Lori Faye Mcdowell , BSN, RN, MSN-FNP-C
Nurse Practitioner β’ Coldspring, TX
21 Alpine Street
Coldspring, TX 77331
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on July 19, 2022; this date does not establish years in practice.
-
Published CMS data list 1,365 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Methylprednisolone β 104 prescription fills, including refills.
- Amlodipine Besylate β 76 prescription fills, including refills.
- Gabapentin β 50 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 55 records in the table Β· Guide: How to read Medicare Part D prescriber data
-
More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
Practice Location & Contact Primary Location
21 Alpine Street
Coldspring, TX 77331
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
2,609 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$124,494 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $323.03 across 13 records.
By nature of payment
- Food and Beverage: $323.03 across 13 records.
Reporting-company totals (3 largest of 5)
- AstraZeneca Pharmaceuticals LP: $154.44 across 4 records.
- Salix Pharmaceuticals, a division of Bausch Health US, LLC: $48.87 across 3 records.
- GlaxoSmithKline, LLC.: $46.75 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Coldspring and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.
Too few clinicians listed under Nurse Practitioner in Coldspring have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: $12,936. Middle half: $998 to $118,416.
Too few clinicians listed under Nurse Practitioner in Coldspring have Medicare Part D data for 2024 to compare.
1 active clinicians are listed under Nurse Practitioner with a practice address in Coldspring, TX (4,835 in Texas).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2024 only.
-
30-day fills
CMS data for 30-day fills are available for 2024 only.
-
Part D drug cost
CMS data for Part D drug cost are available for 2024 only.
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $111.53 in 2023 to $323.03 in 2025.
- 2023: $111.53
- 2024: $495.60
- 2025: $323.03
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 β December 31, 2025): 13 records totaling $323.03.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $100.95 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
TRELEGY ELLIPTA | General | $25.69 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
|
Dexcom G6 Transmitter | General | $22.91 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
FARXIGA | General | $22.25 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
TRELEGY ELLIPTA | General | $21.06 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $18.81 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
|
Dexcom G6 Transmitter | General | $17.17 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
XIFAXAN | General | $16.88 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
XIFAXAN | General | $16.85 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $15.78 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $15.46 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
XIFAXAN | General | $15.14 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $14.08 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Methylprednisolone | Methylprednisolone | 104 | 764 | $743.16 | 86 |
| Amlodipine Besylate | Amlodipine Besylate | 76 | 5,140 | $339.82 | 47 |
| Gabapentin | Gabapentin | 50 | 3,481 | $1,018.82 | 36 |
| Losartan Potassium | Losartan Potassium | 48 | 3,720 | $501.58 | 39 |
| Diclofenac Sodium | Diclofenac Sodium | 45 | 1,719 | $1,017.85 | 40 |
| Levothyroxine Sodium | Levothyroxine Sodium | 45 | 3,630 | $350.18 | 36 |
| Azithromycin | Azithromycin | 42 | 204 | $129.17 | 40 |
| Hydrochlorothiazide | Hydrochlorothiazide | 42 | 2,340 | $139.27 | 25 |
| Atorvastatin Calcium | Atorvastatin Calcium | 39 | 3,290 | $281.55 | 31 |
| Metformin Hcl | Metformin Hcl | 39 | 2,715 | $164.17 | 26 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 37 | 1,065 | $382.63 | 32 |
| Pantoprazole Sodium | Pantoprazole Sodium | 34 | 2,270 | $251.20 | 23 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 32 | 2,700 | $354.06 | 27 |
| Furosemide | Furosemide | 31 | 1,691 | $97.76 | 23 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 30 | 1,235 | $908.28 | 22 |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 29 | 870 | $5,334.80 | 12 |
| Omeprazole | Omeprazole | 28 | 2,160 | $337.13 | 21 |
| Mounjaro | Tirzepatide | 28 | 990 | $35,771.73 | 13 |
| Lisinopril | Lisinopril | 25 | 1,890 | $157.37 | 22 |
| Metoprolol Succinate | Metoprolol Succinate | 25 | 1,830 | $321.01 | 15 |
| Sertraline Hcl | Sertraline Hcl | 24 | 1,664 | $161.21 | 18 |
| Ondansetron Hcl | Ondansetron Hcl | 24 | 497 | $210.06 | 22 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 23 | 740 | $235.81 | 17 |
| Trazodone Hcl | Trazodone Hcl | 23 | 1,754 | $160.66 | 18 |
| Escitalopram Oxalate | Escitalopram Oxalate | 22 | 1,390 | $109.71 | 14 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-07-18NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 163W00000X
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
NUCC Taxonomy Code: 163WE0003X
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 21 ALPINE STREET, COLDSPRING, TX 77331 (Tel: 9366472227)
Registered at 141 BAYBERRY DRIVE, LIVINGSTON, TX 77351 (Tel: 9364393802)
Recorded as LORI MCDOWELL, BSN, RN, MSN-FNP-C
Registered Nurse (license number reported to NPPES: TX 877710)
NPI status registered as active in NPPES database
Registered at 16750 RED OAK DR, HOUSTON, TX 770902543 (Tel: 9364393802)
Registered at 141 BAYBERRY DR, LIVINGSTON, TX 773512091 (Tel: 9364393802)
Recorded as LORI MCDOWELL, BSN, RN, MSN-FNP
Registered Nurse (license number reported to NPPES: TX 877710)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
141 Bayberry Drive
Livingston, TX 77351
Phone: 9364393802