DR. SUSAN M FOWELL (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1821091075

DR. SUSAN M FOWELL (MD) is a healthcare provider. based in Rockford, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 036073359 (IL). The NPI Number for DR. SUSAN M FOWELL (MD) is 1821091075

Main info

Female
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN M FOWELL (MD)
NPI
1821091075
Phone
(815) 226-4990
Address
1235 N MULFORD RD
Enumeration Date
23 May 2005
Last Update Date
6 July 2017

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8152262000
Graduation Year
1984 (42 years ago)
PAC ID
2062474521
Professional Enrollment ID
I20100421000117
Address ID
IL611073879RO1235XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:21State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

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Provider Addresses for DR. SUSAN M FOWELL (MD)

  • North Mulford Road, Rockford, Winnebago County, Illinois, 61114, United States of America

    SUITE 100

    ROCKFORD, IL 611073879

    Phone: (815) 226-4990

    Fax: (815) 226-9472

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $718.

Total Amount is formed as General ($718) + Research ($0) + Ownership ($0) = $718.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($301).

Total Amount

$718

General + Research + Ownership

Payments

25

Total payment records

General Amount

$718

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

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: 2010-04-21

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
I20100421000117IOphthalmologyILTBD

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
J2777Injection, faricimab-svoa, 0.1 mg4,98128$0
92134Imaging of retina2,814569$0
J0178Injection, aflibercept, 1 mg2,656178$0
67028Injection of drug into eye2,446327$0
J2778Injection, ranibizumab, 0.1 mg1,47952$0
View full utilization report →

Insurance plans in this area (ZIP 61107)

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Provider's Procedures

DR. SUSAN M FOWELL (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYIL92134Diagnostic imaging of retina3707699

Reviews

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Frequently asked questions

What NPI should I save for DR. SUSAN M FOWELL (MD)?
Save NPI 1821091075 if you need a stable reference for DR. SUSAN M FOWELL (MD).
Is DR. SUSAN M FOWELL (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. SUSAN M FOWELL (MD) list a primary specialty?
If you are matching referrals, note Retina Specialist (Ophthalmology) Physician for DR. SUSAN M FOWELL (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. SUSAN M FOWELL (MD)?
We surface Rockford, Illinois for DR. SUSAN M FOWELL (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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