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ALEXANDER HOWES PA-C
NPI 1982144077
Physician Assistant in West Lake Hills, TX

Active since March 08, 2017Opted out of Medicare · through Jul 1, 2027
5656 BEE CAVES RD STE J201, WEST LAKE HILLS, TX 78746(512) 446-9486 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2021, Oct 4, 2019 (2 updates tracked since 2019).

About Alexander Howes Pa-c NPPES

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

ALEXANDER HOWES PA-C (NPI 1982144077) is an individual physician assistant in West Lake Hills, Texas and active in the NPI registry since March 2017. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1982144077
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDER HOWESCredential: PA-C
Location Address5656 BEE CAVES RD STE J201West Lake Hills, TX 78746-5809
Mailing Address5656 Bee Caves Rd Ste J201West Lake Hills, TX 78746-5809 · (415) 625-3230 · Fax (512) 597-0402
Phone(512) 446-9486
Sole ProprietorNo
Enumeration DateMarch 8, 2017
Last NPPES UpdateAugust 18, 20212 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1982144077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5656 BEE CAVES RD STE J201, West Lake Hills, TX 78746
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Secondary Practice Locations 3

Location 110496 Katy Fwy, SUITE 101Houston, TX 77043-5106 · Phone (704) 323-2000
Location 218200 Katy FwyHouston, TX 77094 · Phone (832) 227-1000
Location 34407 Bee Caves Rd Ste 6-612West Lake Hills, TX 78746-6405 · Phone (512) 446-9486 · Fax (512) 597-0402

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Alexander Howes Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78746 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
67%33 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%42 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
1%67 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
67%154 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
66%154 patients3/55-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 4

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

KUO MEDICAL CARE, PLLC
Internal Medicine
5656 BEE CAVES RD STE J201
WEST LAKE HILLS, TX 78746
Travis County (512) 772-1752
WESTLAKE MEDICAL CONSULTANTS, PLLC
Internal Medicine
5656 BEE CAVES RD STE J201
WEST LAKE HILLS, TX 78746
Travis County (512) 772-1752
DR. EMILY SAMANTHA KUO DO
Internal Medicine
5656 BEE CAVES RD STE J201
WEST LAKE HILLS, TX 78746
Travis County (512) 772-1752
DR. SHAWN MICHAEL LANEY M.D.
Internal Medicine
5656 BEE CAVES RD STE J201
WEST LAKE HILLS, TX 78746
Travis County (512) 772-1752

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 Alexander Howes's NPI number?

The NPI number for Alexander Howes is 1982144077. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is Alexander Howes located?

Alexander Howes practices at 5656 Bee Caves Rd Ste J201, West Lake Hills, TX 78746. The listed phone number is (512) 446-9486.

What is Alexander Howes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexander Howes enrolled in Medicare?

No. Alexander Howes has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Alexander Howes accept?

Health plans from Blue Cross and Blue Shield of Texas list Alexander Howes 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.

When was this NPI record last updated?

The NPPES record for Alexander Howes was last updated on August 18, 2021. 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.