NPIMap

Individual provider Active NPI

Benjamin James Fowler, MD, PHD

  • Ophthalmology Physician
  • Portland, ME
National Provider Identifier
1508397050
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD26618 Issued in MD
Practice address
15 Lowell St
Portland, ME 04102-2792
Phone
(207) 774-8277
Fax
(207) 871-1415
NPI assigned
Mar 27, 2017
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 75332-20 WI
Ophthalmology Physician 207W00000X MD26618 MD Primary

Addresses

Primary practice location

15 Lowell St
Portland, ME 04102-2792

Mailing address

1315 Eberhardt CT
Madison, WI 53715-1633

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bfowler1215896@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630000167 ME Practitioner - Ophthalmology 9234539750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kentucky College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Eye Center PAGroup PAC ID 0446240634, 19 clinicians

Practice addresses (Care Compare)

15 Lowell St
Portland, ME 04102-2726
Phone (207) 774-8277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD26618MDMDOphthalmology Physician
75332-20WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Eye Center, PA Current Accepting new patients
Maine Eye Center, PA CurrentSince Jul 1, 2023 Accepting new patients
Maine Eye Center, PA Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients

Locations

15 Lowell St
Portland, ME 04102
Phone (207) 774-8277

161 Marginal Way
Portland, ME 04101
Phone (207) 773-7964

Interoperability endpoints

  • Direct secure messaging: bfowler@maineeyecenter.intellechartdirect.net
  • Direct secure messaging: bfowler1215896@direct.uwhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1508397050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 EBERHARDT CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LOWELL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022792",
            "telephone_number": "207-774-8277",
            "fax_number": "207-871-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "75332-20",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "MD26618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bfowler1215896@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "2880 University Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537053644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.