Active NPI 1699849166 Individual Practitioner Male Practitioner

Dr. Kenneth Patrick Fowler , MD

Pediatrics • Lawrence, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Fowler, MD is a certified Pediatrics practicing in Lawrence, MA. With approximately 25 years of clinical experience since graduating from Medical University Of South Carolina College Of Medicine in 2001, Dr. Fowler delivers high-quality medical care to the local community at 500 MERRIMACK ST.

Dr. Fowler maintains professional affiliations with Mass General Brigham Medical Group Northern Massachusetts Inc, Mass General Brigham Community Physicians Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 Merrimack St

Lawrence, MA 018431756

Telephone 9785578900

Fax 9785578811

Associated Practice Facility / Clinic

🏢 Mass General Brigham Community Physicians Inc. Facility NPI 1225811995

Medicare Profile & Education

Medical School

Medical University Of South Carolina College Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lawrence, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -4.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

13 Specialists

Practicing in Lawrence, MA (2760 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fowler (25 Years) 25 Yrs

Lawrence Specialty Average (29.5 Years) 29.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	734	264	$555.28	$127.50
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	298	162	$70.68	$16.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	191	191	$565.27	$131.09
G0444 Annual depression screening, 5 to 15 minutes	128	128	$84.46	$19.32
G0442 Annual alcohol misuse screening, 5 to 15 minutes	95	95	$85.21	$19.38
G0008 Administration of influenza virus vaccine	81	81	$139.32	$32.81
90662 Influenza vaccine split virus, preservative free	71	71	$182.79	$81.54
93000 Routine ekg using at least 12 leads including interpretation and report	50	44	$98.00	$14.48
90480 Admn sarscov2 vacc 1 dose	47	47	$190.94	$43.76
91320 Sarscv2 vac 30mcg trs-suc im	47	47	$275.72	$151.23
87502 Detection test by nucleic acid for multiple types influenza virus	28	24	$502.00	$93.88
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	28	25	$241.64	$50.28
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	26	26	$677.00	$290.67
G0009 Administration of pneumococcal vaccine	26	26	$137.77	$32.81
99496 Transitional care management services for problem of high complexity	23	20	$1213.00	$271.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$772.68	$174.45
69210 Removal of impacted ear wax	21	14	$209.00	$48.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$720.00	$166.88
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$395.33	$88.29
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	18	18	$77.00	$14.59
81003 Automated urinalysis test	18	17	$18.00	$2.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$717.67	$166.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	732	267	$544.15	$127.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	187	187	$556.35	$131.85
G0444 Annual depression screening, 5 to 15 minutes	146	146	$80.71	$19.06
G0008 Administration of influenza virus vaccine	75	74	$133.69	$31.47
90662 Influenza vaccine split virus, preservative free	66	65	$161.58	$71.67
90480 Admn sarscov2 vacc 1 dose	42	41	$185.00	$41.95
91320 Sarscv2 vac 30mcg trs-suc im	42	41	$281.00	$128.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	23	$761.77	$182.77
87502 Detection test by nucleic acid for multiple types influenza virus	28	27	$502.00	$90.99
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$92.64	$14.86
99496 Transitional care management services for problem of high complexity	28	20	$1189.04	$283.61
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	24	23	$186.25	$50.28
G0009 Administration of pneumococcal vaccine	24	24	$130.33	$31.47
83036 Hemoglobin A1C level	20	18	$74.00	$9.52
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$708.72	$168.54
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$657.53	$281.75
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$386.50	$92.53
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$77.00	$14.94
69210 Removal of impacted ear wax	12	11	$204.00	$48.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	710	251	$533.70	$132.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	172	172	$546.08	$135.69
G0008 Administration of influenza virus vaccine	69	66	$110.22	$30.83
G0444 Annual depression screening, 5 to 15 minutes	62	62	$79.61	$19.20
90662 Influenza vaccine split virus, preservative free	50	49	$124.00	$62.86
91312 Coronavirus vaccine 13	38	38	$0.01	$0.01
0124A Fee covid-19 vac 13 res	38	38	$75.00	$40.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	25	$746.36	$187.20
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$377.07	$91.76
93000 Routine ekg using at least 12 leads including interpretation and report	28	26	$92.00	$14.91
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	28	27	$150.00	$50.69
99496 Transitional care management services for problem of high complexity	27	23	$1164.89	$288.92
G0009 Administration of pneumococcal vaccine	23	23	$89.09	$31.06
99443 Telephone medical discussion with physician, 21-30 minutes	22	16	$532.45	$133.57
90756 Vaccine for influenza for injection into muscle	19	19	$60.63	$29.87
87502 Detection test by nucleic acid for multiple types influenza virus	17	17	$502.00	$94.11
0004A Fee covid-19 vac 1 res	15	15	$75.00	$41.20
81002 Urinalysis, manual test	14	14	$25.00	$3.45
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$688.50	$174.02
96127 Assessment of emotional or behavioral problems	11	11	$21.73	$5.01
