Physician profile
Howard Buls
NPI 1982659884
$695.51
in general payments reported to CMS, 2019-2025
6 companies · $26.42 in 2025
The $26.42 reported for 2025 was less than what a typical Physician Assistant provider received nationally (typical 2025 total: $183).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2021: $287 · 2022: $177 · 2023: $169 · 2024: $36.06 · 2025: $26.42.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $231.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $231.33 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Stryker Corporation | $275.45 | 2021-2022 | |
| Smith+Nephew, INC. | $132.35 | 2022 | |
| Depuy Synthes Sales INC. | $117.85 | 2023-2024 | Na, Va-Lcp |
| Molnlycke Health Care US, LLC | $96.49 | 2021-2023 | Mepilex Border Post-Op, Mepilex Border Post-Op Ag, Mepilex Border Sacrum |
| Boston Scientific Corporation | $46.95 | 2023-2024 | |
| Acera Surgical, INC. | $26.42 | 2025 | Restrata Wound Matrix |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Howard Buls listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.