NPI registry status
Active
2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1063431328 MD
Verify on CMS → Paul Howell, MD
Endocrinology, Diabetes & Metabolism Physician in Fort Smith, Arkansas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,871 in Endocrinology, Diabetes & Metabolism 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
3K
Medicare Part D claims · 191 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
47%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
65.7/100
▼ 18 pts below national avg 83.5 · Mid-tier
Industry payments
$101.28
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Paul Howell, MD reported a CMS MIPS final score of 65.7/100 - below the 83.5 national average - and filed 2,924 Medicare Part D claims in 2023.
- 65.7/100
- MIPS score · -18 vs avg
- 3K
- Part D claims, 2023
- 47%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Paul Howell, MD'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.
66 ≥ 7th percentile 7% of 454,083 measured providers are in lower value bands
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 Paul Howell, MD sits
This provider among endocrinology, diabetes & metabolism physician peers
Across the 2,341 endocrinology, diabetes & metabolism physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Howell, MD writes more Part D claims than 59% of them and scores higher on MIPS quality than 9% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one endocrinology, diabetes & metabolism physician peer from a representative sample of 60; the gold marker is Paul Howell, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Paul Howell, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Paul Howell, MD?
Below national averagePrimary specialty
Endocrinology, Diabetes & Metabolism Physician
Medicare Part D claims
2,924 11% vs specialty avg
MIPS final score
65.7/100 17.8 pts vs avg
Specialty distribution in Arkansas
How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Arkansas providers
Medicare quality performance, MIPS
Paul Howell, MD's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average
- MIPS Final Score
- 65.7/100
- vs 83.5 national avg · 2023 performance year
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).
Paul Howell, MD appears in the CMS NPPES registry as an Endocrinology, Diabetes & Metabolism Physician provider holding MD credentials at 6801 ROGERS AVE, Fort Smith, AR, 72903, with a listed phone of (479) 452-2077. NPI 1063431328 was issued on 07/18/2006.
Medicare Part D records for calendar year 2023 show 2,924 prescription claims written by this provider, covering 191 Medicare beneficiaries and totaling roughly $618K in drug spend, split 43% brand-name and 47% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 65.7/100 for the 2023 performance year (Quality 67.5, Cost 42.4), compared with the 83.5 average among clinicians with a measured score.
Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,871 enrolled providers across 54 states and an average of 2,639 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1063431328 |
|---|---|
| Specialty | Endocrinology, Diabetes & Metabolism Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/18/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
65.7469
Final Score
Measured-score avg: 83.5
67.524
Quality
42.4392
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Paul Howell, 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.
Choctaw Nation OF Oklahoma
Talihina, 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).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Paul Howell, MD. Source: openpaymentsdata.cms.gov.
Total received
$101
Largest payer
Insulet Corporation
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Above average
Paul Howell, MD - brand share 43.0%
Endocrinology, Diabetes & Metabolism Physician average
43% brand-name claims vs 47% generic, on 2,924 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
2,924
Total Claims
$618K
Total Drug Cost
191
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,061
- Total Day Supply
- 89,883
- Brand vs Generic
- 43% brand / 47% generic
- Brand Drug Cost
- $554K
- Generic Drug Cost
- $42K
Patient Demographics
- Average Patient Age
- 68.6 years
- Avg HCC Risk Score
- 1.50
- Gender Split
- 63% female / 37% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Paul Howell, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Synthroid
Synthroid
527 claims
- Ozempic
Ozempic
225 claims
- Metformin Hcl Er 192
Metformin Hcl Er
192 claims
- Gabapentin 105
Gabapentin
105 claims
- Alcohol Swabs 94
Alcohol Swabs
94 claims
- Novolog Flexpen 81
Novolog Flexpen
81 claims
- Lisinopril 80
Lisinopril
80 claims
- Alogliptin 72
Alogliptin
72 claims
| Drug | Claims |
|---|---|
| Synthroid Levothyroxine Sodium | 527 |
| Ozempic Semaglutide | 225 |
| Metformin Hcl Er Metformin Hcl | 192 |
| Gabapentin | 105 |
| Alcohol Swabs Alcohol Antiseptic Pads | 94 |
| Novolog Flexpen Insulin Aspart | 81 |
| Lisinopril | 80 |
| Alogliptin Alogliptin Benzoate | 72 |
| Atorvastatin Calcium | 70 |
| Pioglitazone Hcl | 70 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Endocrinology, Diabetes & Metabolism Physician in AR →
All providers in Arkansas →
Compare specialties →
Endocrinology, Diabetes & Metabolism Physician Overview
How Paul Howell, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.
7,871
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider
Paul Howell, MD's 2,924 claims are above the specialty average of 2,639.
Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Arkansas
Other clinicians with the same primary specialty enrolled in Arkansas, drawn from the same CMS NPPES roster as Howell.
Dr. Maher Alesali
MD
White Hall, AR
Dr. Nadine Alex
MD
Rogers, AR
Dr. Eman Alhussain
M.D
Fort Smith, AR
Dr. Sarah Alshami
MD
Little Rock, AR
Dr. Anvitha Ankireddypalli
MD
Conway, AR
Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Arkansas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Endocrinology, Diabetes & Metabolism Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Paul Howell, MD's specialty? ▼
Paul Howell, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in Fort Smith, Arkansas. Credentials: MD.
How much does Paul Howell, MD prescribe under Medicare Part D? ▼
In 2023, Paul Howell, MD wrote 2,924 Medicare Part D claims totaling $618K in drug costs for 191 beneficiaries.
What is Paul Howell, MD's Medicare quality score? ▼
Paul Howell, MD has a CMS MIPS Final Score of 65.7/100 (Quality: 67.5, Cost: 42.4). 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 Paul Howell, MD located? ▼
Paul Howell, MD is located at 6801 ROGERS AVE, Fort Smith, AR, 72903. Phone: (479) 452-2077.
What is Paul Howell, MD's NPI number? ▼
Paul Howell, MD's National Provider Identifier (NPI) is 1063431328, issued on 07/18/2006.
Does Paul Howell, MD prescribe more brand-name or generic drugs? ▼
Paul Howell, MD's prescribing is 43% brand-name and 47% generic drugs by claim count, with $554K in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US? ▼
There are 7,871 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does Paul Howell, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Paul Howell, MD's most frequently prescribed drugs include Synthroid, Ozempic, Metformin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Howell, MD accept Medicare? ▼
Paul Howell, MD appears in CMS Medicare data with 2,924 Part D claims and 191 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Howell, MD's credentials? ▼
Paul Howell, MD's NPI is 1063431328 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 (2023). 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 April 2026 (NPPES) / 2023 (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 May 2026.