Dr. Howard Lamoyne Smith , MD
Neurological Surgery โข Killeen, TX
3400 E Central Texas Expy Ste 101
Killeen, TX 765437326
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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Dr. Howard Smith is listed in NPPES under Neurological Surgery.
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NPI assigned on February 22, 2008; this date does not establish years in practice.
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Published CMS data list 191 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 99212 โ Established patient outpatient office visit: 136 service units.
- 99204 โ New patient outpatient office visit: 38 service units.
- 99222 โ Initial hospital care with straightforward or low-level medical decision making: 17 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 14 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Published rows only; this is not a quality measure.
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Published Part D records, 2022:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 366 in 2018 to 191 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2022.
Practice Location & Contact Primary Location
3400 E Central Texas Expy Ste 101
Killeen, TX 765437326
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 Waco, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Neurological Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $15,743 in 2022
The total amount Medicare approved for these services in 2022. 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, 2022.
Paid by Medicare
About $11,868 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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, 2022.
30-day fills
14 standardized 30-day fills in 2022
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
$244 in 2022
The total cost of these prescriptions in 2022, 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, 2022.
Open Payments general payments, program year 2024
All general payments: $106.54 across 5 records.
By nature of payment
- Food and Beverage: $106.54 across 5 records.
Reporting-company totals
- Abbott Laboratories: $106.54 across 5 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 2024 (published June 30, 2026).
NPI first issued
2008
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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)
Dr. Smith 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 Dr. Smith 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 Killeen and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Smith are from 2022.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Smith are from 2022.
2 active clinicians are listed under Neurological Surgery with a practice address in Killeen, TX (669 in Texas).
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 48% from 366 in 2018 to 191 in 2022.
- 2018: 366
- 2019: 142
- 2020: 178
- 2021: 213
- 2022: 191
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Medicare-allowed amount
Medicare-allowed amount decreased 74% from $60,546 in 2018 to $15,743 in 2022.
- 2018: $60,546
- 2019: $11,755
- 2020: $15,071
- 2021: $20,241
- 2022: $15,743
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Paid by Medicare
Paid by Medicare decreased 75% from $47,420 in 2018 to $11,868 in 2022.
- 2018: $47,420
- 2019: $8,562
- 2020: $11,238
- 2021: $15,513
- 2022: $11,868
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 87% from 105 in 2018 to 14 in 2022.
- 2018: 105
- 2019: 52
- 2020: 68
- 2021: 40
- 2022: 14
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30-day fills
30-day fills decreased 87% from 107 in 2018 to 14 in 2022.
- 2018: 107
- 2019: 52
- 2020: 70
- 2021: 40
- 2022: 14
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Part D drug cost
Part D drug cost decreased 86% from $1,805 in 2018 to $244 in 2022.
- 2018: $1,805
- 2019: $994
- 2020: $1,359
- 2021: $490
- 2022: $244
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 97% from $4,003.44 in 2019 to $106.54 in 2024.
- 2019: $4,003.44
- 2020: $232.84
- 2021: $154.12
- 2022: $231.67
- 2024: $106.54
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2022), CMS Open Payments (2024), 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 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $106.54.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $24.63 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $23.90 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $20.46 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $19.80 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $17.75 |
Source: CMS Open Payments, program year 2024, 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 2016โ2021 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, 2017โ2022; 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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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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136 | 66 | $84.00 | $54.47 |
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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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38 | 38 | $320.00 | $161.54 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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17 | 17 | $268.00 | $129.23 |
Source: CMS Part B by Provider and Service, 2022; 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 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 14 | 128 | $243.67 | โ |
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-03-19NUCC Taxonomy Code: 207T00000X
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.
NUCC Taxonomy Code: 207T00000X
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.
NUCC Taxonomy Code: 207LP2900X
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
NUCC Taxonomy Code: 207XS0117X
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NEUROSURGERY
I20100208000537
TX
6406999820
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
3500 Hillcrest Dr Ste 1
Waco, TX 767083144
Phone: 2547416641
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Pain Medicine - Interventional Pain Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Gerontology
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Nurse Practitioner - Family
Family Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner
Pain Medicine - Interventional Pain Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3400 E CENTRAL TEXAS EXPY STE 101, KILLEEN, TX 765437326 (Tel: 2547416641)
Registered at 101 W LOUIS HENNA BLVD STE 300, AUSTIN, TX 787281203 (Tel: 5122444272)
Neurological Surgery (license number reported to NPPES: MO 2011032766)
NPI status registered as active in NPPES database
Registered at 1227 3RD ST, CORPUS CHRISTI, TX 784042313 (Tel: 3618834323)
Registered at 1723 BROADWAY ST, SUITE 410, CAPE GIRARDEAU, MO 637014566 (Tel: 5733391957)
Recorded as HOWARD SMITH, M.D.
Anesthesiology (license number reported to NPPES: TX H9717)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
101 W Louis Henna Blvd Ste 300
Austin, TX 787281203
Phone: 5122444272