MR. RANDY HOWARD M.D.
NPI 1952386401
Internal Medicine - Gastroenterology in Hendersonville, TN

Q: What is Randy Howard's NPI number?

The NPI number for Randy Howard is 1952386401. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is Randy Howard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Randy Howard was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment

83.7/100

CMS Quality Rating

107 GLEN OAK BLVD, SUITE 202, HENDERSONVILLE, TN 37075(615) 826-0710(615) 826-0910 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Mar 7, 2023, Dec 21, 2017 (3 updates tracked since 2017).

On this page

About Mr. Randy Howard M.d. NPPES

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

MR. RANDY HOWARD M.D. (NPI 1952386401) is an individual gastroenterology provider in Hendersonville, Tennessee, licensed in Tennessee (39358) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1999).

NPPES Registry Identity

NPI1952386401

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMR. RANDY HOWARDCredential: M.D.

Location Address107 GLEN OAK BLVD, SUITE 202Hendersonville, TN 37075

Mailing Address107 Glen Oak Blvd, Suite 202Hendersonville, TN 37075 · (615) 826-0710 · Fax (615) 826-0910

Phone(615) 826-0710

Fax(615) 826-0910

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1999

Enumeration DateDecember 7, 2005

Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1952386401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in TN · 39358✔ Licensed in TN · M0000039358

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

107 GLEN OAK BLVD, Hendersonville, TN 37075

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Other Identifiers 8

Other9398195TN · Phcs Provider Number

Other3983866TN · Aetna Provider Number

Other6591329TN · Cigna Provider Number

OtherH90812TN · Healthspring Provider Num

Other4109554TN · Bcbs Provider Number

Other11491546TN · Caqh Provider Number

Medicaid3331737TN

OtherM000039358TN · State License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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

Mr. Randy 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 ID2264425230

PECOS Enrollment IDI20050826000167

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 15

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

172 services164 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

118 services114 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

115 services112 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

110 services109 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

109 services70 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.

94 services82 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

90 services90 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

46 services46 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

46 services45 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

37 services30 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

35 services35 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.

26 services26 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

24 services24 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

19 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440003

Location555 Hartsville PikeGallatin, TN 37066 · Sumner County

Emergency services Birthing friendly

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440006

Location3441 Dickerson PikeNashville, TN 37207 · Davidson County

Emergency services

Tristar Northcrest Medical Center

Acute Care Hospitals · Springfield, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440065

Location100 Northcrest DriveSpringfield, TN 37172 · Robertson County

Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440150

Location5655 Frist BlvdHermitage, TN 37076 · Davidson County

Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440194

Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

83.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

84.97

Improvement Activities

Cost

65.7

Reported Quality Measures

Advance Care Plan

100%407 patients5/55-star benchmark: 100%

Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use

100%352 patients

Colorectal Cancer Screening

79%651 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%1,394 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

14%1,386 patients1/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 91% · 228 patients

Patients screened: 94% · 228 patients

100%53 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 7

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

MR. SCOTT ALAN HANDE MD

Internal Medicine (Gastroenterology)

107 GLEN OAK BLVD, SUITE 202
HENDERSONVILLE, TN 37075

Sumner County (615) 826-0710

RELIANCE MEDICAL ASSOCIATES PLLC

Internal Medicine

107 GLEN OAK BLVD, STE 200
HENDERSONVILLE, TN 37075

Sumner County (615) 822-1993

MID STATE ENT, LLC

Specialist

107 GLEN OAK BLVD, SUITE 101
HENDERSONVILLE, TN 37075

Sumner County (615) 822-2177

DR. DAVID SCOTT MORRIS MD

Urology

107 GLEN OAK BLVD
HENDERSONVILLE, TN 37075

Sumner County (615) 822-9336

GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES

Nurse Practitioner (Adult Health)

107 GLEN OAK BLVD, 202
HENDERSONVILLE, TN 37075

Sumner County (615) 826-0710

AMANDA NICOLE NEWLON

Nurse Practitioner (Family)

107 GLEN OAK BLVD
HENDERSONVILLE, TN 37075

Sumner County (615) 826-0710

GASTROENTEROLOGY & HEPATOLOGY ASSOCIATES PLLC

Internal Medicine (Gastroenterology)

107 GLEN OAK BLVD, SUITE 202
HENDERSONVILLE, TN 37075

Sumner County (615) 826-0710

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 Randy Howard's NPI number?

The NPI number for Randy Howard is 1952386401. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Randy Howard located?

Randy Howard practices at 107 Glen Oak Blvd Suite 202, Hendersonville, TN 37075. The listed phone number is (615) 826-0710.

What is Randy Howard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Randy Howard enrolled in Medicare?

Yes. Randy 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 Randy Howard accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Randy 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 Randy Howard affiliated with any hospitals?

According to CMS data, Randy Howard is affiliated with Sumner Regional Medical Center, Tristar Skyline Medical Center, Tristar Northcrest Medical Center, Tristar Summit Medical Center and Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for Randy Howard was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.