Active NPI 1801074661 Individual Practitioner Male Practitioner

Dr. Gregory Allen Howes , MD

Neurological Surgery • Roanoke, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Howes, MD is a certified Neurological Surgery practicing in Roanoke, VA. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Howes delivers high-quality medical care to the local community at 2331 FRANKLIN RD SW.

Dr. Howes maintains professional affiliations with Oandw Enterprises, Carilion Medical Center, Carilion Giles Community Hospital and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, fusion of additional segment of spine, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2331 Franklin Rd Sw

Roanoke, VA 24014

Telephone 5402245170

Fax 5403443016

Associated Practice Facility / Clinic

🏢 Carilion Medical Center Facility NPI 1851621130

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Roanoke, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +7.3 yrs vs City Avg

City Avg: 17.7 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

22 Specialists

Practicing in Roanoke, VA (198 Statewide)

Telehealth Adoption Rate

36.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Howes (25 Years) 25 Yrs

Roanoke Specialty Average (17.7 Years) 17.7 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$83.58	$77.32
22614 Fusion of additional segment of spine	56	17	$1225.00	$365.29
99441 Telephone medical discussion with physician, 5-10 minutes	49	46	$104.57	$33.47
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$65.96	$59.40
63048 Partial removal of spine bone with release of spinal cord and/or nerves	43	20	$711.00	$196.62
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	38	19	$783.89	$239.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$141.24	$126.26
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	27	27	$3457.81	$878.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$93.24	$83.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	18	$96.00	$47.32
99283 Emergency department visit with low level of medical decision making	21	21	$216.00	$67.68
22842 Placement of stabilizing device to back, 3-6 spine bone segments	20	20	$2400.00	$709.60
22633 Fusion of spine in lower back with partial removal of spine bone and disc	16	16	$5360.63	$1706.61
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	15	15	$700.00	$239.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	95	35	$932.39	$369.48
63048 Partial removal of spine bone with release of spinal cord and/or nerves	67	30	$513.99	$199.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$113.02	$80.14
99441 Telephone medical discussion with physician, 5-10 minutes	61	53	$67.28	$34.08
99213 Established patient office or other outpatient visit, typically 15 minutes	49	47	$64.16	$58.78
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	47	23	$630.98	$247.78
22842 Placement of stabilizing device to back, 3-6 spine bone segments	39	39	$1866.64	$723.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$93.06	$84.65
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	26	16	$962.15	$465.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$174.08	$128.48
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	25	15	$453.92	$219.78
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$4879.90	$1755.73
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	20	20	$605.60	$248.06
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$2685.11	$779.11
63045 Partial removal of upper spine bone with release of spinal cord and/or nerves	16	16	$2762.84	$709.26
22600 Fusion of spine in neck by posterior approach	14	14	$2669.43	$1224.24
22612 Fusion of spine in lower back	12	12	$4118.08	$1540.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	87	26	$886.00	$388.63
99213 Established patient office or other outpatient visit, typically 15 minutes	80	70	$71.45	$66.74
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	56	24	$600.00	$255.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$109.20	$83.42
99441 Telephone medical discussion with physician, 5-10 minutes	45	42	$57.00	$35.04
22842 Placement of stabilizing device to back, 3-6 spine bone segments	31	29	$1729.00	$756.83
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	31	16	$407.87	$186.58
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	31	16	$835.00	$491.11
63048 Partial removal of spine bone with release of spinal cord and/or nerves	27	16	$447.00	$208.78
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$4738.00	$1846.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$104.67	$97.47
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	20	20	$582.00	$255.84
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$2199.00	$700.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	122	38	$886.00	$393.96
99213 Established patient office or other outpatient visit, typically 15 minutes	96	81	$71.92	$66.62
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	66	37	$600.00	$257.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	47	$108.79	$97.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$103.00	$83.79
99441 Telephone medical discussion with physician, 5-10 minutes	36	27	$57.00	$36.06
22842 Placement of stabilizing device to back, 3-6 spine bone segments	35	35	$1729.00	$767.82
63048 Partial removal of spine bone with release of spinal cord and/or nerves	33	20	$447.00	$212.72
22633 Fusion of spine in lower back with partial removal of spine bone and disc	31	31	$4738.00	$1827.32
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	30	30	$2199.00	$784.04
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	22	13	$835.00	$499.17
22612 Fusion of spine in lower back	13	13	$4058.00	$1546.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$41.00	$36.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$165.08	$138.94
