Medicare Enrolled
Dr. Fred Fowler, M.D.
Gastroenterology · Charlotte, NC
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. Fred Fowler is a gastroenterology specialist in Charlotte, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fowler performed 3,750 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 $818,362 from 58 pharmaceutical and/or device companies across 2405 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 9% volume in NC
$818,362 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,750
Medicare services
Top 9% in NC for gastroenterology
Not available
Unique patients (not deduplicated)
$54
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 |
|---|---|---|---|
| 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. |
1,600 | $36 | $100 |
| 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. |
917 | $47 | $120 |
| 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. |
212 | $87 | $190 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
190 | $37 | $150 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
161 | $37 | $200 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
133 | $60 | $456 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
115 | $200 | $815 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
101 | $111 | $290 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
87 | $115 | $810 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
83 | $39 | $102 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
38 | $99 | $292 |
| Balloon dilation of esophagus, stomach, or upper small bowel, less than 3.0 cm A procedure using a flexible endoscope to widen a narrowed section of the esophagus, stomach, or upper small bowel with a balloon that is less than 3.0 cm in length. |
28 | $97 | $460 |
| 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. |
28 | $64 | $125 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
17 | $81 | $185 |
| Esophageal dilation with guide wire and endoscope A flexible endoscope is used to insert a guide wire into the esophagus, followed by dilation to widen the esophageal passage. |
16 | $108 | $595 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
13 | $136 | $780 |
| Colonoscopy for colorectal cancer screening A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease. |
11 | $176 | $780 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$818,362
Total received (2018-2024)
Avg $116,909/year across 7 years
Top 0% in NC for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
58
Companies
2,405
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
$210,004
2023
$113,021
2022
$145,423
2021
$82,456
2020
$42,680
2019
$102,503
2018
$122,273
Payments by company (2024)
Phathom Pharmaceuticals, Inc.
$91,244
ABBVIE INC.
$24,954
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$22,663
EVOKE PHARMA, INC.
$16,840
Lilly USA, LLC
$10,715
Madrigal Pharmaceuticals
$9,771
Gilead Sciences, Inc.
$8,510
E.R. Squibb & Sons, L.L.C.
$6,742
QOL Medical, LLC
$6,730
Ipsen Biopharmaceuticals, Inc
$6,377
IRONWOOD PHARMACEUTICALS, INC
$2,362
Ardelyx, Inc.
$1,369
Celgene Corporation
$625
3-D Matrix, Inc.
$144
Regeneron Healthcare Solutions, Inc.
$139
Takeda Pharmaceuticals U.S.A., Inc.
$129
GENZYME CORPORATION
$123
Enterra Medical, Inc.
$72
Merck Sharp & Dohme LLC
$64
Celltrion USA Inc.
$53
Intercept Pharmaceuticals, Inc.
$51
Janssen Biotech, Inc.
$44
VIVUS LLC
$41
Novo Nordisk Inc
$40
PFIZER INC.
$40
Fresenius Kabi USA, LLC
$39
Ferring Pharmaceuticals Inc.
$33
Alcresta Therapeutics, Inc.
$32
Boehringer Ingelheim Pharmaceuticals, Inc.
$29
Braintree Laboratories, Inc.
$16
Exact Sciences Corporation
$13
Top 3 companies account for 66.1% of 2024 payments
All-time payments by company (2018-2024) ›
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$276,326
Phathom Pharmaceuticals, Inc.
$91,272
Evoke Pharma, Inc.
$85,629
ABBVIE INC.
$74,290
E.R. Squibb & Sons, L.L.C.
$50,503
Gilead Sciences, Inc.
$40,427
Allergan Inc.
$34,143
QOL Medical, LLC
$24,073
EVOKE PHARMA, INC.
$16,879
RedHill Biopharma Inc.
$16,511
Takeda Pharmaceuticals U.S.A., Inc.
$15,809
AbbVie Inc.
$15,550
Daiichi Sankyo Inc.
