Active NPI 1316908221 Individual Practitioner Male Practitioner

Dr. Brian Guy Dowling , DPM

Podiatrist • Everett, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Dowling, DPM is a certified Podiatrist practicing in Everett, PA. With approximately 35 years of clinical experience since graduating from North Carolina Medical School in 1991, Dr. Dowling delivers high-quality medical care to the local community at 138 MEMORIAL DR.

Dr. Dowling is affiliated with Dr Brandon J Wilt Dpm Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, removal of single thickened skin growth, removal of fingernails or toenails, 1-5 nails. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

138 Memorial Dr

Everett, PA 155377028

Telephone 8146236191

Fax 8146235519

Associated Practice Facility / Clinic

🏢 Dr Brandon J Wilt Dpm Llc Facility NPI 1063834125

Medicare Profile & Education

Medical School

North Carolina Medical School

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Everett, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +8.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 31.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Everett, PA (744 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dowling (35 Years) 35 Yrs

Everett Specialty Average (27.0 Years) 27.0 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
11721 Removal of fingernails or toenails, 6 or more nails	1,232	671	$55.39	$41.55
11055 Removal of single thickened skin growth	226	151	$91.46	$65.01
11720 Removal of fingernails or toenails, 1-5 nails	146	109	$40.14	$31.04
99213 Established patient office or other outpatient visit, typically 15 minutes	135	85	$128.07	$81.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	133	94	$69.08	$53.10
11719 Trimming of fingernails or toenails	119	85	$17.63	$13.43
11056 Removal of noncancer thickened skin growth, 2-4 growths	92	58	$104.35	$77.06
G0127 Trimming of dystrophic nails, any number	44	32	$28.98	$14.83
11730 Simple separation of fingernail or toenail from nail bed, first nail	44	43	$150.19	$105.36
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$86.89	$69.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$146.65	$100.54
97597 Removal of tissue from wound, 20.0 sq cm or less	17	11	$140.19	$90.05
20550 Injection into tendon or ligament	15	12	$86.46	$55.48
11721 Removal of fingernails or toenails, 6 or more nails	14	13	$68.00	$20.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,390	657	$52.95	$44.98
11720 Removal of fingernails or toenails, 1-5 nails	691	370	$38.41	$33.48
11719 Trimming of fingernails or toenails	491	242	$23.86	$14.33
99213 Established patient office or other outpatient visit, typically 15 minutes	473	241	$114.82	$91.21
11055 Removal of single thickened skin growth	307	174	$82.30	$71.63
11056 Removal of noncancer thickened skin growth, 2-4 growths	192	99	$90.50	$79.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	143	$71.71	$57.22
G0127 Trimming of dystrophic nails, any number	148	81	$31.86	$14.73
99202 New patient office or other outpatient visit, typically 20 minutes	128	128	$94.01	$73.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	16	$2.97	$1.09
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	85	79	$77.25	$39.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$132.77	$112.48
11730 Simple separation of fingernail or toenail from nail bed, first nail	57	56	$145.59	$117.81
20550 Injection into tendon or ligament	44	26	$80.55	$62.99
97597 Removal of tissue from wound, 20.0 sq cm or less	44	22	$125.17	$102.74
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	43	23	$8.43	$6.63
11057 Removal of noncancer thickened skin growth, more than 4 growths	17	11	$102.10	$92.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$157.01	$128.84
73630 X-ray of foot, minimum of 3 views	12	11	$50.92	$35.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,173	444	$48.00	$45.76
99213 Established patient office or other outpatient visit, typically 15 minutes	1,076	382	$115.00	$93.48
11720 Removal of fingernails or toenails, 1-5 nails	661	232	$35.00	$33.88
11719 Trimming of fingernails or toenails	474	159	$35.00	$14.43
11055 Removal of single thickened skin growth	282	105	$65.74	$65.01
11056 Removal of noncancer thickened skin growth, 2-4 growths	270	84	$75.00	$74.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	213	42	$5.00	$1.15
G0127 Trimming of dystrophic nails, any number	177	54	$35.00	$13.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	174	174	$130.00	$115.81
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	153	133	$85.00	$44.15
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$115.00	$75.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	37	$90.00	$58.49
20550 Injection into tendon or ligament	63	44	$85.00	$59.47
11730 Simple separation of fingernail or toenail from nail bed, first nail	60	53	$150.00	$121.20
11057 Removal of noncancer thickened skin growth, more than 4 growths	39	12	$100.00	$95.84
73630 X-ray of foot, minimum of 3 views	29	21	$75.00	$36.56
20605 Aspiration and/or injection of medium joint or joint capsule	21	18	$85.00	$42.09
97597 Removal of tissue from wound, 20.0 sq cm or less	20	13	$125.00	$107.51
11750 Permanent removal fingernail or toenail	15	12	$325.00	$152.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,305	525	$48.00	$45.66
99213 Established patient office or other outpatient visit, typically 15 minutes	1,175	392	$115.00	$93.11
11720 Removal of fingernails or toenails, 1-5 nails	658	263	$35.00	$34.40
11719 Trimming of fingernails or toenails	387	148	$35.00	$14.49
11056 Removal of noncancer thickened skin growth, 2-4 growths	375	120	$75.00	$74.45
11055 Removal of single thickened skin growth	313	110	$65.00	$64.77
G0127 Trimming of dystrophic nails, any number	216	66	$35.00	$13.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	185	185	$130.00	$114.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	165	36	$5.00	$1.27
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	156	153	$85.00	$44.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	55	$90.00	$55.87
