DR. ALPHA A FOWLER III M.D.
NPI 1972684512
Internal Medicine - Pulmonary Disease in Richmond, VA

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1250 E MARSHALL ST, INTERNAL MEDICINE, RICHMOND, VA 23298(804) 828-2161(804) 828-3673 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alpha A Fowler Iii M.d. NPPES

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

DR. ALPHA A FOWLER III M.D. (NPI 1972684512) is an individual pulmonary disease provider in Richmond, Virginia, licensed in Virginia (0101027722) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Medical College Of Georgia School Of Medicine (1975).

NPPES Registry Identity

NPI1972684512
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ALPHA A FOWLER IIICredential: M.D.
Location Address1250 E MARSHALL ST, INTERNAL MEDICINERichmond, VA 23298-5051
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 828-3673
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1975
Enumeration DateOctober 18, 2006
Last NPPES UpdateDecember 2, 2008
NPI 1972684512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in VA · 0101027722
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0101027722 (VA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0101027722 (VA)
1250 E MARSHALL ST, Richmond, VA 23298

Other Identifiers 3

Medicare ID-Type Unspecified112947361 C03684
Medicaid006080111 541581185VA
Medicare UPINB60026

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. Alpha A Fowler Iii 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 ID8921149089
PECOS Enrollment IDI20100112000048
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.

Established patient office or other outpatient visit, 20-29 minutes 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.
106 services73 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
79 services55 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
71 services68 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
64 services62 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
53 services51 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
41 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

Referred Medical Equipment & Supplies CMS DME claims 8

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers45 claims46 services$16.04 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers36 claims36 services$917.19 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers22 claims22 services$3.78 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
10 suppliers135 claims137 services$70.01 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers57 claims57 services$31.09 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
10 suppliers33 claims4,050 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1250 E MARSHALL ST, OB/GYN
RICHMOND, VA 23298
Psychiatry & Neurology (Psychiatry)
1250 E MARSHALL ST, PSYCHIATRY
RICHMOND, VA 23298
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1250 E MARSHALL ST, SURGERY
RICHMOND, VA 23298
Nurse Anesthetist, Certified Registered
1250 E MARSHALL ST, ANESTHESIA CRNA
RICHMOND, VA 23298
Internal Medicine (Hematology)
1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298
Family Medicine
1250 E MARSHALL ST, FAMILY MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Pediatrics)
1250 E MARSHALL ST, PEDIATRICS
RICHMOND, VA 23298
Specialist
1250 E MARSHALL ST, OB/GYN
RICHMOND, VA 23298

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 Alpha Fowler's NPI number?

The NPI number for Alpha Fowler is 1972684512. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Alpha Fowler located?

Alpha Fowler practices at 1250 E Marshall St Internal Medicine, Richmond, VA 23298. The listed phone number is (804) 828-2161.

What is Alpha Fowler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Alpha Fowler enrolled in Medicare?

Yes. Alpha 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.

Is Alpha Fowler affiliated with any hospitals?

According to CMS data, Alpha Fowler is affiliated with Medical College Of Virginia Hospitals and Vcu Health Tappahannock Hospital.

When was this NPI record last updated?

The NPPES record for Alpha Fowler was last updated on December 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.