Dr. Todd Fowler, MD
1724 Hamill Rd Ste 102, Hixson, TN 37343 • +1-669-555-9752
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Hixson Percentiles
NPI #1164468674 • CBSA Regional • Otolaryngology
Dr. Todd Fowler, MD (NPI #1164468674) practices Otolaryngology in Hixson, TN (37343) with sub-specialty concentration in 81 Active CMS HCPCS Codes, recording 2,143 annual CMS services across 613 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Hixson percentile) (-0.14σ vs TN state mean, 61.86th statewide percentile).
Fee-schedule auditing of NPI 1164468674 highlights 729 annual claims for 99213 (50th Hixson percentile; $99–$136 self-pay corridor) plus 536 encounters under 31231 and 407 under 31575.
Direct cash-pay transparency modeling sets Dr. Fowler's baseline new-consult rate near $201.00 in Hixson, TN (cash-pay accepted, in-person clinic visits only, 11-minute average reception wait).
NPI registry verification (#1164468674) confirms Dr. Todd Fowler's MD standing serving CBSA 37343 with a 4.52/5 patient scorecard.
Compared against Hixson, TN Otolaryngology peers
2,143 annual services across 613 beneficiaries
Standard deviations from TN Otolaryngology 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 Ear, Nose, Sinus & Throat Examination | 729 | 50th | $99 – $136 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 536 | 51th | $200 – $273 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 407 | 46th | $146 – $200 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 279 | 54th | $70 – $96 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 193 | 54th | $63 – $86 |
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Dr. Todd Fowler, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fowler National Provider Identifier | NPI #1164468674 (MD) | CMS NPPES Registry (37343) |
| Dr. Fowler Hixson CMS Volume Rank | 50.00th Pct (2,143 CMS svcs; Z -0.141σ) | CMS Medicare Part B (TN Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hixson, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 11 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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