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$687.18	$172.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	538	211	$476.05	$134.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$505.16	$138.45
G0008 Administration of influenza virus vaccine	53	52	$85.58	$17.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	24	$628.85	$189.34
90662 Influenza vaccine split virus, preservative free	38	37	$93.13	$60.00
99443 Telephone medical discussion with physician, 21-30 minutes	36	26	$465.69	$136.08
99213 Established patient office or other outpatient visit, typically 15 minutes	36	36	$326.67	$95.76
93000 Routine ekg using at least 12 leads including interpretation and report	33	32	$87.61	$15.56
99496 Transitional care management services for problem of high complexity	25	21	$1061.60	$292.38
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	23	20	$150.00	$51.31
81002 Urinalysis, manual test	17	15	$25.00	$3.48
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$691.13	$175.60
G0009 Administration of pneumococcal vaccine	15	15	$77.20	$17.85
90756 Vaccine for influenza for injection into muscle	15	15	$46.11	$28.37
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$416.00	$40.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	424	210	$448.25	$113.80
99443 Telephone medical discussion with physician, 21-30 minutes	128	89	$447.76	$114.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$482.85	$121.78
99213 Established patient office or other outpatient visit, typically 15 minutes	86	71	$308.60	$79.21
99442 Telephone medical discussion with physician, 11-20 minutes	68	57	$308.38	$79.07
G0008 Administration of influenza virus vaccine	56	55	$108.00	$17.73
93000 Routine ekg using at least 12 leads including interpretation and report	40	37	$87.00	$18.09
90662 Influenza vaccine split virus, preservative free	40	39	$89.88	$60.22
G0009 Administration of pneumococcal vaccine	22	22	$108.00	$17.72
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	22	20	$150.00	$51.31
99496 Transitional care management services for problem of high complexity	18	14	$990.50	$258.45
90756 Vaccine for influenza for injection into muscle	16	16	$50.75	$25.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$604.00	$153.74
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$210.15	$118.08
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$705.91	$177.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	635	233	$428.99	$113.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$477.16	$121.10
G0008 Administration of influenza virus vaccine	68	66	$106.44	$17.42
90662 Influenza vaccine split virus, preservative free	56	54	$90.07	$52.79
99213 Established patient office or other outpatient visit, typically 15 minutes	54	47	$289.30	$77.65
81002 Urinalysis, manual test	39	32	$23.69	$3.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	38	38	$692.61	$178.33
93000 Routine ekg using at least 12 leads including interpretation and report	32	28	$86.25	$17.70
G0009 Administration of pneumococcal vaccine	19	19	$108.00	$17.42
77080 Dxa bone density measurement of hip, pelvis, spine	16	16	$364.56	$42.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$192.36	$103.03
90756 Vaccine for influenza for injection into muscle	12	12	$52.17	$26.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$647.91	$171.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	738	232	$332.00	$112.24
99213 Established patient office or other outpatient visit, typically 15 minutes	97	72	$225.00	$76.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	71	71	$514.00	$179.26
G0008 Administration of influenza virus vaccine	58	58	$55.33	$21.55
93000 Routine ekg using at least 12 leads including interpretation and report	47	41	$63.00	$17.51
81002 Urinalysis, manual test	44	32	$8.00	$3.41
90662 Influenza vaccine split virus, preservative free	39	39	$60.00	$52.30
G0009 Administration of pneumococcal vaccine	27	27	$79.00	$21.55
94640 Inhalation treatment for airway obstruction or sputum production	22	14	$60.00	$20.05
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	17	$33.00	$16.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$308.00	$122.09
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$155.00	$105.59
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	17	17	$30.00	$23.57
90670 Pneumococcal vaccine for injection into muscle	15	15	$324.00	$195.31
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	13	11	$3.00	$0.13
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$302.00	$44.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	694	232	$332.00	$110.55
99213 Established patient office or other outpatient visit, typically 15 minutes	151	109	$225.00	$75.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	12	$79.00	$26.80
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	71	11	$5.00	$2.85
93000 Routine ekg using at least 12 leads including interpretation and report	58	50	$63.00	$17.58
G0008 Administration of influenza virus vaccine	56	56	$55.00	$26.66
81002 Urinalysis, manual test	47	35	$8.00	$3.43
90662 Influenza vaccine split virus, preservative free	36	36	$60.00	$48.05
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	35	27	$33.00	$15.40
G0009 Administration of pneumococcal vaccine	29	29	$79.00	$26.66
90670 Pneumococcal vaccine for injection into muscle	26	26	$324.00	$187.04
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	20	20	$29.00	$17.34
99496 Transitional care management services for problem of high complexity	18	18	$649.00	$210.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$155.00	$95.13
94640 Inhalation treatment for airway obstruction or sputum production	15	12	$60.00	$19.53
77080 Dxa bone density measurement of hip, pelvis, spine	15	15	$284.13	$40.86
90471 Administration of 1 vaccine	11	11	$79.00	$26.81

