jr. Md NPPES

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

DR. KARL F BOWMAN JR. MD (NPI 1891910790) is an individual sports medicine provider in Clayton, North Carolina, licensed in North Carolina (2018-02328) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with North Carolina Specialty Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2006).

NPPES Registry Identity

NPI1891910790
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. KARL F BOWMAN JR.Credential: MD
Location Address2076 HWY. 42 WESTClayton, NC 27520-5302
Mailing Address5818 D Harbour View Blvd, Suite 150Suffolk, VA 23435-3327 · (757) 215-1400 · Fax (757) 215-1403
Phone(919) 763-1050
Fax(919) 313-1276
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2006
Enumeration DateApril 16, 2007
Last NPPES UpdateNovember 11, 20202 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
✔ NPI 1891910790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in NC · 2018-02328
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 010125194 (VA), 2018-02328 (NC)
2076 HWY. 42 WEST, Clayton, NC 27520
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Other Identifiers 1

Medicaid1891910790VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Karl F Bowman Jr. 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 ID9335396753
PECOS Enrollment IDI20181126001066
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 10

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
366 services64 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.
155 services102 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
67 services54 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.
64 services58 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
46 services36 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
40 services28 patients

Hospital Affiliations CMS Care Compare 2

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

North Carolina Specialty Hospital

Acute Care Hospitals · Durham, NC
OwnershipProprietary
CMS Certification Number340049
Location3916 Ben Franklin BoulevardDurham, NC 27704 · Durham County

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Reported Quality Measures

e-Prescribing
90%482 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
81%1,265 patients4/55-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.

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 Karl Bowman's NPI number?

The NPI number for Karl Bowman is 1891910790. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Karl Bowman located?

Karl Bowman practices at 2076 Hwy. 42 West, Clayton, NC 27520. The listed phone number is (919) 763-1050.

What is Karl Bowman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Karl Bowman enrolled in Medicare?

Yes. Karl Bowman 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 Karl Bowman accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Karl Bowman 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 Karl Bowman affiliated with any hospitals?

According to CMS data, Karl Bowman is affiliated with North Carolina Specialty Hospital and Johnston Health.

When was this NPI record last updated?

The NPPES record for Karl Bowman was last updated on November 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.