Lacy Marie Howard , NP-C
Nurse Practitioner • Wheeling, WV
176 Anthoni Ave
Wheeling, WV 260036459
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 July 1, 2014; this date does not establish years in practice.
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Published CMS data list 704 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – 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 — Established patient outpatient office visit: 238 service units.
- 69210 — Removal of impacted ear wax: 173 service units.
- 99214 — Established patient outpatient office visit: 79 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 10 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 684 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Fluticasone Propionate — 190 prescription fills, including refills.
- Montelukast Sodium — 158 prescription fills, including refills.
- Azelastine Hcl — 98 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 14 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Wheeling, WV (2024, 17 clinicians with data). Median for this group: 119. Middle half: 45 to 339.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in West Virginia (2024, 250 clinicians with data). Median for this group: 180. Middle half: 75 to 371.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 49 in 2020 to 704 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
176 Anthoni Ave
Wheeling, WV 260036459
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 1 group name: Christopher Tiu Md Pllc. 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
2013
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
351 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 – by Provider, 2024.
Medicare-allowed amount
About $49,777 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 – by Provider and Service, 2024.
Paid by Medicare
About $35,412 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 – by Provider and Service, 2024.
30-day fills
934 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
$12,058 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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $15,089.19 across 70 records.
By nature of payment (3 largest of 4)
- Travel and Lodging: $4,985.54 across 19 records.
- Consulting Fee: $4,125.00 across 2 records.
- Honoraria: $4,000.00 across 2 records.
Reporting-company totals (3 largest of 5)
- Inspire Medical Systems, Inc.: $14,903.65 across 62 records.
- Regeneron Pharmaceuticals, Inc.: $93.90 across 3 records.
- GlaxoSmithKline, LLC.: $36.50 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
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 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
2014
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, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Lacy 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 Lacy 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 Wheeling and West Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Wheeling, WV (2024, 17 clinicians with data). Median for this group: 119. Middle half: 45 to 339.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in West Virginia (2024, 250 clinicians with data). Median for this group: 180. Middle half: 75 to 371.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Wheeling, WV (2024, 17 clinicians with data). Median for this group: $9,930. Middle half: $4,112 to $25,813.
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in West Virginia (2024, 250 clinicians with data). Median for this group: $12,883. Middle half: $5,734 to $25,351.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Wheeling, WV (2024, 17 clinicians with data). Median for this group: $6,988. Middle half: $3,213 to $19,241.
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in West Virginia (2024, 250 clinicians with data). Median for this group: $9,499. Middle half: $4,166 to $19,047.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Wheeling, WV (2024, 17 clinicians with data). Median for this group: 307. Middle half: 80 to 423.
More Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in West Virginia (2024, 291 clinicians with data). Median for this group: 415. Middle half: 91 to 1,535.
Part D drug cost
Close to the middle for clinicians listed under Nurse Practitioner in Wheeling, WV (2024, 17 clinicians with data). Median for this group: $12,058. Middle half: $518 to $37,589.
Close to the middle for clinicians listed under Nurse Practitioner in West Virginia (2024, 291 clinicians with data). Median for this group: $19,146. Middle half: $1,144 to $181,140.
30 active clinicians are listed under Nurse Practitioner with a practice address in Wheeling, WV (542 in West Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Wheeling
23.3% of these 30 clinicians have the CMS telehealth indicator.
73.3% of these 30 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 1337% from 49 in 2020 to 704 in 2024.
- 2020: 49
- 2021: 104
- 2022: 546
- 2023: 434
- 2024: 704
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Medicare-allowed amount
Medicare-allowed amount increased 2001% from $2,369 in 2020 to $49,777 in 2024.
- 2020: $2,369
- 2021: $6,338
- 2022: $37,609
- 2023: $31,517
- 2024: $49,777
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Paid by Medicare
Paid by Medicare increased 2082% from $1,623 in 2020 to $35,412 in 2024.
- 2020: $1,623
- 2021: $4,909
- 2022: $26,428
- 2023: $22,605
- 2024: $35,412
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 113% from 321 in 2020 to 684 in 2024.
- 2020: 321
- 2021: 354
- 2022: 315
- 2023: 407
- 2024: 684
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30-day fills
30-day fills increased 139% from 390 in 2020 to 934 in 2024.
- 2020: 390
- 2021: 441
- 2022: 427
- 2023: 547
- 2024: 934
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Part D drug cost
Part D drug cost decreased 70% from $40,188 in 2020 to $12,058 in 2024.
- 2020: $40,188
- 2021: $9,508
- 2022: $7,666
- 2023: $9,063
- 2024: $12,058
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $13.12 in 2021 to $15,089.19 in 2025.
