Dr. John Fowler, MD
3471 5th Ave, Suite 1010, Pittsburgh, PA 15213 • +1-476-555-3125
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Pittsburgh Percentiles
NPI #1619137205 • CBSA Regional • Orthopedic Surgery
Dr. John Fowler, MD (NPI #1619137205) practices Orthopedic Surgery in Pittsburgh, PA (15213) with sub-specialty concentration in 70 Active CMS HCPCS Codes, recording 1,249 annual CMS services across 240 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (18.06th Pittsburgh percentile) (-0.58σ vs PA state mean, 19.88th statewide percentile).
Fee-schedule auditing of NPI 1619137205 highlights 201 annual claims for 99213 (18.06th Pittsburgh percentile; $106–$145 self-pay corridor) plus 151 encounters under 20610 and 106 under 73562.
Direct cash-pay transparency modeling sets Dr. Fowler's baseline new-consult rate near $209.00 in Pittsburgh, PA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 18-minute average reception wait).
Patients evaluating Dr. John Fowler in ZIP 15213 note 27 years of post-doctoral tenure (null, 1999) alongside 5.2 annual CMS procedures per patient.
Compared against Pittsburgh, PA Orthopedic Surgery peers
1,249 annual services across 240 beneficiaries
Standard deviations from PA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 201 | 18.06th | $106 – $145 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 151 | 19.06th | $112 – $154 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 106 | 22.06th | $63 – $86 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 61 | 22.06th | $151 – $207 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 39 | 16.06th | $975 – $1336 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (70 HCPCS billing breadth) | 690 | 18.06th | $119 – $173 |
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Dr. John Fowler, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fowler National Provider Identifier | NPI #1619137205 (MD) | CMS NPPES Registry (15213) |
| Dr. Fowler Pittsburgh CMS Volume Rank | 18.06th Pct (1,249 CMS svcs; Z -0.585σ) | CMS Medicare Part B (PA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pittsburgh, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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