DR. JEFFREY CARLTON HOWARD M.D.
NPI 1821037177
Radiology - Diagnostic Radiology in Tupelo, MS


Quality Rating: 60 out of 100 score

NPI Status: Active since June 05, 2006

Contact Information

620 CROSSOVER ROAD
TUPELO, MS
ZIP 38801
Phone: (662) 620-7102
Fax: (662) 620-7106

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  • Individual
  • Male
  • Years of Experience 31
  • Radiology
  • Diagnostic Radiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About JEFFREY HOWARD

Jeffrey Howard is a provider established in Tupelo, Mississippi and his medical specialization is Radiology with a focus in diagnostic radiology with more than 31 years of experience. He graduated from University Of Texas Medical Branch At Galveston in 1994. The healthcare provider is registered in the NPI registry with number 1821037177 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 16962 (MS). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1821037177
Provider Name
DR. JEFFREY CARLTON HOWARD M.D.
Gender
Male
Entity Type
Individual
Location Address
620 CROSSOVER ROAD TUPELO, MS 38801
Location Phone
(662) 620-7102
Location Fax
(662) 620-7106
Mailing Address
POST OFFICE BOX 980 TUPELO, MS 38802
Mailing Phone
(662) 620-7102
Mailing Fax
(662) 620-7106
Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year
1994
Is Sole Proprietor?
No
Enumeration Date
06-05-2006
Last Update Date
11-30-2023
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Jeffrey Howard is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: engagement of new medicaid patients and follow-up.

The typical physician office visit costs for Medicare beneficiaries in this area are: $20.74 for a new patient copayment and $16.88 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
16962
License State
MS
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

16962 (MS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross and Blue Shield of Alabama

    • Blue HSA Bronze - PPO
    • Blue Protect - PPO
    • Blue Saver Bronze - PPO
    • Blue Value Gold - PPO
    • Blue Value Silver - PPO
    • Blue Access Gold for Business - PPO
    • Blue Choice Platinum for Business - PPO
    • Blue HSA Silver for Business - PPO
    • Blue Saver Bronze for Business - PPO
    • Blue Saver Gold for Business - PPO
  • Cigna Healthcare

    • Connect Bronze 5500 Enhanced Diabetes Care - EPO
    • Connect Bronze 6500 Indiv Med Deductible - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze 9450 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
    • Connect Gold 2500 Indiv Med Deductible - EPO
    • Connect Gold CMS Standard - EPO
    • Connect Silver 0 Indiv Med Deductible - EPO
    • Connect Silver 4000 Enhanced Diabetes Care - EPO
    • Connect Silver 5000 Indiv Med Deductible - EPO
  • Molina Healthcare

    • Bronze 4 - HMO
    • Bronze 8 - HMO
    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with First 4 Primary Care Visits Free - HMO
    • Silver 8 - HMO
  • Medicare

  • Medicaid

  • Railroad Medicare


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9934671MEDICAID (05)AL 
P00331260OTHER (01)MSRAILROAD MEDICARE
00123324MEDICAID (05)MS 

PECOS Enrollment and Medicare Participation Status

Jeffrey Howard is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6901871151

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040831000798, I20060921000182

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 38801 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.96
  • Minimum New Patient Price $53.5
  • Maximum New Patient Price $165.08
  • Average New Patient Copayment $20.74
  • Minimum New Patient Copayment $13.37
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.54
  • Minimum Established Patient Price $16.25
  • Maximum Established Patient Price $134.74
  • Average Established Patient Copayment $16.88
  • Minimum Established Patient Copayment $4.06
  • Maximum Established Patient Copayment $33.68

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 60 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: N/A

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Engagement of New Medicaid Patients and Follow-upYesN/A
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 978

    X-ray of chest, 1 view (HCPCS:71045)

  • 603

    Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

  • 294

    Ct scan head or brain (HCPCS:70450)

  • 259

    X-ray of chest, 2 views (HCPCS:71046)

  • 166

    Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)

  • 136

    Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)

  • 130

    Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)

  • 114

    Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

  • 96

    Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

  • 81

    Ct scan of abdomen and pelvis (HCPCS:74176)

  • 75

    Ultrasound study of arteries of both arms and legs (HCPCS:93922)

  • 54

    Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

  • 43

    Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

  • 42

    Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)

  • 41

    Bone density measurement using dedicated x-ray machine (HCPCS:77080)

  • 37

    Ct scan chest (HCPCS:71250)

  • 36

    Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)

  • 32

    Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)

  • 29

    Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

  • 26

    Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

  • 25

    Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

  • 25

    Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)

  • 22

    Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

  • 22

    Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)

  • 21

    Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)

  • 21

    X-ray of knee, 3 views (HCPCS:73562)

