Ashten Howard
Physician Assistant โข Carson City, NV
973 Mica Drive, Suite 201
Carson City, NV 89705
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 March 23, 2017; this date does not establish years in practice.
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Published CMS data list 1,078 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 252 service units.
- J3301 โ Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 248 service units.
- 99214 โ Established patient outpatient office visit: 195 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 18 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 834 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:
- Meloxicam โ 137 prescription fills, including refills.
- Cyclobenzaprine Hcl โ 114 prescription fills, including refills.
- Gabapentin โ 107 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 13 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Carson City, NV (2024, 15 clinicians with data). Median for this group: 1,142. Middle half: 558 to 1,647.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: 239. Middle half: 99 to 900.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 67 in 2020 to 1,078 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
973 Mica Drive
Suite 201
Carson City, NV 89705
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in San Jose, CA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: James J Lynch Md Ltd. 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
2016
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
358 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $72,073 in 2024
The total amount Medicare approved for these services in 2024. 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, 2024.
Paid by Medicare
About $54,171 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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, 2024.
30-day fills
872 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
$8,833 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: $47.34 across 2 records.
By nature of payment
- Food and Beverage: $47.34 across 2 records.
Reporting-company totals
- Globus Medical, Inc.: $26.03 across 1 record.
- SI-BONE, INC.: $21.31 across 1 record.
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
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 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
2017
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)
Ashten 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 Ashten 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 Carson City and Nevada
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Carson City, NV (2024, 15 clinicians with data). Median for this group: 1,142. Middle half: 558 to 1,647.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: 239. Middle half: 99 to 900.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Carson City, NV (2024, 15 clinicians with data). Median for this group: $72,073. Middle half: $44,793 to $122,302.
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $19,039. Middle half: $8,218 to $51,606.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Carson City, NV (2024, 15 clinicians with data). Median for this group: $54,171. Middle half: $32,662 to $92,866.
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $14,357. Middle half: $5,921 to $37,821.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Carson City, NV (2024, 20 clinicians with data). Median for this group: 551. Middle half: 184 to 1,384.
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Nevada (2024, 617 clinicians with data). Median for this group: 324. Middle half: 94 to 1,300.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Carson City, NV (2024, 20 clinicians with data). Median for this group: $9,768. Middle half: $2,137 to $81,584.
Close to the middle for clinicians listed under Physician Assistant in Nevada (2024, 617 clinicians with data). Median for this group: $7,774. Middle half: $876 to $106,842.
29 active clinicians are listed under Physician Assistant with a practice address in Carson City, NV (1,084 in Nevada).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Carson City
3.4% of these 29 clinicians have the CMS telehealth indicator.
58.6% of these 29 clinicians are listed by CMS as accepting Medicare assignment.
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 increased 1509% from 67 in 2020 to 1,078 in 2024.
- 2020: 67
- 2021: 225
- 2022: 298
- 2023: 921
- 2024: 1,078
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Medicare-allowed amount
Medicare-allowed amount increased 809% from $7,927 in 2020 to $72,073 in 2024.
- 2020: $7,927
- 2021: $25,165
- 2022: $27,382
- 2023: $66,862
- 2024: $72,073
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Paid by Medicare
Paid by Medicare increased 764% from $6,273 in 2020 to $54,171 in 2024.
- 2020: $6,273
- 2021: $19,775
- 2022: $21,434
- 2023: $49,730
- 2024: $54,171
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 192% from 286 in 2020 to 834 in 2024.
- 2020: 286
- 2021: 349
- 2022: 502
- 2023: 619
- 2024: 834
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30-day fills
30-day fills increased 200% from 291 in 2020 to 872 in 2024.
- 2020: 291
- 2021: 361
- 2022: 528
- 2023: 647
- 2024: 872
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Part D drug cost
Part D drug cost increased 331% from $2,050 in 2020 to $8,833 in 2024.
- 2020: $2,050
- 2021: $2,259
- 2022: $4,435
- 2023: $4,715
- 2024: $8,833
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $40.26 in 2021 to $47.34 in 2025.
