2026 NPPES data Addiction Medicine (Family Medicine) Physician NPI 1891787933 MD
Verify on CMS →

Randall Howerton, MD

Addiction Medicine (Family Medicine) Physician in Aberdeen, Washington.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 763 in Addiction Medicine (Family 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
192
Medicare Part D claims · 34 beneficiaries · Addiction Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.7/100
▼ 1 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Randall Howerton, MD reported a CMS MIPS final score of 81.7/100 - below the 83.1 national average - and filed 192 Medicare Part D claims in 2023.

81.7/100
MIPS score · -1 vs avg
192
Part D claims, 2023
82%
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.

Randall Howerton, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

82 36th percentile higher than 36% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Where Randall Howerton, MD sits

This provider among addiction medicine (family medicine) physician peers

Across the 79 addiction medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Randall Howerton, MD writes more Part D claims than 42% of them and scores higher on MIPS quality than 32% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 25Randall Howerton, MD-Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 32
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one addiction medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Randall Howerton, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Randall Howerton, 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 Randall Howerton, MD?

Near national average

NPI registry status

Active

Issued 08/16/2005

NPI 1891787933

Primary specialty

Addiction Medicine (Family Medicine) Physician

Niche

763 US NPIs in this specialty

Medicare Part D claims

192 83% vs specialty avg

2023 prescription claims

Specialty avg: 1,134

MIPS final score

81.7/100 1.4 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Addiction Medicine (Family Medicine) Physician compares to other specialties among Washington providers

Washington providers
Mental Health Counselor - 8.6%Mental Health Counselor8.6%Massage Therapist - 6.5%Massage Therapist6.5%Counselor - 5.7%Counselor5.7%Behavior Technician - 4.5%Behavior Technician4.5%Pharmacist - 4%Pharmacist4%Physical Therapist - 3.6%Physical Therapist3.6%Addiction Medicine (Family Medicine) Physician - 0%Addiction Medicine (Family Medicine) Physician0%
Largest specialties in Washington (% of in-state providers)

Medicare quality performance, MIPS

Randall Howerton, MD's 2023 MIPS final score plotted against the Addiction Medicine (Family Medicine) Physician national average

Near national average
MIPS Final Score
81.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Medicine (Family Medicine) Physician) - 81.7/100 vs national avg 83.1

0%100%National avg83%81.7%
MIPS final score (Addiction Medicine (Family Medicine) Physician) - 81.7/100 vs national avg 83.1
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).

Randall Howerton, MD appears in the CMS NPPES registry as a Addiction Medicine (Family Medicine) Physician provider holding MD credentials at 1006 N H ST, Aberdeen, WA, 98520, with a listed phone of (360) 537-6200. NPI 1891787933 was issued on 08/16/2005.

Medicare Part D records for calendar year 2023 show 192 prescription claims written by this provider, covering 34 Medicare beneficiaries and totaling roughly $52K in drug spend, split 18% brand-name and 82% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.7/100 for the 2023 performance year (Quality 74.9, Cost 87.1), compared with the national average of 83.1.

Addiction Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 763 enrolled providers across 48 states and an average of 1,134 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

1006 N H ST
Aberdeen, WA 98520

Provider Details

NPI 1891787933
Specialty Addiction Medicine (Family Medicine) Physician
Credentials MD
Gender Male
NPI Issued 08/16/2005

CMS Quality Score (MIPS)

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

81.6603
Final Score
Avg: 83.1
74.8677
Quality
87.1074
Cost
63
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Randall Howerton, 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.

Grays Harbor Community Hospital
★★★☆☆ 3/5
Aberdeen, WA
Acute Care Hospitals
CMS CCN: 500031

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

License & disciplinary context - Washington WMC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 - they are NOT specific to Randall Howerton, MD. To verify Randall Howerton, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Randall Howerton, MD - brand share 18.0%
Addiction Medicine (Family Medicine) Physician average

18% brand-name claims vs 82% generic, on 192 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.

192
Total Claims
$52K
Total Drug Cost
34
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
193
Total Day Supply
5,127
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$26K
Generic Drug Cost
$26K

Patient Demographics

Average Patient Age
60.7 years
Avg HCC Risk Score
1.33
Gender Split
47% female / 53% male
Age Distribution
<65: 19, 65-74: 12, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
88
Suboxone
Buprenorphine Hcl/Naloxone Hcl
22

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

Addiction Medicine (Family Medicine) Physician Overview

How Randall Howerton, MD fits within the Addiction Medicine (Family Medicine) Physician landscape nationally.

763
Addiction Medicine (Family Medicine) Physician Providers in US
48
States with Addiction Medicine (Family Medicine) Physician
1,134
Avg Claims per Provider

Randall Howerton, MD's 192 claims are below the specialty average of 1,134.

Nearby Addiction Medicine (Family Medicine) Physician Providers in Washington

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

Compare Addiction Medicine (Family Medicine) 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 Washington medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Addiction Medicine (Family Medicine) 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.

Frequently Asked Questions

What is Randall Howerton, MD's specialty?
Randall Howerton, MD specializes in Addiction Medicine (Family Medicine) Physician and practices in Aberdeen, Washington. Credentials: MD.
How much does Randall Howerton, MD prescribe under Medicare Part D?
In 2023, Randall Howerton, MD wrote 192 Medicare Part D claims totaling $52K in drug costs for 34 beneficiaries.
What is Randall Howerton, MD's Medicare quality score?
Randall Howerton, MD has a CMS MIPS Final Score of 81.7/100 (Quality: 74.9, Cost: 87.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Randall Howerton, MD located?
Randall Howerton, MD is located at 1006 N H ST, Aberdeen, WA, 98520. Phone: (360) 537-6200.
What is Randall Howerton, MD's NPI number?
Randall Howerton, MD's National Provider Identifier (NPI) is 1891787933, issued on 08/16/2005.
Does Randall Howerton, MD prescribe more brand-name or generic drugs?
Randall Howerton, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $26K in brand drug costs.
How many Addiction Medicine (Family Medicine) Physician providers are there in the US?
There are 763 Addiction Medicine (Family Medicine) Physician providers across 48 states in the US. The average Addiction Medicine (Family Medicine) Physician provider writes 1,134 Medicare Part D claims per year.
What drugs does Randall Howerton, MD prescribe most often?
Based on 2023 Medicare Part D data, Randall Howerton, MD's most frequently prescribed drugs include Buprenorphine-Naloxone, Suboxone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Randall Howerton, MD accept Medicare?
Randall Howerton, MD appears in CMS Medicare data with 192 Part D claims and 34 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Randall Howerton, MD's credentials?
Randall Howerton, MD's NPI is 1891787933 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

Compiled from official public sources by the PlainDoctor editorial team.