Pamala Scott Howard , APRN
Nurse Practitioner โข Mount Dora, FL
16890 Us Highway 441
Mount Dora, FL 327576705
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on April 17, 2021; this date does not establish years in practice.
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Published CMS data list 210 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 20553 โ Injection of trigger points, 3 or more muscles: 85 service units.
- 99213 โ Established patient outpatient office visit: 61 service units.
- 99203 โ New patient outpatient office visit: 46 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,677 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Famotidine โ 396 prescription fills, including refills.
- Omeprazole โ 390 prescription fills, including refills.
- Dicyclomine Hcl โ 132 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 24 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Florida (2024, 3,506 clinicians with data). Median for this group: 306. Middle half: 76 to 1,100.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 539 in 2021 to 210 in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2023.
Practice Location & Contact Primary Location
16890 Us Highway 441
Mount Dora, FL 327576705
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Minuteclinic Llc; Orlando Carenow Urgent Care Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2022
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $13,902 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
Paid by Medicare
About $9,074 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
30-day fills
2,920 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$170,055 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $385.67 across 20 records.
By nature of payment
- Food and Beverage: $385.67 across 20 records.
Reporting-company totals (3 largest of 11)
- ABBVIE INC.: $111.72 across 5 records.
- Pfizer Inc.: $52.06 across 3 records.
- Janssen Pharmaceuticals, Inc: $40.51 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Pamala Howard has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Pamala Howard as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Mount Dora and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Florida (2024, 3,506 clinicians with data). Median for this group: 306. Middle half: 76 to 1,100.
Too few clinicians listed under Nurse Practitioner in Mount Dora have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Florida (2024, 3,506 clinicians with data). Median for this group: $18,227. Middle half: $1,370 to $130,581.
Too few clinicians listed under Nurse Practitioner in Mount Dora have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Pamala Howard are from 2023.
10 active clinicians are listed under Nurse Practitioner with a practice address in Mount Dora, FL (8,853 in Florida).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 61% from 539 in 2021 to 210 in 2023.
- 2021: 539
- 2022: 253
- 2023: 210
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Medicare-allowed amount
Medicare-allowed amount decreased 60% from $35,163 in 2021 to $13,902 in 2023.
- 2021: $35,163
- 2022: $21,454
- 2023: $13,902
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Paid by Medicare
Paid by Medicare decreased 68% from $28,585 in 2021 to $9,074 in 2023.
- 2021: $28,585
- 2022: $12,549
- 2023: $9,074
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 279% from 442 in 2021 to 1,677 in 2024.
- 2021: 442
- 2022: 231
- 2023: 247
- 2024: 1,677
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30-day fills
30-day fills increased 516% from 474 in 2021 to 2,920 in 2024.
- 2021: 474
- 2022: 244
- 2023: 439
- 2024: 2,920
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Part D drug cost
Part D drug cost increased 3928% from $4,222 in 2021 to $170,055 in 2024.
- 2021: $4,222
- 2022: $1,903
- 2023: $13,373
- 2024: $170,055
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $57.80 in 2021 to $385.67 in 2025.
