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MARK A HOWARD DO
NPI 1972583748
Emergency Medicine in Fishersville, VA

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939(540) 932-4465 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mark A Howard Do NPPES

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

MARK A HOWARD DO (NPI 1972583748) is an individual emergency medicine provider in Fishersville, Virginia, licensed in Virginia (0102203068) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lonesome Pine Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (1981).

NPPES Registry Identity

NPI1972583748
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK A HOWARDCredential: DO
Location Address78 MEDICAL CENTER DRFishersville, VA 22939-2332
Mailing AddressPo Box 32849, Dept 274Charlotte, NC 28232-2849 · (540) 932-4465
Phone(540) 932-4465
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1981
Enumeration DateJanuary 18, 2006
Last NPPES UpdateSeptember 6, 2012
✔ NPI 1972583748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 0102203068✔ Licensed in CA · 20A5282
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
78 MEDICAL CENTER DR, Fishersville, VA 22939
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Other Identifiers 2

Medicare PINGC1100VA
Medicare UPINF24194

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Mark A Howard Do 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 ID8426035106
PECOS Enrollment IDI20120530000077
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
57 services52 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
41 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
25 services24 patients

Hospital Affiliations CMS Care Compare

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

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.58
Improvement Activities40
Cost85.55

Other Providers at the Same Location NPPES 20

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

DR. NATHAN LEE MAUST MD
Emergency Medicine
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 332-4000
SARAH HA DO
Student in an Organized Health Care Education/Training Program
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 932-5595
LEWIS ALAN SIEGEL M.D.
Internal Medicine (Interventional Cardiology)
78 MEDICAL CENTER DR, HEART & VASCULAR CENTER, 2ND FLR
FISHERSVILLE, VA 22939
Augusta County (540) 245-7080
BARRY HOWARD BLUMENTHAL MD
Psychiatry & Neurology (Psychiatry)
78 MEDICAL CENTER DR, CROSSROADS
FISHERSVILLE, VA 22939
Augusta County (540) 213-2525
ANASTASIA SNELLING D.O.
Hospitalist
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 932-4075
AHEEMA GAZI D.O.
Student in an Organized Health Care Education/Training Program
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 245-7987
LAURA L FITZPATRICK MD
Anesthesiology
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 332-5757
KATHERINE A. BLACK M.D.
Anesthesiology
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 332-5757

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 Mark Howard's NPI number?

The NPI number for Mark Howard is 1972583748. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Mark Howard located?

Mark Howard practices at 78 Medical Center Dr, Fishersville, VA 22939. The listed phone number is (540) 932-4465.

What is Mark Howard's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Howard enrolled in Medicare?

Yes. Mark 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 Mark Howard accept?

Health plans from Oscar Insurance Company list Mark 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 Mark Howard affiliated with any hospitals?

According to CMS data, Mark Howard is affiliated with Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Mark Howard was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.