$12,637
Lilly USA, LLC
$10,732
Madrigal Pharmaceuticals
$9,771
Shionogi Inc
$8,196
Synergy Pharmaceuticals Inc
$7,991
Ipsen Biopharmaceuticals, Inc
$6,377
Celgene Corporation
$4,041
Ardelyx, Inc.
$3,096
Allergan, Inc.
$3,087
IRONWOOD PHARMACEUTICALS, INC
$2,416
Ironwood Pharmaceuticals, Inc
$1,100
Janssen Biotech, Inc.
$1,087
AbbVie, Inc.
$973
PFIZER INC.
$714
FUJIFILM Medical Systems USA, Inc.
$662
Intercept Pharmaceuticals, Inc.
$598
GENZYME CORPORATION
$348
VIVUS LLC
$296
Romark Laboratories, LC
$277
Nestle HealthCare Nutrition Inc.
$228
Ferring Pharmaceuticals Inc.
$226
Regeneron Healthcare Solutions, Inc.
$210
INTRA-SANA LABORATORIES
$187
Merck Sharp & Dohme LLC
$180
Amgen Inc.
$168
Alnylam Pharmaceuticals Inc.
$166
Shire North American Group Inc
$150
3-D Matrix, Inc.
$144
Enterra Medical, Inc.
$143
INTERCEPT PHARMACEUTICALS, INC.
$113
Merck Sharp & Dohme Corporation
$98
Braintree Laboratories, Inc.
$94
UCB, Inc.
$82
Celltrion USA Inc.
$53
Novo Nordisk Inc
$52
Boehringer Ingelheim Pharmaceuticals, Inc.
$43
Fresenius Kabi USA, LLC
$39
Alcresta Therapeutics, Inc.
$32
Concordia Pharmaceuticals Inc.
$27
Intra-Sana Laboratories
$23
Alfasigma USA, Inc.
$21
Olympus America Inc.
$18
Dova Pharmaceuticals
$15
Covidien LP
$15
Exact Sciences Corporation
$13
Ethicon US, LLC
$13
Top 3 companies account for 55.4% of all-time payments
Associated products mentioned in payments ›
ALINIA · APRISO · AVSOLA · Aemcolo · Alinia · Alinia Tablets 500mg 30 count bottle · Amitiza · CIMZIA · CLENPIQ · CREON · CYCLOSET · CYLTEZO · Cimzia · Cologuard Collection Kit · Creon · DIFICID · DONNATAL · DUPIXENT · Dexilant · Donnatal · Doptelet · ENTYVIO · EOHILIA · ESD - Core Endoscopy · Endocuff Vision · Entyvio · GATTEX · GIMOTI · GIVLAARI · HUMIRA · Humira · IBSRELA · IDACIO · INFLECTRA · INJECTAFER · IQIRVO · LINZESS · LUCEMYRA · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · MOVIPREP · Mavyret · Motegrity · Movantik · OCALIVA · OMVOH · PANCREAZE · PLENVU · PREPOPIK · QSYMIA · Qsymia · REBYOTA · RELISTOR · RELISTOR ORAL · RELIZORB · RELTONE 200 MG · RENFLEXIS · RESMETIROM · REZDIFFRA · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUPREP · SUTAB · Saxenda · Smart Pill · Sucraid · Symproic · TREMFYA · TRULANCE · Talicia · Trulance · UCERIS TABLETS · VEGZELMA · VIBERZI · VOQUEZNA · Vemlidy · Wegovy · XELJANZ · XIFAXAN · XIFIXAN · ZENPEP · ZEPOSIA · ZYMFENTRA
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
Gastroenterologists in nearby ZIP areas
79
County median income
$83,765
Nearest hospital to ZIP centroid (approximate)
ATRIUM HEALTH UNIVERSITY CITY
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 9% in NC), 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 chronic care management, additional 20 min/month?
Based on Medicare claims data, Dr. Fowler performed 1,600 chronic care management, additional 20 min/month 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 $818,362 from 58 companies across 2,405 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 gastroenterologists in Charlotte?
Dr. Fowler's average Medicare payment per service is $54. 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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