DR. BRAD ALAN BOWYER (MD) – Gastroenterology Physician, NPI 1205821089
Gastroenterology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
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Provider Addresses for DR. BRAD ALAN BOWYER (MD)
401, Roxbury Road, Rockford, Rockford Township, Winnebago County, Illinois, 61107, United States
ROCKFORD, IL 611075075
Phone: (815) 397-7340
Fax: (815) 397-7388
Type: Mailing
401 Roxbury Rd
Rockford, IL 611075075
Phone: (815) 397-7340
Fax: (815) 397-7388
Type: Location
1551 DOCTORS DR
LAGRANGE, GA 302404139
Phone: (706) 880-7311
Fax: (706) 880-7360
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Enterra Medical, Inc. ($108).
Total Amount
$108
General + Research + Ownership
Payments
2
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Enterra Medical, Inc. | $108 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220809001571 | I | Gastroenterology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 73 | 71 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 34 | 34 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | 31 | $0 |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 23 | 23 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 61107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | IL | 45385 | Removal of polyps or growths of large bowel using an endoscope | 134 | 132 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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