Dr. Donald Fowler, MD
490 Us Highway 80 E Ste 200, Sunnyvale, TX 75182 • +1-908-555-9315
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Sunnyvale Percentiles
NPI #1316977143 • CBSA Regional • Family Practice
Within the Sunnyvale, TX (CBSA local) Family Practice cohort, Dr. Donald Fowler, MD with sub-specialty concentration in 29 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 2.8th TX percentile (-0.38σ Z-score) based on 657 billed procedures for 129 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Fowler (averaging 5.1 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 31% of tracked volume (202 encounters), paired with 99213 (149x).
Uninsured and high-deductible cash patients visiting Dr. Donald Fowler in Sunnyvale (75182) face an estimated $209.00 initial evaluation fee at 490 Us Highway 80 E Ste 200 (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.66/5 from 25 verified reports).
NPI registry verification (#1316977143) confirms Dr. Donald Fowler's MD standing serving CBSA 75182 with a 4.78/5 patient scorecard.
Top 10% Family Practice volume leader in Sunnyvale, TX
657 annual services across 129 beneficiaries
Standard deviations from TX Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 202 | 99th | $104 – $142 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 149 | 99.5th | $80 – $109 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 58 | 99th | $119 – $163 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 43 | 98th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 29 | 98th | $143 – $196 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (29 HCPCS billing breadth) | 175 | 99th | $94 – $136 |
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Dr. Donald Fowler, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fowler National Provider Identifier | NPI #1316977143 (MD) | CMS NPPES Registry (75182) |
| Dr. Fowler Sunnyvale CMS Volume Rank | 99.00th Pct (657 CMS svcs; Z -0.384σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sunnyvale, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.72/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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