Richard James Howard, M.D.
Opted out of Medicare from January 2026 to January 2028. Plastic Surgery (M.D.) in Sioux Falls, South Dakota, trained at Medical College of Wisconsin (class of 1982). 49 Medicare patients in 2024, $16,409 paid; nearly all of their 120 Part D prescriptions were generic (95%). Mimedx Group, Inc. was the largest of 4 companies reporting payments in 2025, $270.18 in all, mostly food and beverage.
Overview
| NPI | 1568442895 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 20, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 3323 | SD |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 2, 2026 – Jan 2, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 102 across 49 procedure codes |
| Paid by Medicare | $16,409 |
Part D prescriptions in 2024
| Prescriptions (claims) | 120 · 134 30-day fills |
|---|---|
| Patients | 47 |
| Total drug cost | $1,289 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | Medical College of Wisconsin |
|---|---|
| Graduation year | 1982 |
| Medicare specialty | Plastic And Reconstructive Surgery |
Hospital affiliations
- Brookings Health SystemBrookings, SD
- Sioux Falls Specialty HospitalSioux Falls, SD
Industry payments (Open Payments)
- 2025$270.18 · 8 payments from 4 companies
- 2024$119.84 · 6 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mimedx Group, Inc. | $124.85 | 3 |
| Mentor Worldwide LLC | $60.32 | 2 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $42.58 | 2 |
| Tela Bio, Inc. | $42.43 | 1 |
What the 2025 payments were for
- Food and Beverage$270.18 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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