Cara Downey
Plastic Surgery · Houston, TXNPI 1013142165
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.3% of the total across 172 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 20.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $2,242 and has fallen 54.0% since, to $1,031 in 2025.
Across 172 payments — averaging $55.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mentor Worldwide LLC$2K
- Galderma Laboratories, L.p.$1K
- Davol Inc.$1K
- AbbVie$998
- Sientra, Inc.$932
- Integra Lifesciences Corporation$721
- plus $3K from 17 others
What the payments were for
- Food & beverage$8,95094%
- Other$5376%
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 |
|---|---|---|
| Mentor Worldwide LLC | 40 | $1,932 |
| Galderma Laboratories, L.p. | 42 | $1,240 |
| Davol Inc. | 12 | $1,156 |
| AbbVie(2 entities) | 21 | $998 |
| Sientra, Inc. | 14 | $932 |
| Integra Lifesciences Corporation | 6 | $721 |
| Musculoskeletal Transplant Foundation Inc. | 7 | $639 |
| Medtronic | 4 | $384 |
| Revance Therapeutics, Inc. | 4 | $255 |
| MML US, Inc. | 1 | $187 |
| Stryker | 2 | $177 |
| Abbott | 1 | $160 |
| Tepha Inc | 3 | $160 |
| Zimmer Biomet | 3 | $149 |
| Solta Medical, A Division Of Bausch Health US, LLC | 2 | $124 |
| Merz North America, Inc. | 1 | $115 |
| Apyx Medical Corporation | 3 | $46 |
| Seqirus USA Inc | 1 | $28 |
| Vertex | 1 | $25 |
| Kowa Pharmaceuticals America, Inc. | 1 | $21 |
| TELA Bio, Inc. | 1 | $14 |
| Pacira Pharmaceuticals Incorporated | 1 | $13 |
| Innovation Technologies Inc | 1 | $12 |
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.
- DuraSorb Monofilament Mesh$537
- MENTOR MemoryGel Resterilizable Gel Sizer$416
- PHASIX$408
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$365
- Phasix Mesh$315
- ReActiv8$187
- VANTA ADAPTIVESTIM$174
- BOTOX$162
- PROCLAIM$160
- OPTABLATE$157
- OMNICURVE$157
- NATRELLE$149
- STRATTICE RECONSTRUCTIVE TISSUE MATRIX BPS$138
- INTELLIS ADAPTIVESTIM$136
- XENAB$131
- GalaFLEX$129
- DAXXIFY$121
- STRATTICE$117
- XEOMIN$115
- ARTOURA Breast Tissue Expander$110
How this compares
$9,487 in reported general payments places this provider in the 80th percentile of 337 plastic surgery providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ondansetron Hcl | 14 | $63 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery in Houston
- Younghoon ChoHouston$1.2M
- David AdelmanHouston$405K
- Warren EllsworthHouston$284K
- Camille CashHouston$212K
- Robert YarishHouston$180K
- Alexander MericliHouston$125K
- Kristy HamiltonHouston$70K
- Jenny NguyenHouston$45K
- Patrick HsuHouston$34K
- Anthony EchoHouston$27K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.