63685 Insertion of spinal neurostimulator pulse generator or receiver	11	11	$984.00	$217.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	93	31	$886.00	$402.21
99213 Established patient office or other outpatient visit, typically 15 minutes	85	76	$76.11	$53.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	69	$107.53	$81.05
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	66	34	$600.00	$263.48
63048 Partial removal of spine bone with release of spinal cord and/or nerves	56	30	$447.00	$216.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$108.06	$78.94
99441 Telephone medical discussion with physician, 5-10 minutes	45	43	$57.00	$26.11
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	31	31	$2199.00	$905.35
22842 Placement of stabilizing device to back, 3-6 spine bone segments	27	27	$1729.00	$783.58
22633 Fusion of spine in lower back with partial removal of spine bone and disc	22	22	$4738.00	$1812.75
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	20	11	$863.00	$406.02
22600 Fusion of spine in neck by posterior approach	15	15	$2458.00	$1229.62
63045 Partial removal of upper spine bone with release of spinal cord and/or nerves	15	15	$2434.00	$699.81
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$84.71	$59.94
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	13	$3700.00	$1734.78
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	12	12	$110.00	$53.71
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$1727.00	$781.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	140	$72.95	$51.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	103	$99.21	$77.99
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	115	54	$600.00	$250.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$109.09	$79.66
22614 Fusion of additional segment of spine	86	33	$886.00	$397.19
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	39	23	$863.00	$380.65
63048 Partial removal of spine bone with release of spinal cord and/or nerves	39	26	$447.00	$214.59
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	37	37	$2199.00	$827.00
22633 Fusion of spine in lower back with partial removal of spine bone and disc	29	28	$4778.84	$1848.14
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	28	28	$3700.00	$1617.67
22842 Placement of stabilizing device to back, 3-6 spine bone segments	25	24	$1729.00	$776.28
22612 Fusion of spine in lower back	20	20	$4058.00	$1546.56
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	19	13	$778.00	$503.61
22846 Placement of stabilizing device to front, 4-7 spine bone segments	17	17	$1712.00	$735.22
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	16	16	$1846.00	$858.59
22845 Placement of stabilizing device to front, 2-3 spine bone segments	16	16	$1647.00	$706.65
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$1727.00	$751.57
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$80.85	$56.17
99283 Emergency department visit with low level of medical decision making	12	12	$96.00	$61.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	255	206	$71.38	$52.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	120	$100.30	$77.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$107.74	$78.85
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	86	46	$600.00	$251.73
22614 Fusion of additional segment of spine	45	24	$886.00	$397.16
63048 Partial removal of spine bone with release of spinal cord and/or nerves	43	26	$447.00	$212.20
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	39	38	$2184.90	$727.69
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$71.66	$51.86
22633 Fusion of spine in lower back with partial removal of spine bone and disc	27	27	$4464.81	$1872.99
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	27	16	$863.00	$404.15
63685 Insertion of spinal neurostimulator pulse generator or receiver	26	25	$984.00	$205.10
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	21	21	$1569.00	$786.27
22612 Fusion of spine in lower back	20	20	$3972.53	$1451.81
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	19	19	$3700.00	$1635.74
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$1729.00	$775.24
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	15	11	$778.00	$503.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$40.00	$25.43
22840 Placement of stabilizing device to back of 1 spine bone in neck	13	13	$1727.00	$772.19
22846 Placement of stabilizing device to front, 4-7 spine bone segments	11	11	$1712.00	$769.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$153.73	$120.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	172	$74.14	$53.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	120	$100.49	$77.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	132	132	$112.27	$79.86
22614 Fusion of additional segment of spine	103	41	$886.00	$394.28
63048 Partial removal of spine bone with release of spinal cord and/or nerves	79	34	$441.34	$206.68
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	54	32	$600.00	$258.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	32	$111.00	$71.33
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	42	42	$2212.09	$667.92
22612 Fusion of spine in lower back	37	37	$3150.00	$1356.51
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$75.65	$53.57
22633 Fusion of spine in lower back with partial removal of spine bone and disc	18	18	$2894.00	$1714.60
63685 Insertion of spinal neurostimulator pulse generator or receiver	18	18	$984.00	$185.70
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	17	17	$1569.00	$766.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$40.00	$25.13
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	16	11	$863.00	$401.03
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$1727.00	$720.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$151.40	$130.70
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	15	15	$3700.00	$1542.60

