2026 NPPES data Primary Care Nurse Practitioner NPI 1538564729 APRN
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Brian Howell, APRN

Primary Care Nurse Practitioner in Tulsa, Oklahoma.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,597 in Primary Care Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
48
Medicare Part D claims · 19 beneficiaries · Primary Care Nurse Practitioner avg: 1K
MIPS score
94.3/100
▲ 11 pts above national avg 83.5 · Exceptional

What the federal data shows

Brian Howell, APRN reported a CMS MIPS final score of 94.3/100 - above the 83.5 national average - and filed 48 Medicare Part D claims in 2024.

94.3/100
MIPS score · +11 vs avg
48
Part D claims, 2024
≥73rd
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Brian Howell, APRN

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1538564729), first enumerated 10/30/2014.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 48 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 94.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1538564729 · Primary Care Nurse Practitioner

NPI-10 · ENUM-MID · TAX-MID · MIPS-ELITE · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1538564729
  • ENUM-MID 2014
  • TAX-MID 11K Primary Care
  • MIPS-ELITE 94.3/100
  • RX-TRACE 48
  • BOOK-THIN 118 in Oklahoma
  • PHOTO-FINISH Sarah Judkiewicz · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Brian Howell, APRN's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

94 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Brian Howell, APRN sits

This provider among primary care nurse practitioner peers

Across the 926 primary care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Howell, APRN writes more Part D claims than 9% of them and scores higher on MIPS quality than 75% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 27Brian Howell, APRN, Part D claim volume, percentile in specialty: 9 · MIPS quality, percentile: 75
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one primary care nurse practitioner peer from a representative sample of 60; the gold marker is Brian Howell, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Brian Howell, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 10/30/2014

NPI 1538564729

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,597 US NPIs in this specialty

Medicare Part D claims

48 97% vs specialty avg

2024 prescription claims

Specialty avg: 1,471

MIPS final score

94.3/100 10.8 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Oklahoma

How Primary Care Nurse Practitioner compares to other specialties among Oklahoma providers

Oklahoma providers
Case Manager/Care Coordinator9.6%Mental Health Counselor7%Behavior Technician6.6%Peer Specialist5.6%Counselor4.9%Student in an Organized Heal…4.2%Primary Care Nurse Practitio…0.1%
Largest specialties in Oklahoma (% of in-state providers)

Medicare quality performance, MIPS

Brian Howell, APRN's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
94.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%94.3%
MIPS final score (Primary Care Nurse Practitioner) - 94.3/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

1705 E 19TH ST
Tulsa, OK 74104

Provider Details

NPI 1538564729
Specialty Primary Care Nurse Practitioner
Credentials APRN
Gender Male
NPI Issued 10/30/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.3056
Final Score
Measured-score avg: 83.5
85.5889
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Brian Howell, APRN bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

According to CMS billing records, Brian Howell, APRN is affiliated with 3 Medicare-billing facilities across 2 states.

Delphi Hospitalist Services LLC
Ogdensburg, NY
Ies Hsp Oklahoma LLC
Lawton, OK
Integris Ambulatory Care Corporation
Ponca City, OK

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

48
Total Claims
$607
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
48
Total Day Supply
790
Generic Drug Cost
$555

Patient Demographics

Average Patient Age
78.4 years
Avg HCC Risk Score
2.28

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Gabapentin
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Primary Care Nurse Practitioner Overview

How Brian Howell, APRN fits within the Primary Care Nurse Practitioner landscape nationally.

10,597
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,471
Avg Claims per Provider

Brian Howell, APRN's 48 claims are below the specialty average of 1,471.

Nationwide Primary Care Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Howell, both outside Oklahoma so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (94.3 here).

Same NPPES enumeration year (2014)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Primary Care Nurse Practitioner Providers in Oklahoma

Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as Howell.

One of 118 Primary Care Nurse Practitioner providers enrolled in Oklahoma, 5 are shown here.

Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Brian Howell, APRN's specialty?
Brian Howell, APRN specializes in Primary Care Nurse Practitioner and practices in Tulsa, Oklahoma. Credentials: APRN.
How much does Brian Howell, APRN prescribe under Medicare Part D?
In 2024, Brian Howell, APRN wrote 48 Medicare Part D claims totaling $607 in drug costs for 19 beneficiaries.
What is Brian Howell, APRN's Medicare quality score?
Brian Howell, APRN has a CMS MIPS Final Score of 94.3/100 (Quality: 85.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Brian Howell, APRN located?
Brian Howell, APRN is located at 1705 E 19TH ST, Tulsa, OK, 74104. Phone: (918) 748-7585.
What is Brian Howell, APRN's NPI number?
Brian Howell, APRN's National Provider Identifier (NPI) is 1538564729, issued on 10/30/2014.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,597 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,471 Medicare Part D claims per year.
What drugs does Brian Howell, APRN prescribe most often?
Based on 2024 Medicare Part D data, Brian Howell, APRN's most frequently prescribed drugs include Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Brian Howell, APRN accept Medicare?
Brian Howell, APRN appears in CMS Medicare data with 48 Part D claims and 19 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Brian Howell, APRN's credentials?
Brian Howell, APRN's NPI is 1538564729 with credentials APRN. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.