EVAN FOWLE (D.O.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1649538505

EVAN FOWLE (D.O.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PATHOLOGY. They hold the professional credentials D.O.. They hold a License No. 6290 (OK). The NPI Number for EVAN FOWLE (D.O.) is 1649538505

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
EVAN FOWLE (D.O.)
NPI
1649538505
Phone
(405) 271-2422
Address
940 STANTON L YOUNG BLVD # 451
Enumeration Date
30 April 2012
Last Update Date
11 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056367251
Graduation Year
2012 (14 years ago)
PAC ID
0840556577
Group Practice PAC ID
8224941547
Professional Enrollment ID
I20171113000993
Address ID
OK731093413OK4401XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

120 PATHOLOGY in OK

Provider Addresses for EVAN FOWLE (D.O.)

  • 940 STANTON L YOUNG BLVD # 451

    OKLAHOMA CITY, OK 731045020

    Phone: (405) 271-2422

    Fax: (400) 527-1256

    Type: Mailing

  • 225 NE 97TH ST STE 600

    OKLAHOMA CITY, OK 731146302

    Phone: (405) 842-2061

    Type: Location

  • 1000 10th Ave

    New York, NY 100191147

    Phone: (212) 523-4000

    Type: Location

  • 940 Stanton L Young Blvd # 451

    Oklahoma City, OK 731045020

    Phone: (405) 271-2422

    Fax: (400) 527-1256

    Type: Location

  • 14275 MIDWAY RD STE 400

    ADDISON, TX 750013614

    Phone:

    Fax: (610) 271-4245

    Type: Mailing

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: 2017-11-13

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
I20171113000993IPathologyOKTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity672402$0
88341Special stained specimen slides to examine tissue, each additional procedure481121$0
88173Evaluation of fine needle aspirate with interpretation and report208166$0
88108Cell examination of specimen, concentration technique204179$0
88342Special stained specimen slides to examine tissue, initial procedure134125$0
View full utilization report →

Insurance plans in this area (ZIP 73104)

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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: 8224941547View full group profile

Reviews

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Frequently asked questions

What identifier follows EVAN FOWLE (D.O.) across health systems?
The NPI 1649538505 uniquely identifies EVAN FOWLE (D.O.) in U.S. healthcare data.
Should I treat EVAN FOWLE (D.O.) as an active provider?
Patients and plans typically see EVAN FOWLE (D.O.) as active in the national extract.
What services align with EVAN FOWLE (D.O.)'s listing?
EVAN FOWLE (D.O.)'s public classification highlights Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to EVAN FOWLE (D.O.)?
The directory associates EVAN FOWLE (D.O.) with Oklahoma City, Oklahoma. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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