Medical Specialties & State Licenses

CMS Verified: 2026-01-28

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License VA 0102204020

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100074770 (KY)

Medicaid State Provider ID

2945022 (OH)

Hospital & Practice Group Affiliations

Carilion Medical Center

1906 Belleview Ave Se, Roanoke, VA 240141838

Phone: 5409817000

Oandw Enterprises

935 Fairystone Park Hwy, Stanleytown, VA 241683014

Phone: 8887240268

Carilion Medical Center

2331 Franklin Rd Sw, Roanoke, VA 240141111

Phone: 5402245170

Carilion Medical Center

2017 S Jefferson St, Roanoke, VA 240142419

Phone: 5409817128

Carilion Medical Center

2017 Jefferson St Sw, Roanoke, VA 240142419

Phone: 5409817925

Carilion Giles Community Hospital

1107 A Brookdale St, Martinsville, VA 241124501

Phone: 2766703300

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Jed Gonzalo , MD

Internal Medicine

NPI 1003073685

Doctor of Medicine (M.D.)

Dr. Matthew Dawson , MD

Physical Medicine & Rehabilitation

NPI 1003159021

Doctor of Medicine (M.D.)

Dr. Kristin Mccoy , MD

Surgery

NPI 1003202425

Doctor of Medicine (M.D.)

Modupe White , FNP-C

Nurse Practitioner - Family

NPI 1003316431

Family Nurse Practitioner (Certified)

Dr. Vishal Gohil , MD

Internal Medicine - Gastroenterology

NPI 1013120997

Doctor of Medicine (M.D.)

Dr. John Fraser , MD

Neurological Surgery

NPI 1013987270

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address January 28, 2026

Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713

📍

Updated Practice Location January 29, 2019

Registered at 2331 FRANKLIN RD SW, ROANOKE, VA 24014 (Tel: 5402245170)

📍

Updated Business Mailing Address January 29, 2019

Registered at 2331 FRANKLIN RD SW, ROANOKE, VA 240141111 (Tel: 5402245170)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2019

Neurological Surgery (License #0102204020 in VA)

✅

NPI Profile Active February 19, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2013

Registered at 10550 MONTGOMERY RD, CINCINNATI, OH 452424498 (Tel: 5137916400)

📍

Updated Business Mailing Address February 19, 2013

Registered at 111 WELLINGTON PL, CINCINNATI, OH 452191758 (Tel: 5139615558)

👤

Provider Name / Credentials Updated February 19, 2013

Recorded as GREGORY HOWES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2013

Neurological Surgery (License #34.009586 in OH)

🟢

Initial NPI Registration & Enumeration February 04, 2008

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: 1801074661

Entity Type:

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

Enumeration Date: February 04, 2008

Last Update: January 28, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

213 S Jefferson St Ste 1006

Roanoke, VA 240111713

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.