  • 17

    X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

  • 13

    X-ray of foot, minimum of 3 views (HCPCS:73630)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffrey Howard is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TISHOMINGO HEALTH SERVICES INC1777 CURTIS DRIVE
IUKA, MS 38852
(662) 423-6051Acute Care Hospitals
NORTH MISSISSIPPI MEDICAL CENTER830 S GLOSTER STREET
TUPELO, MS 38801
(662) 377-6608Acute Care Hospitals
WEBSTER GENERAL HOSPITAL/ SWING BED70 MEDICAL PLAZA
EUPORA, MS 39744
(662) 258-6221Acute Care Hospitals
NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY1105 EARL FRYE BLVD
AMORY, MS 38821
(662) 256-7111Acute Care Hospitals
CLAY COUNTY MEDICAL CORPORATION150 MEDICAL CENTER DRIVE
WEST POINT, MS 39773
(662) 495-2300Acute Care Hospitals

Reviews for DR. JEFFREY CARLTON HOWARD M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821037177
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28410314114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 0 + 3 + 1 + 4 + 1 + 1 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1821037177 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316985849DR. ERIC WARD EMIG M.D.
Individual
Radiology (Diagnostic Radiology)620 CROSSOVER ROAD
TUPELO, MS 38801
(662) 620-7101
1609818442DR. WILLIAM KIRK HANEY M.D.
Individual
Radiology (Diagnostic Radiology)620 CROSSOVER ROAD
TUPELO, MS 38801
(662) 620-7102
1083669121PREMIER RADIOLOGY, INC
Organization
Radiology (Diagnostic Radiology)620 CROSSOVER ROAD
TUPELO, MS 38801
(662) 620-7101
1033157672DR. ROBERT CONRAD BECKER M.D.
Individual
Radiology (Diagnostic Radiology)620 CROSSOVER ROAD
TUPELO, MS 38801
(662) 620-7101
1437198454DR. WILLIAM CHASE HENSON M.D.
Individual
Radiology (Diagnostic Radiology)620 CROSSOVER ROAD
TUPELO, MS 38801
(662) 620-7102
1720026255DR. MARSHALL GRAY EDMONDSON M.D.
Individual
Radiology (Diagnostic Radiology)620 CROSSOVER ROAD
TUPELO, MS 38801
(662) 620-7102
1831131671DR. EDWARD LEE GIAROLI M.D.
Individual
Radiology (Diagnostic Radiology)620 CROSSOVER ROAD
TUPELO, MS 38801
(662) 620-7102
1548202385DR. VERNON W. BARROW III M.D.
Individual
Radiology (Diagnostic Radiology)620 CROSSOVER ROAD
TUPELO, MS 38801
(662) 620-7102
1881636645DR. PHYLLIS ELAINE MASON M.D.
Individual
Radiology (Diagnostic Radiology)620 CROSSOVER ROAD
TUPELO, MS 38801
(662) 620-7101
1639111479DR. RICHARD MICHAEL ARRIOLA M.D.
Individual
Radiology (Diagnostic Radiology)620 CROSSOVER ROAD
TUPELO, MS 38801
(662) 620-7101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821037177, enumerated in the NPI registry as an "individual" on June 05, 2006

The provider is located at 620 Crossover Road Tupelo, Ms 38801 and the phone number is (662) 620-7102

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider has more than 31 years of experience. He graduated from University Of Texas Medical Branch At Galveston in 1994.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $82.96 with an average copayment of $20.74 for new patient appointments. Established patients should expect a typical charge of $67.54 and an average copayment of 16.88. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: X-ray of chest, 1 view, Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes, Ct scan head or brain, X-ray of chest, 2 views, Radiological supervision and interpretation of ct guidance for needle insertion, Fluoroscopic guidance for insertion, replacement or removal of central venous access device, Injection of substance into spinal canal of lower back or sacrum using imaging guidance, Ultrasound guidance for accessing into blood vessel, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis, Ultrasound study of arteries of both arms and legs, Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, Insertion of central venous catheter for infusion, patient 5 years or older, Injections of lower or sacral spine facet joint using imaging guidance, Bone density measurement using dedicated x-ray machine, Ct scan chest, Ultrasound study of arteries and arterial grafts of both legs, Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance, Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck, Ultrasonic guidance imaging supervision and interpretation for insertion of needle, Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers, Injection procedure into sacroiliac joint for anesthetic or steroid, Aspiration and/or injection of large joint or joint capsule, Ultrasound study of arteries and arterial grafts of one leg or limited, Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older, X-ray of knee, 3 views, X-ray of hip with pelvis, 2-3 views and X-ray of foot, minimum of 3 views.

The practitioner is affiliated to the following hospital(s): TISHOMINGO HEALTH SERVICES INC, NORTH MISSISSIPPI MEDICAL CENTER, WEBSTER GENERAL HOSPITAL/ SWING BED, NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY and CLAY COUNTY MEDICAL CORPORATION. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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