GENE R HOWARD MD
NPI 1255343794
Ophthalmology in Mount Pleasant, SC

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
94.46/100
CMS Quality Rating
1101 CLARITY RD, SUITE 100, MOUNT PLEASANT, SC 29464(843) 793-5437(843) 375-1487 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2022, Feb 27, 2020, Jun 30, 2016 (3 updates tracked since 2016).

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

NPI1255343794
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGENE R HOWARDCredential: MD
Location Address1101 CLARITY RD, SUITE 100Mount Pleasant, SC 29464-3138
Mailing Address1101 Clarity Rd, Suite 100Mount Pleasant, SC 29464-3138 · (843) 793-5437 · Fax (843) 375-1487
Fax(843) 375-1487
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1984
Enumeration DateAugust 13, 2006
Last NPPES UpdateMarch 7, 20223 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
NPI 1255343794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in SC · 15356
Definition
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.
1101 CLARITY RD, Mount Pleasant, SC 29464

Other Identifiers 2

Medicaid153568SC
OtherE567494155Railroad Medicare

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.

PECOS PAC ID8426056177
PECOS Enrollment IDI20061114000085
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 17

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
11,905 services50 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
455 services448 patients
Injection of chemical for paralysis of nerve muscles on side of face 64612
This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
166 services50 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.
143 services143 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
142 services140 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.
133 services130 patients

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.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

94.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.57
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%42 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%29 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,959 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%1,168 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 957 patients
Patients screened: 100% · 957 patients
100%21 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
89%532 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,244 patients
Patients totalRate: 0% · 1,244 patients
0%1,244 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.

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.

Nurse Practitioner
1101 CLARITY RD
MOUNT PLEASANT, SC 29464
Ophthalmology
1101 CLARITY RD, SUITE 100
MOUNT PLEASANT, SC 29464
Physician Assistant
1101 CLARITY RD, SUITE 100
MT PLEASANT, SC 29464
Optometrist
1101 CLARITY RD
MT PLEASANT, SC 29464
Optometrist
1101 CLARITY RD, SUITE 100
MT PLEASANT, SC 29464

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 Gene Howard's NPI number?

The NPI number for Gene Howard is 1255343794. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Gene Howard located?

Gene Howard practices at 1101 Clarity Rd Suite 100, Mount Pleasant, SC 29464. The listed phone number is (843) 793-5437.

What is Gene Howard's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gene Howard enrolled in Medicare?

Yes. Gene 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 Gene Howard accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Gene 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.

When was this NPI record last updated?

The NPPES record for Gene Howard was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.