- 2021: $57.80
- 2023: $322.26
- 2024: $1,641.15
- 2025: $385.67
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 20 records totaling $385.67.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $28.79 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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SKYRIZI | General | $27.46 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $27.30 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $25.75 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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RINVOQ | General | $25.55 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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XIFAXAN | General | $24.03 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
|
Luja Coude | General | $23.12 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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XELJANZ | General | $20.37 |
| IRONWOOD PHARMACEUTICALS, INC |
Food and Beverage
Cash or cash equivalent
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Linzess | General | $20.09 |
| EVOKE PHARMA, INC. |
Food and Beverage
In-kind items and services
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GIMOTI | General | $19.47 |
| Aimmune Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
ZENPEP | General | $19.40 |
| EVOKE PHARMA, INC. |
Food and Beverage
In-kind items and services
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GIMOTI | General | $16.36 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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XELJANZ | General | $16.25 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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XELJANZ | General | $15.44 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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CREON | General | $15.41 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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IQIRVO | General | $15.23 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $14.76 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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LINZESS | General | $14.51 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
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VOQUEZNA | General | $8.34 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
|
VOQUEZNA | General | $8.04 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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20553
Injection of trigger points, 3 or more muscles
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85 | 21 | $160.00 | $51.57 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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61 | 36 | $300.00 | $75.17 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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46 | 46 | $293.48 | $94.45 |
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72100
X-ray of lower and sacral spine, 2-3 views
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18 | 18 | $118.06 | $32.67 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Famotidine | Famotidine | 396 | 24,909 | $5,396.37 | 153 |
| Omeprazole | Omeprazole | 390 | 25,860 | $5,224.11 | 161 |
| Dicyclomine Hcl | Dicyclomine Hcl | 132 | 5,470 | $2,676.52 | 86 |
| Gavilyte-G | Peg3350/Sod Sulf,bicarb,cl/Kcl | 129 | 528 | $1,984.28 | 127 |
| Pantoprazole Sodium | Pantoprazole Sodium | 104 | 6,316 | $988.74 | 48 |
| Linzess | Linaclotide | 101 | 3,540 | $61,662.06 | 33 |
| Colestipol Hcl | Colestipol Hcl | 52 | 2,544 | $5,134.61 | 30 |
| Lactulose | Lactulose | 38 | 530 | $234.14 | 31 |
| Budesonide Dr | Budesonide | 34 | 1,380 | $4,197.74 | โ |
| Cholestyramine | Cholestyramine (With Sugar) | 31 | 1,038 | $2,032.86 | 16 |
| Ondansetron Hcl | Ondansetron Hcl | 30 | 560 | $323.04 | 27 |
| Sucralfate | Sucralfate | 28 | 854 | $1,237.75 | 20 |
| Colesevelam Hcl | Colesevelam Hcl | 28 | 1,692 | $2,434.17 | 13 |
| Metronidazole | Metronidazole | 23 | 234 | $163.68 | 19 |
| Ondansetron Odt | Ondansetron | 22 | 657 | $1,216.43 | 16 |
| Peg-3350 And Electrolytes | Peg3350/Sod Sulf,bicarb,cl/Kcl | 22 | 22 | $349.49 | 22 |
| Dexlansoprazole Dr | Dexlansoprazole | 20 | 1,186 | $4,945.31 | โ |
| Creon | Lipase/Protease/Amylase | 19 | 707 | $50,106.00 | โ |
| Gavilyte-C | Peg3350/Sod Sulf,bicarb,cl/Kcl | 15 | 15 | $275.65 | 15 |
| Trulance | Plecanatide | 15 | 690 | $12,028.56 | โ |
| Movantik | Naloxegol Oxalate | 13 | 450 | $6,081.21 | โ |
| Cholestyramine Light | Cholestyramine | 13 | 347 | $570.82 | โ |
| Hydrocortisone | Hydrocortisone | 11 | 210 | $120.97 | โ |
| Sod Sulf-Potass Sulf-Mag Sulf | Sodium, Potassium,mag Sulfates | 11 | 364 | $670.13 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-03-17NUCC Taxonomy Code: 363L00000X
(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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20211004002065
FL
0042618142
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Orlando Carenow Urgent Care Llc
16890 Us Hwy 441, Mount Dora, FL 327576705
Phone: 3527292514
Minuteclinic Llc
5208 E County Rd, The Villages, FL 321629303
Phone: 8663892727
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 16890 US HIGHWAY 441, MOUNT DORA, FL 327576705 (Tel: 3527292514)
Registered at 16890 US HIGHWAY 441, MOUNT DORA, FL 327576705 (Tel: 3527292514)
Nurse Practitioner (license number reported to NPPES: FL 11012001)
Registered at 5208 E COUNTY ROAD 466, THE VILLAGES, FL 321629303 (Tel: 3527514700)
Registered at 5208 E COUNTY ROAD 466, THE VILLAGES, FL 321629303 (Tel: 3527514700)
NPI status registered as active in NPPES database
Registered at 33230 KAYLEE WAY, LEESBURG, FL 347883830 (Tel: 3524609915)
Registered at 33230 KAYLEE WAY, LEESBURG, FL 347883830 (Tel: 3524609915)
Recorded as PAMALA HOWARD, APRN
Family Medicine (license number reported to NPPES: FL 11012001)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Mount Dora
Healthcare providers in Mount DoraMailing Address
16890 Us Highway 441
Mount Dora, FL 327576705
Phone: 3527292514