Physician profile
Randy Howard
NPI 1952386401
$5,096.16
in general payments reported to CMS, 2019-2025
39 companies · $793 in 2025
The $793 reported for 2025 was more than what a typical Gastroenterology (Internal Medicine) provider received nationally (typical 2025 total: $636).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $450 · 2020: $465 · 2021: $882 · 2022: $864 · 2023: $870 · 2024: $773 · 2025: $793.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $2,415 · Education: $20.59.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $2,415.05 |
| Education | $20.59 |
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 |
|---|---|---|---|
| Abbvie INC. | $1,820.92 | 2019-2025 | |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $743.11 | 2019-2025 | Xifaxan |
| Janssen Biotech, INC. | $331.05 | 2019-2025 | Tremfya, Stelara, Simponi |
| Gilead Sciences, INC. | $212.93 | 2019-2024 | |
| Phathom Pharmaceuticals, INC. | $165.99 | 2023-2025 | Voquezna |
| Nestle Healthcare Nutrition INC. | $157.10 | 2021-2023 | |
| Pfizer INC. | $146.66 | 2019-2023 | |
| Ironwood Pharmaceuticals, INC | $118.71 | 2019-2022 | |
| Ardelyx, INC. | $113.62 | 2023-2025 | Ibsrela |
| Regeneron Healthcare Solutions, INC. | $112.73 | 2023 | Dupixent |
| Genzyme Corporation | $108.75 | 2023-2025 | |
| Merck Sharp & Dohme LLC | $106.04 | 2021-2023 | Dificid |
| Takeda Pharmaceuticals U.S.A., INC. | $105.58 | 2020-2025 | Entyvio |
| Daiichi Sankyo INC. | $88.16 | 2021-2023 | Injectafer |
| Lilly USA, LLC | $76.53 | 2024-2025 | Omvoh |
Show all 39 companies
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 Randy Howard 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.