Preston B. Howerton, DO
NPI 1023004652ActiveIndividual· Internal Medicine· Marshall, MO
Internal Medicine (DO) with John Fitzgibbon Memorial Hospital Inc, practicing in Marshall, Missouri. Their prescriptions cost Medicare Part D more than their services did: $257,172 for 2,604 claims, against $4,471 paid for services in 2024. Titan Surgical Group, LLC was the largest of 2 companies reporting payments in 2025, $60.09 in all, mostly food and beverage. Lists Fitzgibbon Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1023004652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Sep 20, 2005 |
| Last updated in NPPES | Mar 5, 2024 |
| Certified by provider | Mar 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 2005029307 | MO |
| Preventive Medicine, Aerospace Medicine | 2083A0100X | 2005029307 | MO |
| Emergency Medicine | 207P00000X | 2005029307 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 71 across 7 procedure codes |
| Paid by Medicare | $4,471 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,604 · 5,043 30-day fills |
|---|---|
| Patients | 198 |
| Total drug cost | $257,172 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- John Fitzgibbon Memorial Hospital IncMarshall, MO · 45 clinicians
Hospital affiliations
- Fitzgibbon HospitalMarshall, MO
- Lafayette Regional Health CenterLexington, MO
Industry payments (Open Payments)
- 2025$60.09 · 2 payments from 2 companies
- 2024$13.80 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Titan Surgical Group, LLC | $42.50 | 1 |
| Exact Sciences Corporation | $17.59 | 1 |
What the 2025 payments were for
- Food and Beverage$60.09 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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