Kara Howard
NPI 1558750794ActiveIndividual· Nurse Practitioner, Family· Butte, MT
Nurse Practitioner, Family with Butte Silver Bow Primary Health Care Clinic Inc, practicing in Butte, Montana. Their prescriptions cost Medicare Part D more than their services did: $293,828 for 3,488 claims, against $914.86 paid for services in 2024. Exact Sciences Corporation reported $31.31 in payments in 2025, mostly food and beverage. Lists St James Hospital as a hospital affiliation.
Overview
| NPI | 1558750794 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 12, 2015 |
| Last updated in NPPES | Mar 28, 2022 |
| Certified by provider | Mar 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APN.0991468-NP | CO |
| Registered Nurse | 163W00000X | RN.1629228 | CO |
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 - Nurse Practitioner (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 132 across 6 procedure codes |
| Paid by Medicare | $914.86 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,488 · 7,666 30-day fills |
|---|---|
| Patients | 185 |
| Total drug cost | $293,828 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Butte Silver Bow Primary Health Care Clinic IncButte, MT · 27 clinicians
Hospital affiliation
- St James HospitalButte, MT
Industry payments (Open Payments)
- 2025$31.31 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $31.31 | 1 |
What the 2025 payments were for
- Food and Beverage$31.31 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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