Medicare Enrolled
Dr. John Fowler, M.D.
Internal Medicine · Beaumont, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Fowler from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Fowler
Dr. John Fowler is an internal medicine specialist in Beaumont, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fowler performed 9,508 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Fowler received a total of $5,530 from 59 pharmaceutical and/or device companies across 310 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fowler is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 3% volume in TX
$5,530 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗9,508
Medicare services
Top 3% in TX for internal medicine
Not available
Unique patients (not deduplicated)
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
828 | $8 | $25 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
811 | $10 | $60 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
806 | $86 | $135 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
784 | $8 | $20 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
750 | $13 | $60 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
729 | $16 | $45 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
668 | $2 | $11 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
506 | $10 | $25 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
328 | $76 | $110 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
307 | $6 | $20 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
306 | $44 | $75 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
297 | $121 | $150 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
247 | $6 | $20 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
234 | $61 | $100 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
234 | $0 | $10 |
| Thyroxine (T4) level test A blood test that measures the total amount of thyroxine, a thyroid hormone, in your body. |
198 | $7 | $20 |
| Thyroid hormone evaluation A blood test to measure the levels of thyroid hormones in the body. This evaluation helps assess how well the thyroid gland is functioning. |
193 | $6 | $20 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
157 | $4 | $15 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
141 | $52 | $100 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
136 | $9 | $55 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
116 | $19 | $48 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
88 | $29 | $65 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
62 | $0 | $10 |
| PSA test (prostate cancer screening) | 55 | $18 | $50 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
51 | $35 | $125 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
51 | $74 | $100 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
43 | $9 | $20 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
34 | $15 | $40 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
30 | $29 | $45 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
30 | $31 | $55 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
26 | $7 | $17 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
25 | $25 | $60 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
24 | $9 | $20 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
24 | $3 | $8 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
24 | $34 | $65 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
17 | $13 | $30 |
| Iron level test | 17 | $6 | $15 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
16 | $146 | $195 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
15 | $50 | $100 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
14 | $5 | $30 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
13 | $38 | $45 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
13 | $40 | $90 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
13 | $17 | $45 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
12 | $9 | $20 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
12 | $89 | $400 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
12 | $39 | $75 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
11 | $84 | $150 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
0.1% high complexity
3.6% medium
96.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,530
Total received (2018-2024)
Avg $790/year across 7 years
Top 15% in TX for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
59
Companies
310
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$400
2023
$1,011
2022
$731
2021
$1,102
2020
$799
2019
$546
2018
$941
Payments by company (2024)
PFIZER INC.
$85
GlaxoSmithKline, LLC.
$77
Phathom Pharmaceuticals, Inc.
$73
Novo Nordisk Inc
$70
Novartis Pharmaceuticals Corporation
$34
Amgen Inc.
$29
SHIELD THERAPEUTICS INC
$17
AstraZeneca Pharmaceuticals LP
$15
Top 3 companies account for 58.7% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$695
GlaxoSmithKline, LLC.
$436
Novo Nordisk Inc
$405
PFIZER INC.
$398
Ironwood Pharmaceuticals, Inc
$284
Novartis Pharmaceuticals Corporation
$283
AbbVie Inc.
$283
Takeda Pharmaceuticals U.S.A., Inc.
$212
Amarin Pharma Inc.
$202
Otsuka America Pharmaceutical, Inc.
$172
Amgen Inc.
$170
SI-BONE, Inc.
$143
Janssen Pharmaceuticals, Inc
$135
Merck Sharp & Dohme LLC
$127
Esperion Therapeutics, Inc.
$95
INTERCEPT PHARMACEUTICALS, INC.
$83
ABBVIE INC.
$83
Sunovion Pharmaceuticals Inc.
$74
Phathom Pharmaceuticals, Inc.
$73
Allergan, Inc.
$72
Boehringer Ingelheim Pharmaceuticals, Inc.
$65
Lilly USA, LLC
$59
Biohaven Pharmaceuticals, Inc.
$55
Biogen, Inc.
$53
Exact Sciences Corporation
$53
Merck Sharp & Dohme Corporation
$50
Biohaven Pharmaceutical Holding Company Ltd.
$46
Philips Electronics North America Corporation
$46
Sun Pharmaceutical Industries Inc.
$37
Mylan Specialty L.P.
$37
Daiichi Sankyo Inc.
$37
Abbott Laboratories
$36
Dexcom, Inc.
$34
AMAG Pharmaceuticals, Inc.
$33
SANOFI-AVENTIS U.S. LLC
$32
IRONWOOD PHARMACEUTICALS, INC
$31
Intuitive Surgical, Inc.
$26
Eisai Inc.
$26
Kowa Pharmaceuticals America, Inc.
$25
ARBOR PHARMACEUTICALS, INC.
$25
SUN PHARMACEUTICAL INDUSTRIES INC.
$23
GE HEALTHCARE
$22
Hologic, LLC
$22
Baxter Healthcare
$18
SHIELD THERAPEUTICS INC
$17
Bayer HealthCare Pharmaceuticals Inc.
$17
Horizon Therapeutics plc
$17
Almatica Pharma LLC
$15
Avion Pharmaceuticals
$15
UCB, Inc.
$14
Currax Pharmaceuticals LLC
$14
Seqirus USA Inc
$14
Clarus Therapeutics Inc.
$14
Optos, Inc.
$13
Teva Pharmaceuticals USA, Inc.
$13
Amneal Pharmaceuticals LLC
$12
Acerus Pharmaceuticals Corporation
$12
Synergy Pharmaceuticals Inc
$12
Iroko Pharmaceuticals, LLC
$11
Top 3 companies account for 27.8% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ACCRUFER · ADUHELM · ADVAIR · AIMOVIG · AJOVY · ANORO · ANORO ELLIPTA · APTIOM · AREXVY · Aimovig · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · CHANTIX · CONTRAVE · Cologuard Collection Kit · DUZALLO · Da Vinci Surgical System · Dayvigo · Dexcom G6 Transmitter · Dexilant · Dhivy · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EZALLOR SPRINKLE · Edarbi · FARXIGA · FLUCELVAX QUADRIVALENT · FREESTYLE LIBRE 2 · FreeStyle Libre 2 · GEMTESA · GRALISE · Hillrom - RetinaVue 700 Imager · Horizant · INJECTAFER · INTRAROSA · JARDIANCE · JATENZO · KAPSPARGO · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · Linzess · Livalo · MOUNJARO · NEXLETOL · NUCALA · NUEDEXTA · NURTEC ODT · Natesto · OCALIVA · OCT OPHTHALMOSCOPE · Otezla · Ozempic · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · QULIPTA · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SYMBICORT · THINPREP 2000 PROCESSOR · TIVORBEX · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · Trulance · UBRELVY · UNITHROID · VERQUVO · VOQUEZNA · VRAYLAR · Vascepa · Victoza · XARELTO · Yupelri · iFuse Implant
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Internal medicine physicians in nearby ZIP areas
84
County median income
$59,934
Nearest hospital to ZIP centroid (approximate)
CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Fowler is a clinical cardiology specialist, with above-average Medicare volume (top 3% in TX), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Fowler experienced with complete blood count (cbc) with differential?
Based on Medicare claims data, Dr. Fowler performed 828 complete blood count (cbc) with differential services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Fowler receive payments from pharmaceutical companies?
Yes. Dr. Fowler received a total of $5,530 from 59 companies across 310 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Fowler's costs compare to other internal medicine physicians in Beaumont?
Dr. Fowler's average Medicare payment per service is $26. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Fowler) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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