Joseph Randolph Howell , PA-C
Physician Assistant โข Roanoke, VA
2331 Franklin Rd Sw
Roanoke, VA 240141111
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 August 2, 2005; this date does not establish years in practice.
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Published CMS data list 44 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:
- 99285 โ Emergency department visit with high level of medical decision making: 29 service units.
- 99284 โ Emergency department visit with moderate level of medical decision making: 15 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 the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 15 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Cephalexin โ 15 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. 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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Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Roanoke, VA (2024, 144 clinicians with data). Median for this group: 202. Middle half: 69 to 470.
Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Virginia (2024, 2,258 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
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 55 in 2018 to 44 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2024.
Practice Location & Contact Primary Location
2331 Franklin Rd Sw
Roanoke, VA 240141111
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Nyssa, OR; Roanoke, VA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Carilion Giles Community Hospital; Carilion Medical Center. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2010
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
59 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 $5,539 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 $4,181 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
15 standardized 30-day fills in 2023
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
$162 in 2023
The total cost of these prescriptions in 2023, 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, 2023.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
16 years (graduated 2010)
CMS Doctors and Clinicians data list 2010 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, CMS release of October 2, 2026.
NPI first issued
2005
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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Joseph Howell 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 Joseph Howell 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 Roanoke and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Roanoke, VA (2024, 144 clinicians with data). Median for this group: 202. Middle half: 69 to 470.
Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Virginia (2024, 2,258 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Roanoke, VA (2024, 144 clinicians with data). Median for this group: $17,702. Middle half: $6,551 to $30,964.
A lower Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Virginia (2024, 2,258 clinicians with data). Median for this group: $23,147. Middle half: $9,001 to $44,300.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Physician Assistant in Roanoke, VA (2024, 144 clinicians with data). Median for this group: $12,849. Middle half: $4,913 to $23,363.
A lower Medicare payment amount than 80% of clinicians listed under Physician Assistant in Virginia (2024, 2,258 clinicians with data). Median for this group: $17,213. Middle half: $6,794 to $32,521.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Joseph Howell are from 2023.
307 active clinicians are listed under Physician Assistant with a practice address in Roanoke, VA (4,489 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Roanoke
13.4% of these 307 clinicians have the CMS telehealth indicator.
57.3% of these 307 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 decreased 20% from 55 in 2018 to 44 in 2024.
- 2018: 55
- 2021: 13
- 2022: 50
- 2023: 57
- 2024: 44
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $5,311 in 2018 and $5,539 in 2024.
- 2018: $5,311
- 2021: $1,979
- 2022: $5,605
- 2023: $7,213
- 2024: $5,539
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Paid by Medicare
Paid by Medicare varied from year to year: $4,184 in 2018 and $4,181 in 2024.
- 2018: $4,184
- 2021: $1,583
- 2022: $4,184
- 2023: $5,718
- 2024: $4,181
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 16 in 2015 to 15 in 2023.
- 2015: 16
- 2023: 15
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30-day fills
30-day fills went from 16 in 2015 to 15 in 2023.
- 2015: 16
- 2023: 15
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Part D drug cost
Part D drug cost went from $68 in 2015 to $162 in 2023.
- 2015: $68
- 2023: $162
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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, 2017โ2024; 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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99285
Emergency department visit with high level of medical decision making
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29 | 29 | $600.00 | $140.58 |
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99284
Emergency department visit with moderate level of medical decision making
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15 | 15 | $368.00 | $97.46 |
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 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 15 | 141 | $161.68 | 15 |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-08-11NUCC 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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20070327000308
VA
0244208932
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, CMS release of October 2, 2026
Carilion Giles Community Hospital
159 Hartley Way, Pearisburg, VA 241342471
Phone: 5409216000
Carilion Medical Center
1906 Belleview Ave Se, Roanoke, VA 240141838
Phone: 5409817000
Carilion Medical Center
2017 Jefferson St Sw, Roanoke, VA 240142419
Phone: 5409817925
Carilion Medical Center
2017 S Jefferson St, Roanoke, VA 240142419
Phone: 5409817128
Secondary Practice Locations
17 S 3rd St
Nyssa, OR 979133815
Phone: 5413725738
1906 Belleview Ave Se
Roanoke, VA 24014
Phone: 5409817000
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
Physician Assistant
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Hand Surgery
Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)
Physician Assistant - Medical
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2331 FRANKLIN RD SW, ROANOKE, VA 240141111 (Tel: 5405106200)
Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713
Additional practice office at 1906 Belleview Ave SE, Roanoke, VA 24014
Additional practice office at 17 S 3rd St, Nyssa, OR 979133815
Registered at 1906 BELLEVIEW AVE SE, ROANOKE, VA 24014 (Tel: 5409817000)
Registered at 1906 BELLEVIEW AVE SE, ROANOKE, VA 240141838 (Tel: 5409817000)
Physician Assistant (license number reported to NPPES: VA 0110002317)
NPI status registered as active in NPPES database
Registered at 17 S 3RD ST, NYSSA, OR 979133815 (Tel: 5413725738)
Registered at 17 S 3RD ST, NYSSA, OR 979133815 (Tel: 5413725738)
Recorded as JOSEPH HOWELL, PA-C
Physician Assistant (license number reported to NPPES: OR PA00976)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Roanoke
- Natasha Vietz
- Michael Hadley, PA-C
- Stephanie Richardson, PA-C
- German Martinez, PA-C
- Thomas Tronstad, PA-C
- Jenna Crozier
Mailing Address
213 S Jefferson St Ste 1006
Roanoke, VA 240111713