2026 NPPES data Internal Medicine Physician NPI 1043270499 M.D.09/
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Terry Howell, M.D.09/

Internal Medicine Physician in Saline, Michigan.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in 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
8K
Medicare Part D claims · 433 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Terry Howell, M.D.09/ filed 7,579 Medicare Part D claims in 2023 as a Internal Medicine Physician in Saline, Michigan, prescribing 89% generic.

8K
Part D claims, 2023
89%
generic prescribing

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.

Terry Howell, M.D.09/'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

7,579 Top 3% higher than 97% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic, not verified)

Terry Howell, M.D.09/ practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Terry Howell, M.D.09/?

Quality data not reported

NPI registry status

Active

Issued 03/27/2006

NPI 1043270499

Primary specialty

Internal Medicine Physician

High-volume

172,737 US NPIs in this specialty

Medicare Part D claims

7,579 179% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Michigan

How Internal Medicine Physician compares to other specialties among Michigan providers

Michigan providers
Behavior Technician - 21.4%Behavior Technician21.4%Clinical Social Worker - 5.8%Clinical Social Worker5.8%Student in an Organized Health Care Education/Training Program - 3.6%Student in an Organized Health Care Education/Training Program3.6%Physical Therapist - 3.4%Physical Therapist3.4%Social Worker - 3.4%Social Worker3.4%Pharmacist - 3%Pharmacist3%Internal Medicine Physician - 2.4%Internal Medicine Physician2.4%
Largest specialties in Michigan (% 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 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).

Terry Howell, M.D.09/ appears in the CMS NPPES registry as an Internal Medicine Physician provider holding M.D.09/ credentials at 401 N ANN ARBOR ST, Saline, MI, 48176, with a listed phone of (734) 944-0322. NPI 1043270499 was issued on 03/27/2006.

Medicare Part D records for calendar year 2023 show 7,579 prescription claims written by this provider, covering 433 Medicare beneficiaries and totaling roughly $665K in drug spend, split 10% brand-name and 89% generic by claim count, with an opioid prescribing rate of 3.3%.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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

401 N ANN ARBOR ST
Saline, MI 48176

Provider Details

NPI 1043270499
Specialty Internal Medicine Physician
Credentials M.D.09/
Gender Male
NPI Issued 03/27/2006

License & disciplinary context - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Terry Howell, M.D.09/. To verify Terry Howell, M.D.09/'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Terry Howell, M.D.09/ - brand share 10.0%
Internal Medicine Physician average

10% brand-name claims vs 89% generic, on 7,579 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.

7,579
Total Claims
$665K
Total Drug Cost
433
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,659
Total Day Supply
488,692
Brand vs Generic
10% brand / 89% generic
Brand Drug Cost
$522K
Generic Drug Cost
$139K
Opioid Claims
248 (3.3% rate)
Antibiotic Claims
167

Patient Demographics

Average Patient Age
77.1 years
Avg HCC Risk Score
1.36
Gender Split
39% female / 61% male

Top Prescribed Drugs (Medicare Part D)

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

What Terry Howell, M.D.09/ prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
541
Lisinopril
382
Amlodipine Besylate
313
Hydrochlorothiazide
301
Losartan Potassium
286
Omeprazole
239
Levothyroxine Sodium
223
Metoprolol Succinate
214
Eliquis
Apixaban
192
Pravastatin Sodium
173

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

Internal Medicine Physician Overview

How Terry Howell, M.D.09/ fits within the Internal Medicine Physician landscape nationally.

172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Terry Howell, M.D.09/'s 7,579 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Michigan

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

Compare Internal 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 Michigan medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal 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 Terry Howell, M.D.09/'s specialty?
Terry Howell, M.D.09/ specializes in Internal Medicine Physician and practices in Saline, Michigan. Credentials: M.D.09/.
How much does Terry Howell, M.D.09/ prescribe under Medicare Part D?
In 2023, Terry Howell, M.D.09/ wrote 7,579 Medicare Part D claims totaling $665K in drug costs for 433 beneficiaries.
Where is Terry Howell, M.D.09/ located?
Terry Howell, M.D.09/ is located at 401 N ANN ARBOR ST, Saline, MI, 48176. Phone: (734) 944-0322.
What is Terry Howell, M.D.09/'s NPI number?
Terry Howell, M.D.09/'s National Provider Identifier (NPI) is 1043270499, issued on 03/27/2006.
Does Terry Howell, M.D.09/ prescribe more brand-name or generic drugs?
Terry Howell, M.D.09/'s prescribing is 10% brand-name and 89% generic drugs by claim count, with $522K in brand drug costs.
Does Terry Howell, M.D.09/ prescribe opioids?
Yes, Terry Howell, M.D.09/ had 248 opioid claims in 2023 with an opioid prescribing rate of 3.3%.
How many Internal Medicine Physician providers are there in the US?
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Terry Howell, M.D.09/ prescribe most often?
Based on 2023 Medicare Part D data, Terry Howell, M.D.09/'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Terry Howell, M.D.09/ accept Medicare?
Terry Howell, M.D.09/ appears in CMS Medicare data with 7,579 Part D claims and 433 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Terry Howell, M.D.09/'s credentials?
Terry Howell, M.D.09/'s NPI is 1043270499 with credentials M.D.09/. 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.
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.

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.