Medicare Enrolled
Dr. Timothy Howard, M.D.
Anesthesiology · Wilson, NC
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Howard from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Howard
Dr. Timothy Howard is an anesthesiology specialist in Wilson, NC, with 14 years of NPI registration. Based on federal Medicare data, Dr. Howard performed 15,166 Medicare services across 1,575 unique beneficiaries.
Between the years covered by Open Payments, Dr. Howard received a total of $6,022 from 30 pharmaceutical and/or device companies across 118 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Howard is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 14 years in practice
▲ Top 0% volume in NC
$6,022 industry payments
Medicare Practice Summary
Medicare Utilization ↗15,166
Medicare services
Top 0% in NC for anesthesiology
1,575
Unique beneficiaries
$11
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,083 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Contrast dye for imaging, lower concentration | 10,465 | $0 | $1 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
2,869 | $1 | $2 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
413 | $5 | $14 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
334 | $88 | $312 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
192 | $179 | $891 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
92 | $39 | $183 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
91 | $49 | $253 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
85 | $121 | $407 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
72 | $184 | $690 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
72 | $98 | $358 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
70 | $209 | $1,093 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
63 | $0 | $0 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
54 | $67 | $221 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
52 | $78 | $283 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
44 | $28 | $97 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
30 | $243 | $880 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
28 | $93 | $563 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
27 | $194 | $905 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
26 | $434 | $1,604 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
23 | $86 | $386 |
| Destruction of nerve branches of knee using imaging guidance | 22 | $284 | $1,347 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
18 | $74 | $273 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
13 | $12 | $28 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
11 | $66 | $562 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$6,022
Total received (2018-2024)
Avg $860/year across 7 years
Top 7% in NC for anesthesiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
118
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,022 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$344
2023
$341
2022
$260
2021
$387
2020
$224
2019
$3,194
2018
$1,273
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Nevro Corp.
$258
Endo USA, Inc.
$37
Endo Pharmaceuticals Inc.
$19
Spinal Simplicity, LLC
$15
Abbott Laboratories
$15
Top 3 companies account for 91.3% of 2024 payments
All-time payments by company (2018-2024) ›
Vertiflex, Inc.
$1,744
Vertos Medical, Inc.
$1,256
Stryker Corporation
$634
Medtronic USA, Inc.
$408
Boston Scientific Corporation
$345
Abbott Laboratories
$287
Nevro Corp.
$258
Medtronic, Inc.
$232
Ferring Pharmaceuticals Inc.
$190
Endo Pharmaceuticals Inc.
$105
SI-BONE, Inc.
$70
Amgen Inc.
$64
BOSTON SCIENTIFIC CORPORATION
$46
Bioventus LLC
$44
Allergan, Inc.
$42
Endo USA, Inc.
$37
Invuity, Inc.
$37
SI-BONE, INC.
$36
Pacira Therapeutics, Inc.
$24
Fidia Pharma USA Inc.
$22
ASSERTIO THERAPEUTICS, Inc.
$19
Collegium Pharmaceutical, Inc.
$18
Spinal Simplicity, LLC
$15
Siemens Medical Solutions USA, Inc.
$14
BioDelivery Sciences International, Inc.
$14
ARBOR PHARMACEUTICALS, INC.
$13
Pernix Therapeutics Holdings, Inc.
$13
Adamas Pharmaceuticals, Inc.
$12
Lilly USA, LLC
$12
Teva Pharmaceuticals USA, Inc.
$11
Top 3 companies account for 60.3% of all-time payments
Associated products mentioned in payments ›
ACTIVOS · AJOVY · BELBUCA · DALVANCE · ETERNA · EUFLEXXA · EVENITY · Exogen Ultrasound Bone Healing System · FORTEO · GELSYN 3 · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GENERAL THERAPIES · GOCOVRI · General - Pain Management · Gralise · HA MINUTEMAN G3-R · HYMOVIS · Horizant · INTELLIS · IONICRF · IVS - IVAS · IVS - MULTIGEN 2RF · IVS - VERTEBRAL AUGMENTATION PRODUCTS · KYPHON Balloon Kyphoplasty · MAGNETOM Altea · Neuromodulation Dspsbls and Accs · PROCLAIM · Photonblade · Proclaim Family of SCS IPGs · Proclaim Plus SCS with FlexBurst360 · Prolia · RESTORE · SPECTRA WAVEWRITER · SPECTRA WAVEWRITER (REFURBISHED) · Senza · Superion ISS · XIAFLEX · XTAMPZA · ZOHYDRO ER · Zilretta · iFuse Implant · mild Device Kit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for anesthesiology in NC.
Geographic Context
Anesthesiologists within 10 mi
23
Per 100K population
29.2
County median income
$51,381
Nearest hospital
WILSON MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Howard is a mixed practice specialist, with above-average Medicare volume (top 0% in NC), with low-engagement industry engagement in the top 7% of NC peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Howard experienced with contrast dye for imaging, lower concentration?
Based on Medicare claims data, Dr. Howard performed 10,465 contrast dye for imaging, lower concentration services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Howard receive payments from pharmaceutical companies?
Yes. Dr. Howard received a total of $6,022 from 30 companies across 118 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Howard's costs compare to other anesthesiologists in Wilson?
Dr. Howard's average Medicare payment per service is $11. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Howard) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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