MATTHEW BRYAN FOWLER (D.O.) – Family Medicine Physician, NPI 1083904841

MATTHEW BRYAN FOWLER (D.O.) is a healthcare provider. based in Jenks, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 5211 (OK). The NPI Number for MATTHEW BRYAN FOWLER (D.O.) is 1083904841

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW BRYAN FOWLER (D.O.)
NPI
1083904841
Phone
(918) 298-2264
Address
701 E MAIN ST
Enumeration Date
13 April 2011
Last Update Date
25 August 2014

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9185615701
Graduation Year
2011 (15 years ago)
PAC ID
8921228990
Group Practice PAC ID
2769739358
Professional Enrollment ID
I20140926000146
Address ID
OK741072705TU2345XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for MATTHEW BRYAN FOWLER (D.O.)

  • 701 E MAIN ST

    JENKS, OK 740374316

    Phone: (918) 298-2264

    Fax: (918) 298-0923

    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 12 Open Payments records for all available years, with a total value of $228.

Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: PFIZER INC. ($60).

Total Amount

$228

General + Research + Ownership

Payments

12

Total payment records

General Amount

$228

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2014-09-26

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
I20140926000146IFamily PracticeOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10477$0
96127Assessment of emotional or behavioral problems4743$0
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
G0008Administration of influenza virus vaccine1111$0
View full utilization report →

Insurance plans in this area (ZIP 74037)

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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: 2769739358View full group profile
NameSpecialtyState
Neurology, PsychiatryOK
-OK
Internal MedicineOK
Clinical PsychologistCO
Family PracticeOK
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeOK
Family PracticeOK
Internal MedicineOK
O B S T E T R I C S/ G Y N E C O L O G YOK

Reviews

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Frequently asked questions

What identifier follows MATTHEW BRYAN FOWLER (D.O.) across health systems?
The NPI 1083904841 uniquely identifies MATTHEW BRYAN FOWLER (D.O.) in U.S. healthcare data.
Should I treat MATTHEW BRYAN FOWLER (D.O.) as an active provider?
Patients and plans typically see MATTHEW BRYAN FOWLER (D.O.) as active in the national extract.
What does the directory say MATTHEW BRYAN FOWLER (D.O.) does?
Insurance directories may phrase it differently, but here MATTHEW BRYAN FOWLER (D.O.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MATTHEW BRYAN FOWLER (D.O.)?
The directory associates MATTHEW BRYAN FOWLER (D.O.) with Jenks, Oklahoma. Check all listed addresses for suites or satellite offices.
Why is information missing for MATTHEW BRYAN FOWLER (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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