Mark Howard, M.D.
NPI 1255794731 · Sports Medicine (Orthopaedic Surgery) Physician · Monterey, CA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Howard, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician provider in Monterey, CA (NPI 1255794731).
Provider details
- NPI number
- 1255794731
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,212 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 297 | $135 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 231 | $97 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 190 | $66 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 129 | $176 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 86 | $39 |
| X-Ray of Knee, 4 Or More Views73564 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 74 | 45 |
| Ondansetron Hcl | 40 | 38 |
| Oxycodone Hcl | 39 | 36 |
| Celecoxib | 30 | 24 |
| Tramadol Hcl | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$14 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1200 N State Street, Gh 3900Lac Usc Department of Orthopaedic SurgeryLos Angeles, CA 90033Phone: (323) 226-7210Fax: (323) 226-8205
- One Medical Center BoulevardWinston Salem, NC 27157-0001Phone: (336) 716-6410
Registry dates
- Enumerated
- 2016-04-01
- Last updated
- 2022-07-05
- Certified
- 2022-07-05
Frequently asked questions
- What is Mark Howard's NPI number?
- Mark Howard's National Provider Identifier (NPI) is 1255794731, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Howard's specialty?
- Mark Howard is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Howard located?
- Mark Howard's practice location on file with NPPES is 12 Upper Ragsdale Dr, Monterey, CA 93940-5730.
- What is Mark Howard's phone number?
- The practice phone number listed in the NPPES registry for Mark Howard is (831) 648-7200.
- Does Mark Howard accept Medicare?
- Mark Howard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Howard's NPI active?
- Yes — Mark Howard's NPI (1255794731) is active in the NPPES registry as of the last update on 2022-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.