Active NPI 1437590809 Individual Practitioner Female Practitioner

Piper Hower , APRN

Nurse Practitioner • Topeka, KS

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Piper Hower, APRN is a certified Nurse Practitioner practicing in Topeka, KS. With approximately 13 years of clinical experience since completing medical education in 2013, Piper Hower delivers high-quality medical care to the local community at 4505 NW FIELDING RD.

Piper Hower is affiliated with Cotton-O'Neil Clinic Revocable Trust and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4505 Nw Fielding Rd

Topeka, KS 666182651

Telephone 7852700080

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Topeka, KS

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +3.5 yrs vs City Avg

City Avg: 9.5 Yrs

State Avg: 12.6 Yrs

Regional Practice Density

301 Specialists

Practicing in Topeka, KS (1395 Statewide)

Telehealth Adoption Rate

25.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hower (13 Years) 13 Yrs

Topeka Specialty Average (9.5 Years) 9.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	361	190	$191.66	$99.90
36415 Insertion of needle into vein for collection of blood sample	179	129	$16.00	$8.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	122	122	$233.35	$101.60
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	77	21	$75.34	$49.30
99213 Established patient office or other outpatient visit, typically 15 minutes	61	54	$130.18	$71.22
G0008 Administration of influenza virus vaccine	34	34	$36.00	$29.94
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	28	11	$69.25	$37.65
90653 Vaccine for influenza for injection into muscle	24	24	$108.00	$81.82
81002 Urinalysis, manual test	23	22	$20.76	$3.41
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	18	18	$62.75	$5.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$258.42	$141.63
G0009 Administration of pneumococcal vaccine	16	16	$33.30	$29.94
82043 Urine microalbumin (protein) level	16	16	$82.95	$5.66
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$540.07	$290.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	352	181	$191.66	$100.87
36415 Insertion of needle into vein for collection of blood sample	197	131	$16.00	$8.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$233.35	$104.37
99213 Established patient office or other outpatient visit, typically 15 minutes	70	53	$130.18	$71.06
G0008 Administration of influenza virus vaccine	33	32	$36.00	$28.60
81002 Urinalysis, manual test	28	25	$20.33	$3.41
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	23	22	$115.00	$75.57
82043 Urine microalbumin (protein) level	18	17	$81.32	$5.66
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$76.75	$26.96
G0009 Administration of pneumococcal vaccine	12	12	$33.52	$28.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	145	$182.19	$101.52
36415 Insertion of needle into vein for collection of blood sample	142	98	$16.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	108	77	$121.75	$72.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$216.40	$106.28
G0008 Administration of influenza virus vaccine	41	40	$35.87	$27.45
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	30	29	$113.63	$70.12
81002 Urinalysis, manual test	22	20	$20.33	$3.43
99495 Transitional care management services for problem of at least moderate complexity	19	18	$293.79	$166.53
G0009 Administration of pneumococcal vaccine	18	18	$33.30	$27.54
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	12	$62.75	$5.51
90671 Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use	12	12	$332.04	$241.28
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$31.36	$21.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	141	$177.80	$104.82
36415 Insertion of needle into vein for collection of blood sample	138	111	$16.00	$2.99
99213 Established patient office or other outpatient visit, typically 15 minutes	125	99	$120.60	$73.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$214.25	$107.98
G0008 Administration of influenza virus vaccine	33	33	$33.30	$15.91
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	28	28	$74.00	$66.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$239.80	$147.65
81002 Urinalysis, manual test	16	16	$20.33	$3.48
71046 X-ray of chest, 2 views	13	11	$54.50	$20.94
99495 Transitional care management services for problem of at least moderate complexity	12	12	$293.25	$167.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	206	145	$112.76	$60.45
36415 Insertion of needle into vein for collection of blood sample	123	93	$16.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	89	$167.82	$88.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$214.25	$95.13
G0008 Administration of influenza virus vaccine	40	40	$31.91	$15.82
81002 Urinalysis, manual test	33	26	$20.33	$3.47
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	27	27	$65.00	$61.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	15	$229.02	$119.62
71046 X-ray of chest, 2 views	13	13	$54.50	$19.72
99495 Transitional care management services for problem of at least moderate complexity	12	12	$293.25	$151.80
G0009 Administration of pneumococcal vaccine	11	11	$31.45	$15.78
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$62.75	$7.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	252	156	$97.96	$59.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	144	$145.00	$87.81
36415 Insertion of needle into vein for collection of blood sample	149	110	$16.00	$2.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$214.25	$94.54
G0008 Administration of influenza virus vaccine	48	47	$23.88	$15.55
90653 Vaccine for influenza for injection into muscle	37	37	$58.00	$56.75
G0009 Administration of pneumococcal vaccine	37	37	$26.05	$15.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$218.00	$115.36
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$321.25	$139.97
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$125.25	$110.87
81002 Urinalysis, manual test	23	20	$20.33	$3.41
71046 X-ray of chest, 2 views	17	17	$54.50	$18.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	12	$42.50	$12.51
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	13	$62.75	$7.76
90670 Pneumococcal vaccine for injection into muscle	13	13	$259.00	$208.71
99495 Transitional care management services for problem of at least moderate complexity	13	12	$293.25	$124.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	150	$97.89	$58.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	146	$144.84	$86.16
36415 Insertion of needle into vein for collection of blood sample	145	122	$16.00	$2.91
G0008 Administration of influenza virus vaccine	35	35	$23.70	$18.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$218.00	$116.96
90653 Vaccine for influenza for injection into muscle	21	21	$57.67	$53.37
G0009 Administration of pneumococcal vaccine	20	20	$26.50	$19.07
71046 X-ray of chest, 2 views	15	14	$54.50	$17.83
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$126.00	$105.59
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$25.00	$18.65
73502 X-ray of hip, 2-3 views	11	11	$92.25	$27.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	221	160	$97.76	$57.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	121	$145.00	$85.06
36415 Insertion of needle into vein for collection of blood sample	131	108	$16.00	$2.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	33	$218.00	$116.04
G0009 Administration of pneumococcal vaccine	30	30	$26.50	$23.43
71020 X-ray of chest, 2 views, front and side	19	19	$69.50	$15.33
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$106.94	$59.26
90670 Pneumococcal vaccine for injection into muscle	18	18	$259.00	$185.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$161.71	$86.35
G0008 Administration of influenza virus vaccine	15	15	$22.03	$21.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$126.00	$94.69