99202 New patient office or other outpatient visit, typically 20 minutes	115	115	$115.00	$74.37
97597 Removal of tissue from wound, 20.0 sq cm or less	101	33	$125.00	$103.63
11057 Removal of noncancer thickened skin growth, more than 4 growths	75	22	$100.00	$90.00
11730 Simple separation of fingernail or toenail from nail bed, first nail	61	58	$150.00	$119.08
20550 Injection into tendon or ligament	47	35	$85.00	$55.75
73630 X-ray of foot, minimum of 3 views	22	19	$75.00	$36.05
11750 Permanent removal fingernail or toenail	22	15	$325.00	$144.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,189	391	$115.00	$73.68
11721 Removal of fingernails or toenails, 6 or more nails	985	450	$48.00	$44.76
11720 Removal of fingernails or toenails, 1-5 nails	449	231	$35.00	$32.62
11056 Removal of noncancer thickened skin growth, 2-4 growths	361	144	$75.00	$69.71
11055 Removal of single thickened skin growth	279	123	$65.00	$61.60
11719 Trimming of fingernails or toenails	239	124	$35.00	$13.91
G0127 Trimming of dystrophic nails, any number	206	77	$35.00	$12.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	169	33	$5.00	$1.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$130.00	$106.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	148	54	$90.00	$43.28
97597 Removal of tissue from wound, 20.0 sq cm or less	106	31	$123.11	$95.32
11057 Removal of noncancer thickened skin growth, more than 4 growths	88	32	$100.00	$80.13
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	52	52	$85.00	$44.07
73630 X-ray of foot, minimum of 3 views	42	33	$75.00	$32.74
20550 Injection into tendon or ligament	39	34	$85.00	$52.92
11730 Simple separation of fingernail or toenail from nail bed, first nail	39	38	$150.00	$109.42
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$115.00	$74.15
20605 Aspiration and/or injection of medium joint or joint capsule	17	15	$85.00	$41.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,363	572	$48.00	$44.64
99213 Established patient office or other outpatient visit, typically 15 minutes	1,155	362	$115.00	$72.20
11720 Removal of fingernails or toenails, 1-5 nails	731	300	$35.00	$32.94
11056 Removal of noncancer thickened skin growth, 2-4 growths	451	155	$75.00	$64.72
11719 Trimming of fingernails or toenails	448	172	$35.00	$14.34
11055 Removal of single thickened skin growth	438	165	$65.00	$55.44
G0127 Trimming of dystrophic nails, any number	293	99	$35.00	$13.03
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	183	32	$5.00	$1.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	168	60	$90.00	$42.25
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	153	153	$85.00	$43.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	135	135	$130.00	$105.51
11057 Removal of noncancer thickened skin growth, more than 4 growths	111	40	$100.00	$72.04
97597 Removal of tissue from wound, 20.0 sq cm or less	80	25	$100.00	$87.27
20550 Injection into tendon or ligament	41	29	$85.00	$50.02
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$115.00	$72.98
11730 Simple separation of fingernail or toenail from nail bed, first nail	32	32	$150.00	$105.23
20605 Aspiration and/or injection of medium joint or joint capsule	26	23	$85.77	$42.04
73630 X-ray of foot, minimum of 3 views	20	13	$75.00	$31.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,202	576	$48.00	$43.42
99213 Established patient office or other outpatient visit, typically 15 minutes	972	339	$115.00	$68.86
11720 Removal of fingernails or toenails, 1-5 nails	839	361	$35.00	$31.96
11055 Removal of single thickened skin growth	636	243	$65.00	$46.32
G0127 Trimming of dystrophic nails, any number	629	223	$35.00	$14.30
11719 Trimming of fingernails or toenails	524	211	$35.00	$13.97
11056 Removal of noncancer thickened skin growth, 2-4 growths	495	194	$75.00	$55.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	218	108	$90.00	$40.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	180	40	$5.00	$1.79
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	153	151	$85.00	$43.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$130.00	$102.03
11057 Removal of noncancer thickened skin growth, more than 4 growths	100	38	$100.00	$63.13
99202 New patient office or other outpatient visit, typically 20 minutes	65	65	$115.00	$70.30
20550 Injection into tendon or ligament	63	51	$85.00	$44.40
11730 Simple separation of fingernail or toenail from nail bed, first nail	48	48	$150.00	$96.68
11042 Removal of skin and tissue, 20.0 sq cm or less	31	19	$150.00	$108.37
73630 X-ray of foot, minimum of 3 views	20	14	$75.00	$28.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,018	408	$48.00	$42.00
G0127 Trimming of dystrophic nails, any number	962	301	$35.00	$13.44
11720 Removal of fingernails or toenails, 1-5 nails	935	362	$35.00	$30.27
99213 Established patient office or other outpatient visit, typically 15 minutes	768	279	$115.00	$68.21
11055 Removal of single thickened skin growth	681	233	$65.00	$44.65
11719 Trimming of fingernails or toenails	650	244	$35.00	$13.26
11056 Removal of noncancer thickened skin growth, 2-4 growths	550	182	$75.00	$54.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	225	44	$5.00	$1.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	165	72	$90.00	$40.36
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	130	125	$85.00	$42.55
11057 Removal of noncancer thickened skin growth, more than 4 growths	95	28	$100.00	$61.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$130.00	$100.79
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$115.00	$70.20
20550 Injection into tendon or ligament	73	48	$91.99	$44.65
11730 Simple separation of fingernail or toenail from nail bed, first nail	45	44	$150.00	$94.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	42	12	$10.00	$0.11
11042 Removal of skin and tissue, 20.0 sq cm or less	40	20	$150.00	$105.92
73630 X-ray of foot, minimum of 3 views	39	25	$75.00	$27.92
11750 Permanent removal fingernail or toenail	26	13	$325.00	$115.59
20551 Injection into tendon at attachment to bone or muscle	14	12	$145.36	$56.75

