GENE R HOWARD MD
NPI 1255343794
Ophthalmology in Mount Pleasant, SC
About Gene R Howard Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENE R HOWARD MD (NPI 1255343794) is an individual ophthalmology provider in Mount Pleasant, South Carolina, licensed in South Carolina (15356) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Other Identifiers 2
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
Gene R 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.
Areas of Expertise CMS Part B claims 17
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes: Eye Exam | 100% | 42 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 28% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 29 |
| Documentation of Current Medications in the Medical Record | 100% | 1959 |
| Falls: Screening for Future Fall Risk | 100% | 1168 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | 957 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | 21 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | 957 |
| Provide Patients Electronic Access to Their Health Information | 89% | 532 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 1244 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 1244 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 1244 |
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255343794, enumerated as an "individual" on August 13, 2006.
The provider is located at 1101 CLARITY RD SUITE 100 MOUNT PLEASANT, SC 29464 and the phone number is (843) 793-5437.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina,. Please consult your insurance carrier or call the provider to verify.