Active NPI 1396940854 Individual Practitioner Male Practitioner

Dr. James Peter Howard , MD

General Practice • Encinitas, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Howard, MD is a certified General Practice practicing in Encinitas, CA. With approximately 19 years of clinical experience since graduating from University Of Hawaii John A. Burns School Of Medicine in 2007, Dr. Howard delivers high-quality medical care to the local community at 142 ENCINITAS BLVD.

Dr. Howard maintains professional affiliations with Healthtopia Pllc, Home Care Md Medical Group, Hardison Medical Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

142 Encinitas Blvd

Encinitas, CA 920243657

Telephone 7602301888

Associated Practice Facility / Clinic

🏢 Hardison Medical Corporation Facility NPI 1124508296

Medicare Profile & Education

Medical School

University Of Hawaii John A. Burns School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Encinitas, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -0.8 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Encinitas, CA (2300 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Howard (19 Years) 19 Yrs

Encinitas Specialty Average (19.8 Years) 19.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	4,423	1,214	$119.24	$108.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	1,396	955	$64.09	$56.65
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	978	690	$46.38	$44.60
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	935	457	$301.85	$130.31
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	752	135	$168.68	$66.39
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	641	129	$128.98	$51.22
98980 Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month	634	81	$135.93	$54.92
98977 Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days	585	70	$146.95	$55.04
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	508	218	$42.35	$16.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	498	232	$347.30	$136.66
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	404	66	$491.75	$190.93
99213 Established patient office or other outpatient visit, typically 15 minutes	295	192	$246.23	$96.37
98981 Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month	285	78	$107.15	$42.31
98976 Device supply with scheduled recording and transmission for remote monitoring of respiratory system, per 30 days	145	25	$146.95	$54.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	140	70	$485.05	$191.44
36415 Insertion of needle into vein for collection of blood sample	108	86	$25.00	$8.65
99497 Advance care planning, first 30 minutes	98	98	$220.88	$85.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$353.25	$138.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$449.15	$175.30
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	72	13	$134.05	$53.09
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	55	13	$107.15	$41.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$303.90	$117.65
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	32	30	$77.35	$62.85
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	29	20	$201.93	$78.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	16	$66.05	$26.14
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes	16	16	$100.13	$39.98
81003 Automated urinalysis test	15	14	$6.23	$2.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	13	$45.35	$15.65
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$45.85	$15.44
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	11	$41.38	$16.20
71046 X-ray of chest, 2 views	12	12	$86.65	$37.71
98975 Set-up and patient education for remote monitoring of therapy	12	12	$55.80	$22.62
99496 Transitional care management services for problem of high complexity	12	11	$620.18	$300.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	3,125	953	$118.64	$108.19
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	1,324	881	$64.31	$54.99
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	530	311	$307.03	$132.15
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	435	348	$46.28	$44.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	430	199	$332.29	$129.82
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	248	55	$489.42	$193.63
98981 Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month	234	48	$107.15	$42.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	221	106	$461.58	$185.31
99213 Established patient office or other outpatient visit, typically 15 minutes	191	140	$228.52	$89.17
36415 Insertion of needle into vein for collection of blood sample	147	116	$25.00	$8.40
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	132	57	$168.68	$66.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$448.70	$169.55
98980 Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month	122	49	$135.93	$53.32
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	122	53	$128.98	$50.76
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	60	32	$206.76	$79.48
98976 Device supply with scheduled recording and transmission for remote monitoring of respiratory system, per 30 days	59	40	$146.95	$57.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$301.73	$111.54
99497 Advance care planning, first 30 minutes	57	57	$223.34	$86.64
81003 Automated urinalysis test	57	41	$6.23	$2.20
98977 Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days	53	35	$146.95	$57.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$324.16	$138.47
87804 Detection test by immunoassay with direct visual observation for influenza virus	46	22	$41.38	$16.22
98975 Set-up and patient education for remote monitoring of therapy	39	33	$55.80	$21.96
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	28	26	$86.55	$34.62
G0008 Administration of influenza virus vaccine	27	27	$40.28	$32.93
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	24	24	$179.20	$75.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	15	$45.35	$15.49
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	23	22	$768.80	$264.69
96136 Administration of psychological or neuropsychological test, first 30 minutes	20	20	$123.54	$46.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$582.39	$221.79
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	18	16	$77.35	$32.10
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$45.85	$15.66
99496 Transitional care management services for problem of high complexity	15	12	$620.18	$285.88
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	12	$41.38	$16.20
71046 X-ray of chest, 2 views	11	11	$86.65	$38.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	399	233	$118.33	$108.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	244	242	$61.02	$55.16
99337 Established patient assisted living visit, typically 60 minutes	146	26	$510.30	$201.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	131	73	$387.20	$182.59
99213 Established patient office or other outpatient visit, typically 15 minutes	118	93	$198.58	$87.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	81	$290.20	$130.63
36415 Insertion of needle into vein for collection of blood sample	58	52	$25.00	$2.96
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	36	29	$180.26	$34.73
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	34	20	$323.99	$132.43
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	29	$46.22	$42.78
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	26	25	$193.36	$50.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$272.45	$141.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$287.90	$108.96
G0008 Administration of influenza virus vaccine	21	21	$40.28	$32.60
99336 Established patient assisted living visit, typically 40 minutes	20	12	$357.03	$141.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$434.85	$175.09
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	18	18	$179.20	$70.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	12	$45.35	$15.71
99497 Advance care planning, first 30 minutes	18	18	$227.25	$89.22
96136 Administration of psychological or neuropsychological test, first 30 minutes	17	14	$134.10	$48.45
0124A Fee covid-19 vac 13 res	15	15	$100.00	$43.21
0134A Fee covid-19 vac 14 res	12	12	$100.00	$39.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	109	104	$1165.82	$170.95
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	72	66	$57.59	$8.64
99284 Emergency department visit with moderate level of medical decision making	68	65	$797.63	$119.60
99283 Emergency department visit with low level of medical decision making	36	35	$425.28	$64.77
99291 Critical care, first 30-74 minutes	34	33	$1495.60	$228.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	324	317	$32.02	$8.75
99285 Emergency department visit for life threatening or functioning severity	316	314	$702.37	$174.24
99284 Emergency department visit with moderate level of medical decision making	125	123	$399.44	$118.55
71045 X-ray of chest, 1 view	117	116	$30.00	$9.51
99291 Critical care, first 30-74 minutes	66	66	$962.15	$226.15
71046 X-ray of chest, 2 views	61	61	$36.00	$11.35
99283 Emergency department visit with low level of medical decision making	33	32	$206.79	$62.58
73502 X-ray of hip, 2-3 views	16	14	$37.00	$11.75
73590 X-ray of lower leg, 2 views	11	11	$27.00	$8.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	310	306	$716.76	$173.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	292	287	$36.02	$8.70
99284 Emergency department visit with moderate level of medical decision making	109	109	$406.10	$118.11
71045 X-ray of chest, 1 view	94	91	$63.64	$9.45
71046 X-ray of chest, 2 views	64	64	$98.02	$11.30
99291 Critical care, first 30-74 minutes	36	36	$655.00	$225.98
99283 Emergency department visit with low level of medical decision making	28	28	$249.00	$62.24
73562 X-ray of knee, 3 views	16	13	$25.00	$9.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	122	121	$510.00	$173.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	112	109	$30.00	$8.67
99284 Emergency department visit with moderate level of medical decision making	89	88	$345.00	$117.95
71020 X-ray of chest, 2 views, front and side	71	71	$30.00	$11.25
99283 Emergency department visit with low level of medical decision making	21	20	$234.00	$62.31
71010 X-ray of chest, 1 view, front	16	16	$25.00	$9.42

