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DR. THOMAS MICHAEL HOWARD MD
NPI 1437144714
Family Medicine - Sports Medicine in Cary, NC

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
400 ASHVILLE AVE, SUITE 330, CARY, NC 27518(919) 371-2371(919) 371-2375 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas Michael Howard Md NPPES

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

DR. THOMAS MICHAEL HOWARD MD (NPI 1437144714) is an individual sports medicine provider in Cary, North Carolina, licensed in North Carolina (32116) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1984).

NPPES Registry Identity

NPI1437144714
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. THOMAS MICHAEL HOWARDCredential: MD
Location Address400 ASHVILLE AVE, SUITE 330Cary, NC 27518-6134
Mailing Address1414 Yanceyville St, Suite 200Greensboro, NC 27405-6962 · (336) 895-1598 · Fax (336) 390-2170
Phone(919) 371-2371
Fax(919) 371-2375
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1984
Enumeration DateSeptember 13, 2005
Last NPPES UpdateNovember 30, 2016
✔ NPI 1437144714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in NC · 32116
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
400 ASHVILLE AVE, Cary, NC 27518
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Other Identifiers 4

Medicaid010101506VA
Medicare PIN016537F32VA
Medicare UPINI25910VA
Medicare UPINI25910

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 Michael 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 ID9931153103
PECOS Enrollment IDI20160712003019
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.

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml Q9965
Low osmolar contrast material with 100-199 mg/ml iodine concentration is a type of dye used in medical imaging tests. It helps to clearly highlight certain areas in the body, improving the quality of images and aiding in accurate diagnosis. It's generally safe and well-tolerated.
4,100 services24 patients
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg J7320
Genvisc 850 is an injection containing hyaluronan, a substance naturally found in your joints. It helps to lubricate and cushion your joints. This treatment is used to relieve knee pain due to osteoarthritis when other treatments have not worked.
2,100 services16 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
151 services45 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
84 services25 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
83 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
99%148 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
7%837 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
97%837 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
81%848 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
100%837 patients5/55-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 certified EHR technology to the patient (or the patient-authorized representative), or in…
98%837 patients5/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
0%837 patients
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 2

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

Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843
DME-Orthotic Devices · category DF011N
2 suppliers61 claims79 services$751.34 avg. paid by Medicare
Addition to lower extremity orthosis, suspension sleeve L2397
DME-Orthotic Devices · category DF000N
2 suppliers56 claims73 services$89.17 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 12

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

APEX PEDIATRIC AND ADOLESCENT CLINIC,P.A
Clinic/Center (Primary Care)
400 ASHVILLE AVE, SUITE 100
CARY, NC 27518
Wake County (919) 858-0600
FRIENDSHIP MEDICAL CENTER, PA
Internal Medicine
400 ASHVILLE AVE, SUITE 340
CARY, NC 27518
Wake County (919) 851-6260
FLEXOGENIX NORTH CAROLINA PC
Radiology (Diagnostic Radiology)
400 ASHVILLE AVE, SUITE 330
CARY, NC 27518
Wake County (919) 371-2371
CHRISTOPHER PAUL FLEMING M.D.
Ophthalmology
400 ASHVILLE AVE, STE 300
CARY, NC 27518
Wake County (919) 233-2020
MRS. MARY CHARLES SUTPHIN CNM
Advanced Practice Midwife
400 ASHVILLE AVE, SUITE 200
CARY, NC 27518
Wake County (919) 233-1311
MR. TYLER EVAN ANDERSON RPA, RT(R)
Radiology Practitioner Assistant
400 ASHVILLE AVE
CARY, NC 27518
Wake County (919) 371-2371
WAKE PRIMARY CARE, PLLC
Internal Medicine
400 ASHVILLE AVE, SUITE 315
CARY, NC 27518
Wake County (919) 803-3316
NC CENTER FOR REPRODUCTIVE MEDICINE
Obstetrics & Gynecology (Reproductive Endocrinology)
400 ASHVILLE AVE
CARY, NC 27518
Wake County (919) 233-1680

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 1437144714. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Thomas Howard located?

Thomas Howard practices at 400 Ashville Ave Suite 330, Cary, NC 27518. The listed phone number is (919) 371-2371.

What is Thomas Howard's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

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.

When was this NPI record last updated?

The NPPES record for Thomas Howard was last updated on November 30, 2016. 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.