Howard K. Fletcher, RN-MSN-FNP-C
NPI 1568420982ActiveIndividual· Internal Medicine, Clinical & Laboratory Immunology· South Charleston, WV
Internal Medicine, Clinical & Laboratory Immunology (RN-MSN-FNP-C) with Hospital Development Co., practicing in South Charleston, West Virginia. Their prescriptions cost Medicare Part D more than their services did: $1,158,281 for 7,528 claims, against $30,759 paid for services in 2024. Genzyme Corporation was the largest of 13 companies reporting payments in 2025, $824.61 in all, mostly food and beverage. Lists Charleston Area Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1568420982 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN-MSN-FNP-C |
| Sole proprietor | No |
| NPI issued | May 3, 2006 |
| Last updated in NPPES | Feb 24, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Clinical & Laboratory Immunology Primary | 207RI0001X | 51076 | WV |
| Nurse Practitioner, Family | 363LF0000X | 51076 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 598 |
|---|---|
| Services billed | 699 across 11 procedure codes |
| Paid by Medicare | $30,759 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,528 · 20,337 30-day fills |
|---|---|
| Patients | 1,642 |
| Total drug cost | $1,158,281 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Hospital Development Co.Spencer, WV · 64 clinicians
Hospital affiliations
- Charleston Area Medical CenterCharleston, WV
- Roane General HospitalSpencer, WV
Industry payments (Open Payments)
- 2025$824.61 · 40 payments from 13 companies
- 2024$793.11 · 20 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Genzyme Corporation | $316.22 | 12 |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $138.02 | 8 |
| Pfizer Inc. | $94.28 | 5 |
| Verona Pharma, Inc. | $65.70 | 4 |
| Harmony Biosciences LLC | $39.63 | 2 |
What the 2025 payments were for
- Food and Beverage$824.61 · 40 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records