DR. JERRY LANE LOWDER (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1619941879

DR. JERRY LANE LOWDER (MD) is a healthcare provider. based in Chicago, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 2013044288 (MO). The NPI Number for DR. JERRY LANE LOWDER (MD) is 1619941879

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY LANE LOWDER (MD)
NPI
1619941879
Phone
(314) 747-1402
Address
PO BOX 7412011
Enumeration Date
15 February 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Secondary Phone
3143627135
Graduation Year
1999 (27 years ago)
PAC ID
1254370844
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20140224000140
Address ID
MO631081495SA4901XAVEX415

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
Experience59
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

929 OBSTETRICS/GYNECOLOGY in MO

Provider Addresses for DR. JERRY LANE LOWDER (MD)

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 747-1402

    Fax: (314) 362-3328

    Type: Mailing

  • 4901 FOREST PARK AVE

    DIV OBGYN PELVIC MED/RECONSTRUCT SURG, STE 710

    SAINT LOUIS, MO 631081495

    Phone: (314) 747-1402

    Fax: (314) 362-3328

    Type: Location

  • South Euclid Avenue, WashU, City of Saint Louis, Missouri, 63110, United States

    MSC 8064-37-1005

    SAINT LOUIS, MO 631101010

    Phone: (314) 747-1402

    Fax: (314) 362-3328

    Type: Mailing

  • Forest Park Avenue, Midtown, City of Saint Louis, Missouri, 63108, United States

    STE 710

    SAINT LOUIS, MO 631081402

    Phone: (314) 747-1402

    Fax: (314) 362-3328

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $3,506.

Total Amount is formed as General ($3,506) + Research ($0) + Ownership ($0) = $3,506.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,669).

Total Amount

$3,506

General + Research + Ownership

Payments

28

Total payment records

General Amount

$3,506

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-02-24

PECOS data refreshed: 2026-06-15

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
I20140224000140IObstetrics/GynecologyMOTBD

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
81002Urinalysis, manual test12393$0
99214Established patient office or other outpatient visit, 30-39 minutes10183$0
51741Electronic assessment of bladder emptying7070$0
51797Insertion of device into abdomen with pressure and urine flow rate study7070$0
51728Complex measurement of pressure of urine flow in bladder with voiding pressure studies7070$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

Can I verify DR. JERRY LANE LOWDER (MD) with an NPI only?
You can start verification with NPI 1619941879 for DR. JERRY LANE LOWDER (MD), then check state licensing separately.
Is DR. JERRY LANE LOWDER (MD) still practicing?
DR. JERRY LANE LOWDER (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. JERRY LANE LOWDER (MD)?
For research purposes, treat DR. JERRY LANE LOWDER (MD) as Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JERRY LANE LOWDER (MD)?
DR. JERRY LANE LOWDER (MD)'s geographic hint is Chicago, Illinois in our summary view.
Why does DR. JERRY LANE LOWDER (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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