Brittany Howard, MD
Otolaryngology · Scottsdale, AZNPI 1235458001
Payments from drug & device makers
What this record shows
7 manufacturers reported payments, led by Synthes GmbH at 44.4% of the total. Reporting peaked in 2021 at $500 and has fallen 59.0% since, to $205 in 2025. That places this record below the midpoint for otolaryngology clinicians in AZ, where the typical reported total is $1,230.
Across 9 payments — averaging $125.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$500
- Medtronic$295
- AbbVie$209
- Galderma Research & Development, LLC$61
- Cook Medical LLC$27
- Calliditas Therapeutics US Inc.$19
- plus $17 from 1 others
Across 23 payments — averaging $3422.84 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Galderma Laboratories, L.p.$50K
- AbbVie$28K
What the payments were for
- Speaking & faculty fees$50044%
- Food & beverage$62756%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Synthes GmbH | 1 | $500 |
| Medtronic(2 entities) | 2 | $295 |
| AbbVie | 2 | $209 |
| Galderma Research & Development, LLC | 1 | $61 |
| Cook Medical LLC | 1 | $27 |
| Calliditas Therapeutics US Inc. | 1 | $19 |
| Medline Industries LP | 1 | $17 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- NIM Vital$205
How this compares
$1,127 in reported general payments places this provider in the 45th percentile of 150 otolaryngology providers in Arizona.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Pentoxifylline | 14 | $711 |
| Doxycycline Monohydrate | 12 | $638 |
| Ipratropium Bromide | 13 | $332 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Scottsdale
- Jordan WeinerScottsdale$129K
- Lisa GrunebaumScottsdale$121K
- Franklyn GergitsScottsdale$8K
- David LottScottsdale$7K
- Nicholas DeepScottsdale$6K
- Kurt HeilandScottsdale$5K
- Cheryl MackechnieScottsdale$4K
- Timothy KelschScottsdale$3K
- Janet KaczorScottsdale$3K
- Daniel HurleyScottsdale$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.