DR. BRENT CODY MAKIJARVI FOWLER (DO) – Sports Medicine (Family Medicine) Physician, NPI 1528684339
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for DR. BRENT CODY MAKIJARVI FOWLER (DO)
4140 CENTENNIAL HILLS BLVD
CASPER, WY 826093265
Phone: (307) 265-7205
Type: Mailing
150 RIVER NORTH BLVD
STEPHENVILLE, TX 764011860
Phone: (549) 686-0512
Type: Location
1522 E A ST
CASPER, WY 826012217
Phone: (307) 234-6161
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: 2025-10-06
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 |
|---|---|---|---|---|
| I20240729002347 | I | Family Practice | WY | TBD |
| I20251006002364 | I | Family Practice | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 82609)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | AZ | |
| - | SC | |
| Orthopedic Surgery | WY | |
| Occupational Therapist In Private Practice | WY | |
| Orthopedic Surgery | TX | |
| Occupational Therapist In Private Practice | WY | |
| Physical Therapist In Private Practice | WY | |
| Orthopedic Surgery | WY | |
| Orthopedic Surgery | WY | |
| Orthopedic Surgery | WY |
Reviews
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