TROY BENJAMIN HOWARD
NPI 1164788667
Otolaryngology in Rapid City, SD

Q: What is Troy Howard's NPI number?

The NPI number for Troy Howard is 1164788667. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Q: What is Troy Howard's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Troy Howard was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2012PECOS Enrolled

76.56/100

CMS Quality Rating

101 E MINNESOTA ST, SUITE 210, RAPID CITY, SD 57701(605) 342-3280 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Troy Benjamin Howard NPPES

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

TROY BENJAMIN HOWARD (NPI 1164788667) is an individual otolaryngology provider in Rapid City, South Dakota, licensed in South Dakota (9503) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2010).

NPPES Registry Identity

NPI1164788667

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameTROY BENJAMIN HOWARD

Location Address101 E MINNESOTA ST, SUITE 210Rapid City, SD 57701-7756

Mailing AddressPo Box 6020Rapid City, SD 57709-6020

Phone(605) 342-3280

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2010

Enumeration DateApril 9, 2012

Last NPPES UpdateJune 22, 2016

✔ NPI 1164788667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in SD · 9503

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

101 E MINNESOTA ST, Rapid City, SD 57701

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Other Identifiers 1

Medicare PINS110727SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Insurance Company, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Troy Benjamin Howard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608003876

PECOS Enrollment IDI20150804004900

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.

Medicare Billing Reassignments

Medicare enrollment records show Troy Howard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monument Health Rapid City Hospital Inc

0.2 mi

Clinic/Center

4150 5TH ST
Rapid City, SD 57701

Reassigned Medicare billing, South Dakota enrollment
831 clinicians in this Medicare group

NPI 1437860954 (605) 755-4100

St Josephs Hospital And Health Center

197 mi

Orthopaedic Surgery

109 7TH ST W
Dickinson, ND 58601

Reassigned Medicare billing, North Dakota enrollment
Medicare enrollment name: St. Joseph's Hospital And Health Center
401 clinicians in this Medicare group

NPI 1225058217 (701) 483-2973

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

633 services14 patients

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.

140 services111 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

96 services15 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

91 services79 patients

Professional service for single injection of allergen 95115

A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.

86 services18 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.

86 services86 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.

83 services83 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.

82 services60 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

75 services67 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

26 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

21 services18 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

16 services15 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

14 services14 patients

Simple control of nose bleed 30901

Simple control of a nose bleed involves leaning forward slightly to prevent blood from flowing down the throat. Pinch your nostrils together and breathe through your mouth. This pressure can help the blood clot and stop the bleeding. Avoid lying down or blowing your nose.

13 services11 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430048

Location1440 N Main StSpearfish, SD 57783 · Lawrence County

Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Same Day Surgery Center LLC

Acute Care Hospitals · Rapid City, SD

OwnershipProprietary

CMS Certification Number430093

Location651 Cathedral DriveRapid City, SD 57701 · Pennington County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

Most-billed visit code 99213

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.

76.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.92

Promoting Interoperability

Improvement Activities

Cost

49.46

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.

KIMBERLY KENNEDY

Family Medicine

101 E MINNESOTA ST, SUITE 210
RAPID CITY, SD 57701

Meade County (605) 342-3280

ROBERT BURGESS

Otolaryngology

101 E MINNESOTA ST, SUITE 210
RAPID CITY, SD 57701

Meade County (605) 342-3280

JAY W. WHITE DO

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

101 E MINNESOTA ST, SUITE 210
RAPID CITY, SD 57701

Meade County (605) 342-3280

BLACK HILLS HOSPITALIST

Internal Medicine

101 E MINNESOTA ST, SUITE 261
RAPID CITY, SD 57701

Meade County (605) 718-7450

JACQUELINE VAN EGERAAT M.D.

Family Medicine

101 E MINNESOTA ST, SUITE 210
RAPID CITY, SD 57701

Meade County (605) 342-3280

RUSHMORE CLINIC, P.C.

Internal Medicine

101 E MINNESOTA ST, SUITE 260
RAPID CITY, SD 57701

Meade County (605) 718-7450

JENNIFER JOHNSON PA-C

Physician Assistant

101 E MINNESOTA ST
RAPID CITY, SD 57701

Meade County (605) 342-3280

MONUMENT HEALTH RAPID CITY HOSPITAL, INC.

General Acute Care Hospital

101 E MINNESOTA ST
RAPID CITY, SD 57701

Meade County (605) 342-3280

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 Troy Howard's NPI number?

The NPI number for Troy Howard is 1164788667. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Troy Howard located?

Troy Howard practices at 101 E Minnesota St Suite 210, Rapid City, SD 57701. The listed phone number is (605) 342-3280.

What is Troy Howard's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Troy Howard enrolled in Medicare?

Yes. Troy Howard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Troy Howard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troy Howard reassigns Medicare benefits to 2 organizations: Monument Health Rapid City Hospital Inc (Rapid City, SD) and St Josephs Hospital And Health Center (Dickinson, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Troy Howard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Troy Howard accept?

Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan and Wellmark of South Dakota, Inc. list Troy 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 Troy Howard affiliated with any hospitals?

According to CMS data, Troy Howard is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital and Same Day Surgery Center LLC.

When was this NPI record last updated?

The NPPES record for Troy Howard was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.