ZACHARY ALAN FOWLER (D.O.) – Family Medicine Physician, NPI 1164659983

ZACHARY ALAN FOWLER (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 4900 (OK). The NPI Number for ZACHARY ALAN FOWLER (D.O.) is 1164659983

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY ALAN FOWLER (D.O.)
NPI
1164659983
Phone
(918) 748-7557
Address
1717 S UTICA AVE STE A
Enumeration Date
18 June 2009
Last Update Date
5 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183436855
Graduation Year
2009 (17 years ago)
PAC ID
9133375322
Group Practice PAC ID
5890898084
Professional Enrollment ID
I20120802000724
Address ID
OK740192237CL1910XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Loading map...

Provider Addresses for ZACHARY ALAN FOWLER (D.O.)

  • South Utica Avenue, Kendall Whitter-West, Tulsa, Tulsa County, Oklahoma, 74114, United States

    TULSA, OK 741045346

    Phone: (918) 748-7557

    Fax: (918) 748-7514

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-12-01 • Largest payer in this snapshot: Novo Nordisk Inc ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$18
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: 2012-08-02

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
I20120802000724IFamily 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 minutes1615$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

Loading plans...

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: 5890898084View full group profile
NameSpecialtyState
-OK
Nurse PractitionerKS
Nurse PractitionerOK
Nurse PractitionerKS
Physician AssistantOK
-OK
-OK
Emergency MedicineOK
Nurse PractitionerOK
Physician AssistantOK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does ZACHARY ALAN FOWLER (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ZACHARY ALAN FOWLER (D.O.) uses 1164659983.
Is ZACHARY ALAN FOWLER (D.O.) listed as active for patients and plans?
The listing shows ZACHARY ALAN FOWLER (D.O.) as active in the NPI system.
What is ZACHARY ALAN FOWLER (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for ZACHARY ALAN FOWLER (D.O.) here. Clinical services aligned with this taxonomy classification.
Where should I expect ZACHARY ALAN FOWLER (D.O.) on a map?
Expect Tulsa, Oklahoma as a primary anchor for ZACHARY ALAN FOWLER (D.O.) unless the record lists multiple sites.
Why does ZACHARY ALAN FOWLER (D.O.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DR. LEROY O. JESKE (D.O.)

Family Medicine Physician
South Elm Place, Broken Arrow, Tulsa County, Oklahoma, 74102, United States
NPI: 1205839446

DR. DANIEL K. WOOSTER (DO)

Family Medicine Physician
South Elm Place, Broken Arrow, Tulsa County, Oklahoma, 74102, United States of America
NPI: 1518960756

DR. TRACY L. ASHER (D.O.)

Family Medicine Physician
6600 S YALE AVE STE 1400
NPI: 1366445405

DR. ATHENA C MASON (D.O.)

Family Medicine Physician
South Elm Place, Broken Arrow, Tulsa County, Oklahoma, 74102, United States
NPI: 1437152774

DR. TIMOTHY W. HOLDER (MD)

Family Medicine Physician
South Utica Avenue, Kendall Whitter-West, Tulsa, Tulsa County, Oklahoma, 74114, United States
NPI: 1275537516

DR. EVAN D. COLE (DO)

Family Medicine Physician
1220, South Yale Avenue, Mid-Tulsa, Tulsa, Tulsa County, Oklahoma, 74112, United States
NPI: 1710989900

Unknown Individual

Family Medicine Physician
North Harvard Avenue, Apache Manor, Tulsa, Tulsa County, Oklahoma, United States
NPI: 1861496275

JACK EUGENE WEAVER (MD)

Interventional Pain Medicine Physician
4750 S GARNETT RD
NPI: 1902802101

DR. PAUL PISARIK (MD)

Family Medicine Physician
102 WOODMONT BLVD STE 600
NPI: 1306843248