Medical Specialties & State Licenses

CMS Verified: 2026-02-12

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KS 76057

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License KS 13-106945

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201082920A (KS)

Commercial Insurance / Payer ID Medicare Ptan

068002226 (KS)

Hospital & Practice Group Affiliations

Cotton-O'neil Clinic Revocable Trust

4505 Nw Fielding Rd, Topeka, KS 666182651

Phone: 7853549591

Practice Associates & Co-Workers

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

21 Associated Practitioners

Tanya Mellen , APRN

Nurse Practitioner

NPI 1063213031

Advanced Practice Registered Nurse

Dr. Melissa Herrman , MD

Family Medicine

NPI 1184750796

Doctor of Medicine (M.D.)

Adam Schefers , PT

Physical Therapist

NPI 1205111259

Physical Therapist

Dr. Shri Lalitha Rayavarapu , MD

Family Medicine

NPI 1225383227

Doctor of Medicine (M.D.)

Melissa Tangeman , APRN

Nurse Practitioner

NPI 1235674532

Advanced Practice Registered Nurse

Dr. George Evans , MD

Family Medicine

NPI 1366400632

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2025

Nurse Practitioner (License #76057 in KS)

📍

Updated Practice Location November 04, 2020

Registered at 4505 NW FIELDING RD, TOPEKA, KS 666182651 (Tel: 7852700080)

📍

Updated Business Mailing Address November 04, 2020

Registered at 4505 NW FIELDING RD, TOPEKA, KS 666182651 (Tel: 7852700080)

✅

NPI Profile Active April 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2014

Registered at 1500 SW 10TH AVE, TOPEKA, KS 666041301 (Tel: 7853545598)

📍

Updated Business Mailing Address April 03, 2014

Registered at 1500 SW 10TH AVE, TOPEKA, KS 666041301 (Tel: 7853545598)

👤

Provider Name / Credentials Updated April 03, 2014

Recorded as PIPER HOWER, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2014

Registered Nurse (License #13-106945 in KS)

🟢

Initial NPI Registration & Enumeration July 12, 2013

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: 1437590809

Entity Type:

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

Enumeration Date: July 12, 2013

Last Update: February 12, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4505 Nw Fielding Rd

Topeka, KS 666182651

Phone: 7852700080

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.