Vance Fowler, M.D.
NPI 1831252600ActiveIndividual· Internal Medicine, Infectious Disease· Durham, NC
Internal Medicine, Infectious Disease (M.D.) with Duke Health Integrated Practice, Inc, practicing in Durham, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $728,906 for 350 claims, against $11,449 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 3 companies reporting payments in 2025, $9,058 in all, mostly consulting fees. Lists Duke University Hospital as a hospital affiliation.
Overview
| NPI | 1831252600 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 19, 2006 |
| Last updated in NPPES | Apr 4, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | 95-01534 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Infectious Disease (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 136 across 8 procedure codes |
| Paid by Medicare | $11,449 |
Part D prescriptions in 2024
| Prescriptions (claims) | 350 · 532 30-day fills |
|---|---|
| Patients | 40 |
| Total drug cost | $728,906 |
| Generic share | 50% of claims |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Infectious Disease |
| Telehealth | Offers telehealth |
Medical group
- Duke Health Integrated Practice, IncDurham, NC · 3,185 clinicians
Hospital affiliation
- Duke University HospitalDurham, NC
Industry payments (Open Payments)
- 2025$9,058 · 3 payments from 3 companies
- 2024$7,115 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $8,215 | 1 |
| Intervascular | $715.00 | 1 |
| La Jolla Pharmaceutical Company | $128.15 | 1 |
What the 2025 payments were for
- Consulting Fee$8,930 · 2 payments
- Food and Beverage$128.15 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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