Medical Specialties & State Licenses

CMS Verified: 2025-04-08

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License MD 01258

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

022500200 (MD)

Medicaid State Provider ID

027460900 (DC)

Medicaid State Provider ID

0100074000 (WV)

Commercial Insurance / Payer ID Dmerc

4526650001 (WV)

Commercial Insurance / Payer ID Aetna

5658587 (MD)

Commercial Insurance / Payer ID Dmerc

4526650001 (MD)

Commercial Insurance / Payer ID National Blue Cross

R094

Commercial Insurance / Payer ID Mamsi

456543

Commercial Insurance / Payer ID Bllue Cross Blue Shield

54967902

Hospital & Practice Group Affiliations

Dr Brandon J Wilt Dpm Llc

512 Winifred Rd, Cumberland, MD 215026396

Phone: 8146236191

Dr Brandon J Wilt Dpm Llc

138 Memorial Dr, Everett, PA 155377028

Phone: 8146236191

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Joseph Rupp , DPM

Podiatrist

NPI 1184615619

Doctor of Podiatric Medicine

Brandon Wilt

Podiatrist

NPI 1811146541

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 08, 2025

Registered at 138 MEMORIAL DR, EVERETT, PA 155377028 (Tel: 8146236191)

📍

Updated Business Mailing Address April 08, 2025

Registered at 138 MEMORIAL DR, EVERETT, PA 155377028 (Tel: 8146236191)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2023

Podiatrist (License #01258 in MD)

✅

NPI Profile Active May 09, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 09, 2012

Registered at 600 VIRGINIA AVE, CUMBERLAND, MD 215024551 (Tel: 3017777780)

📍

Updated Business Mailing Address May 09, 2012

Registered at 600 VIRGINIA AVE, CUMBERLAND, MD 215024551 (Tel: 3017777780)

👤

Provider Name / Credentials Updated May 09, 2012

Recorded as BRIAN DOWLING, D.P.M.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2012

Podiatrist (License #01258 in MD)

🟢

Initial NPI Registration & Enumeration March 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316908221

Entity Type:

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

Enumeration Date: March 30, 2006

Last Update: April 08, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

138 Memorial Dr

Everett, PA 155377028

Phone: 8146236191

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.