DR. JERRY LANE LOWDER MD NPI 1619941879

NPI Information

  • NPI: 1619941879
  • Provider Name: DR. JERRY LANE LOWDER, MD
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4901 FOREST PARK AVE
    DIV OBGYN PELVIC MED/RECONSTRUCT SURG, STE 710
    SAINT LOUIS, MO
    ZIP 63108
  • Phone: (314) 747-1402

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NPI Details

DR. Jerry Lane Lowder, MD is an urogynecology and reconstructive pelvic surgery in Saint Louis, MO with 27 years of experience. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. DR. Jerry Lane Lowder, MD NPI is 1619941879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduation Year:1999

The provider's business location address is:

4901 FOREST PARK AVE
DIV OBGYN PELVIC MED/RECONSTRUCT SURG, STE 710
SAINT LOUIS, MO
ZIP 63108-495
Phone: (314) 747-1402
Fax: (314) 362-3328

The NPI 1619941879 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Urinalysis, manual test (HCPCS:81002)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of temporary bladder tube (HCPCS:51701)
  • Complex measurement of pressure of urine flow in bladder with voiding pressure studies (HCPCS:51728)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Surgical repair of vaginal defect using an endoscope (HCPCS:57425)
  • Pessary, non rubber, any type (HCPCS:A4562)

The enumeration date for this NPI number is 2/15/2006 and was last updated on 4/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology2013044288MISSOURINo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery2013044288MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200011086MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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