THOMAS C HOWARD M.D.
NPI 1932369584
Plastic Surgery in Wausau, WI

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
84.55/100
CMS Quality Rating
227500 RIB MOUNTAIN DR STE 200, WAUSAU, WI 54401(715) 870-2162 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas C Howard M.d. NPPES

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

THOMAS C HOWARD M.D. (NPI 1932369584) is an individual plastic surgery provider in Wausau, Wisconsin, licensed in Wisconsin (73216-20) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1932369584
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameTHOMAS C HOWARDCredential: M.D.
Location Address227500 RIB MOUNTAIN DR STE 200Wausau, WI 54401-5052
Mailing Address227500 Rib Mountain Dr Ste 200Wausau, WI 54401-5052 · (715) 870-2162 · Fax (715) 870-2123
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 16, 2008
Last NPPES UpdateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1932369584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WI · 73216-20
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
227500 RIB MOUNTAIN DR STE 200, Wausau, WI 54401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas C Howard M.d. 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 ID749583706
PECOS Enrollment IDI20200610001054
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Thomas Howard reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
2720 PLAZA DR, SUITE 2100
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • 415 clinicians in this Medicare group
Clinic/Center
215 N 28TH AVE
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
  • 321 clinicians in this Medicare group
Critical Access
601 S CENTER AVE
Merrill, WI 54452
  • Reassigned Medicare billing, Wisconsin enrollment
  • 351 clinicians in this Medicare group
Rural Health
729 PINE ST
Athens, WI 54411
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
Clinic/Center
1660 SUE ALAN DR
Wittenberg, WI 54499
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
Clinic/Center
209 PRENTICE STREET NORTH
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
Clinic/Center
6301 S MINNESOTA AVE STE 300
Sioux Falls, SD 57108
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Richard J Howard M D P C

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Merrill Hospital

Critical Access Hospitals · Merrill, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521339
Location601 S Center AveMerrill, WI 54452 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

84.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.81
Promoting Interoperability100
Improvement Activities40
Cost53.8

Other Providers at the Same Location NPPES

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

Physician Assistant
227500 RIB MOUNTAIN DR STE 200
WAUSAU, WI 54401

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 1932369584. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Thomas Howard located?

Thomas Howard practices at 227500 Rib Mountain Dr Ste 200, Wausau, WI 54401. The listed phone number is (715) 870-2162.

What is Thomas Howard's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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.

Which organizations bill Medicare for Thomas Howard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Howard reassigns Medicare benefits to 7 organizations: Aspirus Medical Group, Inc. (Wausau, WI), Langlade Memorial Hospital Hotel Dieu Of St Joseph (Wausau, WI), Aspirus Merrill Hospital & Clinics, Inc. (Merrill, WI), Aspirus Medford Hospital & Clinics, Inc. (Athens, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Wittenberg, WI) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Howard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Howard accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan 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 Aspirus Wausau Hospital and Aspirus Merrill Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Howard was last updated on September 8, 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.