- 2021: $40.26
- 2022: $64.15
- 2023: $1,490.54
- 2024: $55.08
- 2025: $47.34
Sources: CMS Medicare Physician & Other Practitioners (2024), 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): fewer than 11 records totaling $47.34.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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RELINE | General | $26.03 |
| SI-BONE, INC. |
Food and Beverage
Cash or cash equivalent
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โ | General | $21.31 |
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 2018โ2023 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, 2019โ2024; 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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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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252 | 151 | $264.00 | $75.14 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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248 | 30 | $10.00 | $0.97 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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195 | 173 | $558.00 | $105.92 |
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72110
X-ray of lower and sacral spine, minimum of 4 views
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60 | 60 | $650.00 | $43.28 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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55 | 55 | $671.00 | $136.88 |
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20610
Aspiration and/or injection of fluid from large joint
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54 | 30 | $1120.83 | $62.88 |
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80307
Testing for presence of drug, by chemistry analyzers
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32 | 32 | $876.00 | $60.90 |
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G0483
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
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27 | 27 | $1330.00 | $241.98 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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24 | 15 | $200.00 | $46.97 |
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63048
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
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20 | 12 | $992.00 | $26.43 |
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72050
X-ray of upper spine, 4-5 views
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19 | 19 | $650.00 | $42.15 |
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73564
X-ray of knee, 4 or more views
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15 | 14 | $450.00 | $37.16 |
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72100
X-ray of lower and sacral spine, 2-3 views
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14 | 13 | $400.00 | $33.20 |
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73030
X-ray of shoulder, minimum of 2 views
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14 | 13 | $400.00 | $29.15 |
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27447
Replacement of knee joint, both sides of knee
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13 | 13 | $1640.00 | $166.90 |
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63047
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
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12 | 12 | $3754.00 | $93.61 |
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72148
Mri scan of lower spinal canal without contrast
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12 | 12 | $2625.00 | $162.39 |
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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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12 | 12 | $450.00 | $92.56 |
Source: CMS Part B by Provider and Service, 2024; 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 |
|---|---|---|---|---|---|
| Meloxicam | Meloxicam | 137 | 4,230 | $433.84 | 64 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 114 | 2,753 | $564.43 | 64 |
| Gabapentin | Gabapentin | 107 | 3,589 | $722.33 | 42 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 100 | 1,719 | $1,765.88 | 69 |
| Methylprednisolone | Methylprednisolone | 99 | 595 | $621.18 | 90 |
| Tramadol Hcl | Tramadol Hcl | 95 | 896 | $205.94 | 53 |
| Methocarbamol | Methocarbamol | 40 | 1,005 | $442.55 | 18 |
| Tizanidine Hcl | Tizanidine Hcl | 32 | 639 | $201.09 | 22 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 29 | 663 | $883.79 | 22 |
| Oxycodone Hcl | Oxycodone Hcl | 24 | 700 | $670.22 | 16 |
| Celecoxib | Celecoxib | 24 | 840 | $1,235.11 | โ |
| Pregabalin | Pregabalin | 22 | 720 | $209.31 | โ |
| Lidocaine | Lidocaine | 11 | 450 | $876.87 | โ |
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: 2021-07-20NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20190326000667
NV
2860767597
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
James J Lynch Md Ltd
1470 Medical Pkwy, Carson City, NV 897034647
Phone: 7753488800
James J Lynch Md Ltd
10539 Professional Cir, Reno, NV 895213858
Phone: 7757936190
James J Lynch Md Ltd
961 Mica Dr, Carson City, NV 897057269
Phone: 7753488800
James J Lynch Md Ltd
2874 N Carson St, Carson City, NV 897061681
Phone: 7757836190
James J Lynch Md Ltd
973 Mica Dr, Carson City, NV 897057258
Phone: 7757836190
Secondary Practice Locations
1375 Blossom Hill Rd
San Jose, CA 951183806
Phone: 6267919004
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physical Therapist - Orthopedic
Doctor of Physical Therapy
Podiatrist - Foot & Ankle Surgery
Physician Assistant - Surgical
Physician Assistant (Certified)
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 973 MICA DRIVE, SUITE 201, CARSON CITY, NV 89705 (Tel: 7757836190)
Recorded as ASHTEN HOWARD
Registered at 973 MICA DR STE 201, CARSON CITY, NV 89705 (Tel: 7757836190)
Registered at 973 MICA DR STE 201, CARSON CITY, NV 897057258 (Tel: 7757836190)
Physician Assistant (license number reported to NPPES: NV 2074)
NPI status registered as active in NPPES database
Registered at 1375 BLOSSOM HILL RD, SAN JOSE, CA 951183806 (Tel: 6267919004)
Registered at 979 PINTO PALM TER, APT. 8, SUNNYVALE, CA 940873794 (Tel: 5735796670)
Recorded as ASHTEN HOWARD, PA-C
Physician Assistant (license number reported to NPPES: CA 54304)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Carson City
- Margaret Patterson
- Ana Turner, PA-C
- Shelby Real, PA-C
- Emma Bacharach
- Ashley Allen, PA-C
- Kaylee Nelson, PA
More public profiles in Nevada
Directory navigation, in NPI number order.
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- Robin Tomita Physical Medicine & Rehabilitation ยท Carson City
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- Delva Deauna-Limayo, MD Internal Medicine - Hematology & Oncology ยท N Las Vegas
- Regina Pedersen, PA-C Family Medicine ยท Reno
- Anhton Le, OD Optometrist ยท Las Vegas
- Fadi Hendee, MD Internal Medicine - Endocrinology, Diabetes & Metabolism ยท Reno
- Michael Kane, MD Emergency Medicine ยท Las Vegas
- John Lawyer, OD Optometrist ยท Henderson
- Samir Pancholi, DO Plastic Surgery ยท Las Vegas
- Timothy Rorman, DDS Dentist - General Practice ยท Las Vegas
- Brian Parker, MD Plastic Surgery ยท Las Vegas
Mailing Address
973 Mica Dr Ste 201
Carson City, NV 897057258
Phone: 7757836190