- 2021: $13.12
- 2022: $280.79
- 2023: $632.72
- 2024: $2,420.40
- 2025: $15,089.19
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 · 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 – December 31, 2025): 70 records totaling $15,089.19.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Inspire Medical Systems, Inc. |
Consulting Fee
Cash or cash equivalent
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INSPIRE | General | $2,475.00 |
| Inspire Medical Systems, Inc. |
Honoraria
Cash or cash equivalent
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INSPIRE | General | $2,000.00 |
| Inspire Medical Systems, Inc. |
Honoraria
Cash or cash equivalent
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INSPIRE | General | $2,000.00 |
| Inspire Medical Systems, Inc. |
Consulting Fee
Cash or cash equivalent
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INSPIRE | General | $1,650.00 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
In-kind items and services
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INSPIRE | General | $716.97 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
In-kind items and services
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INSPIRE | General | $654.23 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
In-kind items and services
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INSPIRE | General | $580.32 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
In-kind items and services
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INSPIRE | General | $556.23 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
In-kind items and services
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INSPIRE | General | $389.43 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
Cash or cash equivalent
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INSPIRE | General | $388.22 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
In-kind items and services
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INSPIRE | General | $323.50 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
In-kind items and services
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INSPIRE | General | $290.16 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
In-kind items and services
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INSPIRE | General | $268.48 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
In-kind items and services
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INSPIRE | General | $256.05 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
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INSPIRE | General | $174.31 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
Cash or cash equivalent
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INSPIRE | General | $168.18 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $148.44 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $143.24 |
| Inspire Medical Systems, Inc. |
Travel and Lodging
Cash or cash equivalent
|
INSPIRE | General | $108.00 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $94.40 |
| Inspire Medical Systems, Inc. |
Food and Beverage
Cash or cash equivalent
|
INSPIRE | General | $82.86 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $80.46 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $79.10 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $72.63 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $70.25 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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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238 | 162 | $175.00 | $69.13 |
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69210
Removal of impacted ear wax
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173 | 125 | $185.00 | $37.69 |
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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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79 | 59 | $255.00 | $100.70 |
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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
|
73 | 73 | $260.00 | $88.60 |
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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
|
34 | 34 | $320.00 | $133.18 |
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31575
Diagnostic exam of voice box using a flexible endoscope
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32 | 32 | $301.00 | $98.48 |
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95976
Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming
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23 | 17 | $50.00 | $31.75 |
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95977
Electronic analysis of implanted neurostimulator generator with complex cranial nerve stimulator programming
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22 | 17 | $75.00 | $42.35 |
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31231
Diagnostic exam of nasal passages using an endoscope
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19 | 18 | $456.00 | $137.59 |
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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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11 | 11 | $110.00 | $38.60 |
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 |
|---|---|---|---|---|---|
| Fluticasone Propionate | Fluticasone Propionate | 190 | 7,559 | $2,036.27 | 75 |
| Montelukast Sodium | Montelukast Sodium | 158 | 7,397 | $1,204.01 | 47 |
| Azelastine Hcl | Azelastine Hcl | 98 | 4,159 | $1,982.48 | 42 |
| Prednisone | Prednisone | 38 | 522 | $106.84 | 31 |
| Omeprazole | Omeprazole | 30 | 1,740 | $223.83 | 11 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 29 | 310 | $417.70 | 23 |
| Ciprofloxacin-Dexamethasone | Ciprofloxacin Hcl/Dexameth | 29 | 336 | $3,335.08 | 21 |
| Ipratropium Bromide | Ipratropium Bromide | 24 | 1,061 | $871.30 | 12 |
| Famotidine | Famotidine | 18 | 600 | $86.04 | — |
| Ofloxacin | Ofloxacin | 16 | 197 | $542.57 | 15 |
| Mometasone Furoate | Mometasone Furoate | 15 | 270 | $194.12 | 11 |
| Fluocinolone Acetonide Oil | Fluocinolone Acetonide Oil | 15 | 580 | $839.51 | — |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 12 | 453 | $111.62 | — |
| Mupirocin | Mupirocin | 12 | 228 | $106.53 | — |
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: 2025-04-22NUCC 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.
NUCC 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
I20140917003118
WV
5092934935
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
Christopher Tiu Md Pllc
176 Anthoni Ave, Wheeling, WV 260036459
Phone: 3042342060
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Otolaryngology
Doctor of Dental Surgery, Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Otolaryngology
Doctor of Medicine (M.D.)
Otolaryngology
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 176 ANTHONI AVE, WHEELING, WV 260036459 (Tel: 3042342060)
Registered at 176 ANTHONI AVE, WHEELING, WV 260036459 (Tel: 3042342060)
NPI status registered as active in NPPES database
Registered at 2101 JACOB ST, SUITE 703, WHEELING, WV 260033800 (Tel: 3042428050)
Registered at 2000 EOFF ST, WHEELING, WV 260033823 (Tel: 3042348663)
Recorded as LACY HOWARD, NP-C
Nurse Practitioner (license number reported to NPPES: WV APRN71004-NP-C)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Wheeling
- Margaret Williams Baker, FNP-C
- Carmen Sincavich, CFNP
- Donald Boyles, FNP
- Michelle Hartley, APRN-CNP
- Michael Estes, NP-C
- Charity May, FNP-BC
Mailing Address
176 Anthoni Ave
Wheeling, WV 260036459
Phone: 3042342060