2026 NPPES data Hospice and Palliative Medicine (Internal Medicine) Physician NPI 1306818182 MD
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Howard Epstein, MD

Hospice and Palliative Medicine (Internal Medicine) Physician in Saint Louis, Missouri.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,637 in Hospice and Palliative Medicine (Internal Medicine) Physician, 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
33
Medicare Part D claims · 18 beneficiaries · Hospice and Palliative Medicine (Internal Medicine) Physician avg: 1K

What the federal data shows

Howard Epstein, MD filed 33 Medicare Part D claims in 2024 as a Hospice and Palliative Medicine (Internal Medicine) Physician in Saint Louis, Missouri.

33
Part D claims, 2024
Likely
board-certified (heuristic)
≥0th
pct by Part D claim volume (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 Howard Epstein, MD

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1306818182), first enumerated 02/06/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 33 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation 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 1306818182 · Hospice and Palliative Medicine (Internal Medicine) Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-TRACE · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1306818182
  • ENUM-LEGACY 2006
  • TAX-NARROW 1,637
  • RX-TRACE 33
  • BOOK-THIN 32 in Missouri
  • PHOTO-ENUM Kevin Madden · 2006

Howard Epstein, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

33 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). This entry sits in this band. 200–400: 188,835 prescribers (13%). Above this entry. 400–600: 95,866 prescribers (7%). Above this entry. 600–800: 60,107 prescribers (4%). Above this entry. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

Board certification likely (heuristic, not verified)

Howard Epstein, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Howard Epstein, MD?

Quality data not reported

NPI registry status

Active

Issued 02/06/2006

NPI 1306818182

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) Physician

Niche

1,637 US NPIs in this specialty

Medicare Part D claims

33 98% vs specialty avg

2024 prescription claims

Specialty avg: 1,322

Specialty distribution in Missouri

How Hospice and Palliative Medicine (Internal Medicine) Physician compares to other specialties among Missouri providers

Missouri providers
Professional Counselor4.8%Pharmacist4.8%Clinical Social Worker4.5%Speech-Language Pathologist4.5%Family Nurse Practitioner4.3%Physical Therapist4%Hospice and Palliative Medic…0%
Largest specialties in Missouri (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Hospice and Palliative Medicine (Internal Medicine) Physician. Verify directly:

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

3009 N BALLAS RD STE 383C
Saint Louis, MO 63131

Provider Details

NPI 1306818182
Specialty Hospice and Palliative Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 02/06/2006

Hospital and facility affiliations

Facilities where Howard Epstein, MD 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.

Fairview Heights Medical Group SC
Alton, IL

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.

33
Total Claims
$378
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
33
Total Day Supply
418
Generic Drug Cost
$352

Patient Demographics

Average Patient Age
79.6 years
Avg HCC Risk Score
3.11

Hospice and Palliative Medicine (Internal Medicine) Physician Overview

How Howard Epstein, MD fits within the Hospice and Palliative Medicine (Internal Medicine) Physician landscape nationally.

1,637
Hospice and Palliative Medicine (Internal Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Internal Medicine) Physician
1,322
Avg Claims per Provider

Howard Epstein, MD's 33 claims are below the specialty average of 1,322.

Nationwide Hospice and Palliative Medicine (Internal Medicine) Physician peers with similar MIPS or enrollment year

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

Same NPPES enumeration year (2006)

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

Nearby Hospice and Palliative Medicine (Internal Medicine) Physician Providers in Missouri

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

One of 32 Hospice and Palliative Medicine (Internal Medicine) Physician providers enrolled in Missouri, 5 are shown here.

Compare Hospice and Palliative Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Howard Epstein, MD's specialty?
Howard Epstein, MD specializes in Hospice and Palliative Medicine (Internal Medicine) Physician and practices in Saint Louis, Missouri. Credentials: MD.
How much does Howard Epstein, MD prescribe under Medicare Part D?
In 2024, Howard Epstein, MD wrote 33 Medicare Part D claims totaling $378 in drug costs for 18 beneficiaries.
Where is Howard Epstein, MD located?
Howard Epstein, MD is located at 3009 N BALLAS RD STE 383C, Saint Louis, MO, 63131. Phone: (314) 305-1447.
What is Howard Epstein, MD's NPI number?
Howard Epstein, MD's National Provider Identifier (NPI) is 1306818182, issued on 02/06/2006.
How many Hospice and Palliative Medicine (Internal Medicine) Physician providers are there in the US?
There are 1,637 Hospice and Palliative Medicine (Internal Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Internal Medicine) Physician provider writes 1,322 Medicare Part D claims per year.
Does Howard Epstein, MD accept Medicare?
Howard Epstein, MD appears in CMS Medicare data with 33 Part D claims and 18 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Howard Epstein, MD's credentials?
Howard Epstein, MD's NPI is 1306818182 with credentials MD. 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.
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.