DR. JASON DEAN FOWLER (M.D., PH.D.) – Plastic Surgery Physician, NPI 1851690697
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
147 PLASTIC AND RECONSTRUCTIVE SURGERY in MN
Provider Addresses for DR. JASON DEAN FOWLER (M.D., PH.D.)
1420 LONDON RD STE 101
DULUTH, MN 558052437
Phone: (218) 730-2175
Type: Mailing
1417 S CLIFF AVE STE 200
SIOUX FALLS, SD 571051009
Phone: (605) 322-4130
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $627.
Total Amount is formed as General ($627) + Research ($0) + Ownership ($0) = $627.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Integra LifeSciences Corporation ($295).
Total Amount
$627
General + Research + Ownership
Payments
19
Total payment records
General Amount
$627
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $295 |
| Kerecis Limited | $138 |
| ABBVIE INC. | $90 |
| Mentor Worldwide LLC | $75 |
| DePuy Synthes Sales Inc. | $16 |
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: 2022-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140522002191 | I | Plastic And Reconstructive Surgery | MN | TBD |
| I20221025002773 | I | Plastic And Reconstructive Surgery | SD | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 22 | $0 |
| 14301 | Repair of wound by transferring skin, 30.1-60.0 sq cm | 13 | 13 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 55805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| - | SD | |
| Internal Medicine, Hospitalist | SD | |
| - | MN | |
| Physical Therapist In Private Practice | SD | |
| - | SD | |
| Diagnostic Radiology | OK | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | SD | |
| Hospice/Palliative Care | SD |
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