MATTHEW KEVIN HOWARD MD
NPI 1013046051
Internal Medicine in Augusta, GA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
24.41/100
CMS Quality Rating
818 SAINT SEBASTIAN WAY, SUITE 311, AUGUSTA, GA 30901(706) 724-3473 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Kevin Howard Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW KEVIN HOWARD MD (NPI 1013046051) is an individual internal medicine provider in Augusta, Georgia, licensed in Georgia (062892) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2005).

NPPES Registry Identity

NPI1013046051
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATTHEW KEVIN HOWARDCredential: MD
Location Address818 SAINT SEBASTIAN WAY, SUITE 311Augusta, GA 30901-2651
Mailing Address818 Saint Sebastian Way, Suite 311Augusta, GA 30901-2651 · (706) 724-3473
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2005
Enumeration DateMarch 5, 2007
Last NPPES UpdateApril 10, 2013
NPI 1013046051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in GA · 062892 Licensed in NC · 127158
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 62892 (GA)
818 SAINT SEBASTIAN WAY, Augusta, GA 30901

Other Identifiers 2

Medicare PIN202I113401GA
Medicaid356090934AGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Kevin Howard Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870648546
PECOS Enrollment IDI20090918000304
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
913 services736 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
325 services275 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
147 services140 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
104 services104 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
79 services79 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

24.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost81.39

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
68%600 patients3/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
7%3,353 patients1/55-star benchmark: 97%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,539 patients
0%1,539 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
31 suppliers1,301 claims1,301 services$32.11 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
25 suppliers890 claims890 services$74.16 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
25 suppliers1,029 claims2,436 services$27.61 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
19 suppliers581 claims2,927 services$15.01 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
14 suppliers458 claims2,262 services$12.44 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
24 suppliers991 claims991 services$44.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
818 SAINT SEBASTIAN WAY, SUITE 408
AUGUSTA, GA 30901
Internal Medicine (Nephrology)
818 SAINT SEBASTIAN WAY, STE 300
AUGUSTA, GA 30901
Internal Medicine (Nephrology)
818 SAINT SEBASTIAN WAY, STE 300
AUGUSTA, GA 30901
Internal Medicine (Nephrology)
818 SAINT SEBASTIAN WAY, STE 300
AUGUSTA, GA 30901
Durable Medical Equipment & Medical Supplies
818 SAINT SEBASTIAN WAY, SUITE 205
AUGUSTA, GA 30901
Otolaryngology (Otology & Neurotology)
818 SAINT SEBASTIAN WAY, SUITE 204
AUGUSTA, GA 30901
Otolaryngology (Otology & Neurotology)
818 SAINT SEBASTIAN WAY, SUITE 204
AUGUSTA, GA 30901
Radiology (Diagnostic Radiology)
818 SAINT SEBASTIAN WAY, SUITE 100
AUGUSTA, GA 30901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Howard's NPI number?

The NPI number for Matthew Howard is 1013046051. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Matthew Howard located?

Matthew Howard practices at 818 Saint Sebastian Way Suite 311, Augusta, GA 30901. The listed phone number is (706) 724-3473.

What is Matthew Howard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Matthew Howard enrolled in Medicare?

Yes. Matthew Howard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Howard accept?

Health plans from Alliant Health Plans, Inc. and BlueCross BlueShield of South Carolina list Matthew Howard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Howard affiliated with any hospitals?

According to CMS data, Matthew Howard is affiliated with Piedmont Augusta Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Howard was last updated on April 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.