Physician profile
Paul J Houle
NPI 1184624330
$773,960.09
in general payments reported to CMS, 2019-2025
29 companies · $116K in 2025
The $116K reported for 2025 was more than what 98% of Neurological Surgery providers received nationally (typical 2025 total: $604).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $125K · 2020: $104K · 2021: $81K · 2022: $98K · 2023: $95K · 2024: $156K · 2025: $116K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Consulting Fee: $200K · Travel and Lodging: $75K · Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program: $64K · Royalty Or License: $17K · Food and Beverage: $12K.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Consulting Fee | $199,887.50 |
| Travel and Lodging | $74,593.23 |
| Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program | $64,450.00 |
| Royalty Or License | $16,796.65 |
| Food and Beverage | $11,724.83 |
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 |
|---|---|---|---|
| Integrity Implants INC. Dba Accelus | $229,721.90 | 2023-2024 | Flarehawk |
| Joimax, INC. | $203,695.87 | 2019-2022 | |
| Integrity Implants INC. | $200,928.63 | 2019-2022 | Flarehawk, Remi |
| Arthrex, INC. | $117,610.14 | 2024-2025 | Arthrex, Arthroplasty Implants Shoulder Arthroplasty & Fracture Partial Eclipse & Biotsr |
| Alphatec Spine, INC | $9,003.05 | 2024 | Other - Miscellaneous, Biologics, Identiti |
| Kuros Biosciences USA, INC | $7,403.79 | 2021-2024 | Magnetos |
| Kairos Surgical INC | $1,148.23 | 2024-2025 | |
| Relievant Medsystems, INC. | $891.37 | 2021-2023 | Intracept |
| Spineart USA INC | $590.00 | 2024 | |
| Medtronic, INC. | $383.04 | 2021-2025 | Endurant Iis, Stealthstation S8 Platform, Strata |
| Depuy Synthes Sales INC. | $360.93 | 2021-2025 | Velys, Expedium, Teligen |
| Augmedics INC. | $321.72 | 2024-2025 | Xvision |
| Irras USA, INC. | $282.78 | 2019 | |
| Medtronic USA, INC. | $257.64 | 2019-2020 | |
| Highridge Medical LLC | $234.52 | 2024-2025 | Mobi-C Plug & Fit US, Vital |
Show all 29 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Zsfab, INC. | $183.10 | 2023-2024 | |
| Cerapedics INC. | $176.32 | 2024 | I-Factor Peptide Enhanced Bone Graft |
| Orthofix Medical, INC. | $161.75 | 2019-2021 | |
| Kci USA, INC. | $124.99 | 2019 | |
| Banner Surgical Solutions, INC | $119.08 | 2025 | |
| Boston Scientific Corporation | $101.02 | 2025 | Intracept |
| Intrinsic Therapeutics | $75.20 | 2021 | |
| Ethicon US, LLC | $51.20 | 2019 | |
| Zimmer Biomet Holdings, INC. | $30.48 | 2019 | |
| Medical Device Business Services, INC. | $30.05 | 2024 | Teligen |
| Sanara Medtech INC. | $23.70 | 2020 | |
| Integra Lifesciences Corporation | $22.77 | 2019 | |
| Piedmont Plus Innovation | $13.55 | 2025 | |
| Misonix INC | $13.27 | 2019 |
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 Paul Houle 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.