Vaughn Theodore Howe, P.A.
NPI 1235256272ActiveIndividual· Physician Assistant, Medical· Bremerton, WA
Physician Assistant, Medical (P.A.) with Sound Pain Alliance, practicing in Bremerton, Washington. Their prescriptions cost Medicare Part D more than their services did: $439,553 for 4,873 claims, against $165,172 paid for services in 2024. Vertex Pharmaceuticals Incorporated was the largest of 11 companies reporting payments in 2025, $753.59 in all, mostly food and beverage. Lists Jefferson Healthcare and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1235256272 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Mar 23, 2007 |
| Last updated in NPPES | Oct 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA60905259 | WA |
| Physician Assistant, Medical | 363AM0700X | 2687 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 259 |
|---|---|
| Services billed | 1,654 across 13 procedure codes |
| Paid by Medicare | $165,172 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,873 · 5,010 30-day fills |
|---|---|
| Patients | 326 |
| Total drug cost | $439,553 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Sound Pain AllianceLakewood, WA · 46 clinicians
Hospital affiliations
- Jefferson HealthcarePort Townsend, WA
- Olympic Medical CenterPort Angeles, WA
- St Michael Medical CenterSilverdale, WA
Industry payments (Open Payments)
- 2025$753.59 · 24 payments from 11 companies
- 2024$516.84 · 25 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vertex Pharmaceuticals Incorporated | $282.06 | 4 |
| Boston Scientific Corporation | $146.16 | 5 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $71.49 | 3 |
| Abbvie Inc. | $66.65 | 3 |
| Collegium Pharmaceutical, Inc. | $58.58 | 3 |
What the 2025 payments were for
- Food and Beverage$753.59 · 24 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 physician assistants in Bremerton · All physician assistants in Washington