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 232594

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MA 232594

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2144409 (MA)

Medicaid State Provider ID

110077563A (MA)

Commercial Insurance / Payer ID Fallon Community Health Plan

1699849166 (MA)

Commercial Insurance / Payer ID Network

946322-02 (MA)

Commercial Insurance / Payer ID Anthem Bs

1699849166 (MA)

Commercial Insurance / Payer ID Evercare

28-38773 (MA)

Commercial Insurance / Payer ID Tufts

497022 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim Health Care

AA100849 (MA)

Commercial Insurance / Payer ID Bcbs

J42491 (MA)

Commercial Insurance / Payer ID Nh Medicaid

30209506 (NH)

Hospital & Practice Group Affiliations

Mass General Brigham Medical Group Northern Massachusetts Inc

1 Park Way, Haverhill, MA 018306278

Phone: 9785213230

Mass General Brigham Medical Group Northern Massachusetts Inc

1 Hutchinson Dr, Danvers, MA 019233748

Phone: 9787396950

Mass General Brigham Community Physicians Inc

500 Merrimack St, Lawrence, MA 018431981

Phone: 9785578900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners

Jennifer Durning , NP

Nurse Practitioner

NPI 1043205677

Nurse Practitioner

Dr. Sangeeta Nadkarni , MD

Internal Medicine - Nephrology

NPI 1245332667

Doctor of Medicine (M.D.)

Dr. James Cheverie , MD

Family Medicine

NPI 1437117389

Doctor of Medicine (M.D.)

Dr. Suzanne Damiani , MD

Pediatrics

NPI 1558380717

Doctor of Medicine (M.D.)

Dr. Richard Goldman , MD

Internal Medicine - Cardiovascular Disease

NPI 1578567434

Doctor of Medicine (M.D.)

Dr. Drew Niccolini , MD

Internal Medicine - Gastroenterology

NPI 1639174410

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 19, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 19, 2012

Registered at 500 MERRIMACK ST, LAWRENCE, MA 018431756 (Tel: 9785578900)

📍

Updated Business Mailing Address November 19, 2012

Registered at 500 MERRIMACK ST, LAWRENCE, MA 018431756 (Tel: 9785578900)

👤

Provider Name / Credentials Updated November 19, 2012

Recorded as KENNETH FOWLER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2012

Internal Medicine (License #232594 in MA)

🟢

Initial NPI Registration & Enumeration November 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699849166

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 17, 2006

Last Update: November 19, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

500 Merrimack St

Lawrence, MA 018431756

Phone: 9785578900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.