NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1134398746 MD
Verify on CMS → Nicole Fowler, MD
Otolaryngology Physician in Charlottesville, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,060 in Otolaryngology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
421
Medicare Part D claims · 139 beneficiaries · Otolaryngology Physician avg: 536
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.5/100
▼ 4 pts below national avg 83.5 · Above neutral
Industry payments
$4.1K
10 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Nicole Fowler, MD reported a CMS MIPS final score of 79.5/100 - below the 83.5 national average - and filed 421 Medicare Part D claims in 2024.
- 79.5/100
- MIPS score · -4 vs avg
- 421
- Part D claims, 2024
- 93%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Nicole Fowler, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1134398746), first enumerated 02/27/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 421 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 79.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$4.1K in reported industry payments (10 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1134398746 · Otolaryngology Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1134398746
- ENUM-MID 2008
- TAX-MID 11K Otolaryngology Physician
- MIPS-BELOW 79.5/100
- RX-LIGHT 421
- BOOK-THIN 257 in Virginia
- PHOTO-FINISH William Brown, MD · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Fowler · this pr…
Fowler · this provider
79.5 MIPS pts
- Thomaz Antonio F…
Thomaz Antonio Fleury Curado, MD
79.5 MIPS pts
- William Brown, M…
William Brown, MD
79.5 MIPS pts
- Brian D'Anza, M.…
Brian D'Anza, M.D.
79.5 MIPS pts
- Katherine Ferran…
Katherine Ferrante, NP
79.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Nicole Fowler, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
80 ≥ 26th percentile 26% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Nicole Fowler, MD sits
This provider among otolaryngology physician peers
Across the 3,290 otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nicole Fowler, MD writes more Part D claims than 50% of them and scores higher on MIPS quality than 35% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one otolaryngology physician peer from a representative sample of 60; the gold marker is Nicole Fowler, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nicole Fowler, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Nicole Fowler, MD?
Near national averagePrimary specialty
Otolaryngology Physician
Medicare Part D claims
421 21% vs specialty avg
MIPS final score
79.5/100 4 pts vs avg
Specialty distribution in Virginia
How Otolaryngology Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Nicole Fowler, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average
- MIPS Final Score
- 79.5/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1134398746 |
|---|---|
| Specialty | Otolaryngology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 02/27/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.4829
Final Score
Measured-score avg: 83.5
68.5144
Quality
63.0952
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nicole Fowler, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
University Hospitals Medical Group Inc
Cleveland, OH
University OF Virginia Physicians Group
Charlottesville, VA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Nicole Fowler, MD. Source: openpaymentsdata.cms.gov.
Total received
$4.1K
Largest payer
INTUITIVE SURGICAL, INC.
Most common payment type
Travel and Lodging
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Generic-heavy
Nicole Fowler, MD - brand share 7.0%
Otolaryngology Physician average
7% brand-name claims vs 93% generic, on 421 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
421
Total Claims
$7K
Total Drug Cost
139
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 694.733
- Total Day Supply
- 18,232
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $219
- Generic Drug Cost
- $7K
- Opioid Claims
- 24 (5.7% rate)
- Antibiotic Claims
- 35
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 2.12
- Gender Split
- 39% female / 61% male
- Age Distribution
- <65: 26, 65-74: 75, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Nicole Fowler, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Levothyroxine Sodium
Levothyroxine Sodium
143 claims
- Pentoxifylline 30
Pentoxifylline
30 claims
- Azelastine Hcl 24
Azelastine Hcl
24 claims
- Amoxicillin-Clavul… 21
Amoxicillin-Clavulanate Potass
21 claims
- Chlorhexidine Gluc… 17
Chlorhexidine Gluconate
17 claims
- Fluticasone Propio… 16
Fluticasone Propionate
16 claims
- Gabapentin 16
Gabapentin
16 claims
- Oxycodone Hcl 15
Oxycodone Hcl
15 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 143 |
| Pentoxifylline | 30 |
| Azelastine Hcl | 24 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 21 |
| Chlorhexidine Gluconate | 17 |
| Fluticasone Propionate | 16 |
| Gabapentin | 16 |
| Oxycodone Hcl | 15 |
| Scopolamine | 13 |
| Lidocaine Hcl Viscous Lidocaine Hcl | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otolaryngology Physician Overview
How Nicole Fowler, MD fits within the Otolaryngology Physician landscape nationally.
11,060
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
536
Avg Claims per Provider
Nicole Fowler, MD's 421 claims are below the specialty average of 536.
Nationwide Otolaryngology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Fowler, both outside Virginia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (79.5 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Otolaryngology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Fowler.
One of 257 Otolaryngology Physician providers enrolled in Virginia, 5 are shown here.
Dr. Jeffrey Aldinger
MD
Hampton, VA
Dr. Alidad Arabshahi
MD
Mc Lean, VA
Dr. Michael Armstrong
MD
Richmond, VA
Dr. Tokunbo Ayeni
MD
Hampton, VA
Dr. Roya Azadarmaki
M.D.
Leesburg, VA
Compare Otolaryngology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Nicole Fowler, MD's specialty? ▼
Nicole Fowler, MD specializes in Otolaryngology Physician and practices in Charlottesville, Virginia. Credentials: MD.
How much does Nicole Fowler, MD prescribe under Medicare Part D? ▼
In 2024, Nicole Fowler, MD wrote 421 Medicare Part D claims totaling $7K in drug costs for 139 beneficiaries.
What is Nicole Fowler, MD's Medicare quality score? ▼
Nicole Fowler, MD has a CMS MIPS Final Score of 79.5/100 (Quality: 68.5, Cost: 63.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nicole Fowler, MD located? ▼
Nicole Fowler, MD is located at 1240 LEE ST, Charlottesville, VA, 22908. Phone: (434) 924-9333.
What is Nicole Fowler, MD's NPI number? ▼
Nicole Fowler, MD's National Provider Identifier (NPI) is 1134398746, issued on 02/27/2008.
Does Nicole Fowler, MD prescribe more brand-name or generic drugs? ▼
Nicole Fowler, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $219 in brand drug costs.
Does Nicole Fowler, MD prescribe opioids? ▼
Yes, Nicole Fowler, MD had 24 opioid claims in 2024 with an opioid prescribing rate of 5.7%.
How many Otolaryngology Physician providers are there in the US? ▼
There are 11,060 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 536 Medicare Part D claims per year.
What drugs does Nicole Fowler, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Nicole Fowler, MD's most frequently prescribed drugs include Levothyroxine Sodium, Pentoxifylline, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicole Fowler, MD accept Medicare? ▼
Nicole Fowler, MD appears in CMS Medicare data with 421 Part D claims and 139 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Fowler, MD's credentials? ▼
Nicole Fowler, MD's NPI is 1134398746 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.