MYRA BIBB DOWLER (PA) – Physician Assistant, NPI 1033215462

MYRA BIBB DOWLER (PA) is a healthcare provider. based in Xenia, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50001134 (OH). The NPI Number for MYRA BIBB DOWLER (PA) is 1033215462

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
MYRA BIBB DOWLER (PA)
NPI
1033215462
Phone
(937) 372-1602
Address
244 Wilson Dr
Enumeration Date
15 September 2006
Last Update Date
21 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9375310195
Graduation Year
1986 (40 years ago)
PAC ID
8123217445
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20110118000630
Address ID
OH453207600EA450XXRDXX501

Contacts

Secure Messaging
mbibbdevolld458901@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MYRA BIBB DOWLER (PA)

  • 244 Wilson Dr

    Xenia, OH 453851864

    Phone: (937) 372-1602

    Fax: (937) 372-0154

    Type: Location

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8068

    Type: Mailing

  • Middle Urbana Road, Springfield, Clark County, Ohio, 45503, United States of America

    SPRINGFIELD, OH 455029285

    Phone: (937) 372-1602

    Fax: (937) 372-0154

    Type: Mailing

  • 244, Wilson Drive, Xenia, Greene County, Ohio, 45385, United States

    XENIA, OH 453851864

    Phone: (937) 372-1602

    Fax: (937) 372-0154

    Type: Location

  • 7700 WASHINGTON VILLAGE DR STE 130

    CENTERVILLE, OH 454594094

    Phone: (937) 531-0195

    Fax: (937) 531-0196

    Type: Location

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: 2011-01-18

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
I20110118000630IPhysician AssistantOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4031$0
99212Established patient office or other outpatient visit, 10-19 minutes1919$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 45385)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Hospitalist, Emergency MedicineOH
Physician AssistantMI

Reviews

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Frequently asked questions

Is there an official ID for MYRA BIBB DOWLER (PA) in U.S. healthcare records?
The official identifier for MYRA BIBB DOWLER (PA) is NPI 1033215462.
Is there an active status for MYRA BIBB DOWLER (PA)?
For scheduling context, MYRA BIBB DOWLER (PA) is shown as active in the registry.
How would a patient describe MYRA BIBB DOWLER (PA)'s focus?
For MYRA BIBB DOWLER (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MYRA BIBB DOWLER (PA)?
Directory geography for MYRA BIBB DOWLER (PA) centers on Xenia, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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