DEBORAH LEA FOWLER DIXON BROSS (MD) – Family Medicine Physician, NPI 1487692430

DEBORAH LEA FOWLER DIXON BROSS (MD) is a healthcare provider. based in Alton, Illinois. specializing in HOSPITALIST, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036091572 (IL). The NPI Number for DEBORAH LEA FOWLER DIXON BROSS (MD) is 1487692430

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH LEA FOWLER DIXON BROSS (MD)
NPI
1487692430
Phone
(618) 463-7240
Address
1 Memorial Dr
Enumeration Date
3 June 2006
Last Update Date
4 January 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6184637240
Graduation Year
1993 (33 years ago)
PAC ID
1557383809
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20051229000600
Address ID
IL620026722AL1XXXXDRXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

2,390 HOSPITALIST in IL

Provider Addresses for DEBORAH LEA FOWLER DIXON BROSS (MD)

  • 1 Memorial Dr

    Alton, IL 620026722

    Phone: (618) 463-7240

    Type: Location

  • 2 Memorial Dr Ste 220

    Alton, IL 620026723

    Phone: (618) 433-7901

    Type: Location

  • 301, West Edwardsville Road, Troy, Madison County, Illinois, 62294, United States

    TROY, IL 62294

    Phone: (618) 667-7057

    Fax: (618) 667-8131

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-12-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051229000600IFamily PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes282132$0
99239Hospital discharge day management, more than 30 minutes139121$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7269$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6145$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 62002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH

Reviews

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Frequently asked questions

How do payers reference DEBORAH LEA FOWLER DIXON BROSS (MD)?
For DEBORAH LEA FOWLER DIXON BROSS (MD), use NPI 1487692430 as the unique 10-digit identifier.
Active or inactive — what applies to DEBORAH LEA FOWLER DIXON BROSS (MD)?
You should see DEBORAH LEA FOWLER DIXON BROSS (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DEBORAH LEA FOWLER DIXON BROSS (MD)?
At a glance, DEBORAH LEA FOWLER DIXON BROSS (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DEBORAH LEA FOWLER DIXON BROSS (MD) located near Alton?
DEBORAH LEA FOWLER DIXON BROSS (MD) currently maps to Alton, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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