1. Home
  2. Directory
  3. West Virginia
  4. South Charleston
  5. Internal Medicine
  6. NPI Profile

DR. THOMAS WILLIAM HOWARD II MD
NPI 1396713137
Internal Medicine - Rheumatology in South Charleston, WV

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
4610 KANAWHA AVE SW, SUITE 301, SOUTH CHARLESTON, WV 25309(304) 720-8701(304) 720-8702 Get Directions Write a Review

NPPES record last updated: March 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas William Howard Ii Md NPPES

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

DR. THOMAS WILLIAM HOWARD II MD (NPI 1396713137) is an individual rheumatology provider in South Charleston, West Virginia, licensed in West Virginia (11927) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia University School Of Medicine (1978).

NPPES Registry Identity

NPI1396713137
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. THOMAS WILLIAM HOWARD IICredential: MD
Location Address4610 KANAWHA AVE SW, SUITE 301South Charleston, WV 25309-1367
Mailing Address4610 Kanawha Ave Sw, Suite 301South Charleston, WV 25309-1367 · (304) 720-8701 · Fax (304) 720-8702
Phone(304) 720-8701
Fax(304) 720-8702
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1978
Enumeration DateMarch 9, 2006
Last NPPES UpdateMarch 7, 2017
✔ NPI 1396713137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in WV · 11927
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4610 KANAWHA AVE SW, South Charleston, WV 25309
Open in Google Maps ↗

Other Identifiers 2

Medicaid3910000444WV
Medicare UPINWV3108C668WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Dr. Thomas William Howard Ii 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 ID4284724402
PECOS Enrollment IDI20071212000127
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 5

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, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
3,150 services17 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.
281 services165 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.
62 services51 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
22 services20 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,397 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%7,770 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%3,358 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%1,477 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
11%122 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
98%1,114 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%1,477 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
38%1,477 patients2/55-star benchmark: 79%
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 10

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

JOHNNA MCKENZIE BALL PHARMD
Pharmacist
4610 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 741-8638
DR. MICHAEL A ISTFAN MD
Internal Medicine (Rheumatology)
4610 KANAWHA AVE SW, SUITE 301
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 720-8701
DR. SUZANNE LEE GHARIB MD
Internal Medicine (Rheumatology)
4610 KANAWHA AVE SW, SUITE 301
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 720-8701
LESA ADKINS FNP-BC
Nurse Practitioner (Family)
4610 KANAWHA AVE SW, SUITE 200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 205-7992
DR. DAVID JUDY D.O.
Dermatology (MOHS-Micrographic Surgery)
4610 KANAWHA AVE SW, SUITE 302
CHARLESTON, WV 25309
Kanawha County (304) 925-7546
BECKLEY CARDIOVASCULAR SPECIALISTS INC
Internal Medicine (Interventional Cardiology)
4610 KANAWHA AVE SW, SUITE 200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 205-7992
ELIE G GHARIB MD
Internal Medicine (Interventional Cardiology)
4610 KANAWHA AVE SW, SUITE 200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 205-7992
MRS. MALEA JOY SMITH FNP-BC
Nurse Practitioner (Family)
4610 KANAWHA AVE SW, SW # 301
CHARLESTON, WV 25309
Kanawha County (304) 720-8701

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 Thomas Howard's NPI number?

The NPI number for Thomas Howard is 1396713137. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Thomas Howard located?

Thomas Howard practices at 4610 Kanawha Ave SW Suite 301, South Charleston, WV 25309. The listed phone number is (304) 720-8701.

What is Thomas Howard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Thomas Howard enrolled in Medicare?

Yes. Thomas 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 Thomas Howard accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Thomas 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 Thomas Howard affiliated with any hospitals?

According to CMS data, Thomas Howard is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Howard was last updated on March 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.