Dr. Jerome Howell, MD
1 Medical Center Blvd, Cookeville, TN 38501 • +1-851-555-3629
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Cookeville Percentiles
NPI #1164400511 • CBSA Regional • Hospitalist
Operating out of Cookeville, TN (1 Medical Center Blvd), Hospitalist clinician Dr. Jerome Howell, MD (accredited MD/DO training, 1993) maintains a focused low-volume boutique caseload (25th Cookeville percentile) (65.55th TN percentile; Z-score -0.20σ across 919 documented services) with sub-specialty concentration in 8 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1164400511 highlights 414 annual claims for 99214 (25th Cookeville percentile; $136–$187 self-pay corridor) plus 239 encounters under 99213 and 119 under 93000.
Direct cash-pay transparency modeling sets Dr. Howell's baseline new-consult rate near $201.00 in Cookeville, TN (cash-pay accepted, hybrid in-clinic and telehealth video consults, 14-minute average reception wait).
Clinical background for Dr. Howell (MD, NPI #1164400511) includes accredited doctoral training (1993, 33 yrs in practice) and virtual + in-office availability across TN.
Compared against Cookeville, TN Hospitalist peers
919 annual services across 379 beneficiaries
Standard deviations from TN Hospitalist mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 414 | 25th | $136 – $187 |
| 99213 | Established Preventive & Chronic Care Visit | 239 | 29th | $104 – $143 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 119 | 23th | $50 – $68 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 92 | 27th | $160 – $219 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 55 | 28th | $189 – $260 |
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Dr. Jerome Howell, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Howell National Provider Identifier | NPI #1164400511 (MD) | CMS NPPES Registry (38501) |
| Dr. Howell Cookeville CMS Volume Rank | 25.00th Pct (919 CMS svcs; Z -0.202σ) | CMS Medicare Part B (TN Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Cookeville, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 14 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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