Medical Specialties & State Licenses

CMS Verified: 2024-03-25

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A109689

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License CA A109689

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Hardison Medical Corporation

6037 La Granada, Rancho Santa Fe, CA 92067

Phone: 8587711349

Healthtopia Pllc

66 E Flagler St, Miami, FL 331301807

Phone: 8882143010

Team Physicians Of Northern California Medical Group Inc

5555 Grossmont Ctr Dr, La Mesa, CA 919423019

Phone: 6194650711

Advanced Practitioner Medical Group - A Professional Nursing Corp

10570 Foothill Blvd, Rancho Cucamonga, CA 917303876

Phone: 9099917577

Home Care Md Medical Group

100 N Barranca St, West Covina, CA 917911637

Phone: 6263777608

Secondary Practice Locations

6037 La Granada Suite C

Rancho Santa Fe, CA 92067

Phone: 7602301888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Brittany Kelly , NP

Nurse Practitioner - Family

NPI 1326752171

Nurse Practitioner

Alyson Freedman

Naturopath

NPI 1447112032

Dr. Kimberly Ann Meza , DNP, NP

Nurse Practitioner - Family

NPI 1508789017

Doctor of Nursing Practice, Nurse Practitioner

Jamie Lidster

Nurse Practitioner - Family

NPI 1538633219

Devon Piper , FNP

Nurse Practitioner - Family

NPI 1619707692

Family Nurse Practitioner

Jessica Rhodes , NP

Nurse Practitioner - Family

NPI 1669025318

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 27, 2024

Registered at 142 ENCINITAS BLVD, ENCINITAS, CA 920243657 (Tel: 7602301888)

📍

Updated Business Mailing Address March 27, 2024

Registered at 142 ENCINITAS BLVD, ENCINITAS, CA 920243657 (Tel: 7602301888)

✅

NPI Profile Active October 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2015

Registered at 101 THE CITY DR S, BUILDING 200 SUITE 710, ORANGE, CA 928683201 (Tel: 8085429996)

📍

Updated Business Mailing Address October 30, 2015

Registered at PO BOX 230760, ENCINITAS, CA 920230760 (Tel: 7602302251)

👤

Provider Name / Credentials Updated October 30, 2015

Recorded as JAMES HOWARD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2015

Emergency Medicine (License #A109689 in CA)

🟢

Initial NPI Registration & Enumeration June 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396940854

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2007

Last Update: March 27, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

142 Encinitas Blvd

Encinitas, CA 920243657

Phone: 7602301888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.