Christopher Downing, MD
Dermatology · Houston, TXNPI 1780939405
Payments from drug & device makers
Across 350 payments — averaging $19.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$887
- Novartis$675
- Amgen$674
- Sun Pharmaceutical Industries Inc.$579
- Regeneron Healthcare Solutions, Inc.$522
- Lilly USA, LLC$481
- plus $3K from 28 others
What the payments were for
- Food & beverage$6,60598%
- Education$1642%
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 |
|---|---|---|
| AbbVie | 40 | $887 |
| Novartis | 34 | $675 |
| Amgen | 30 | $674 |
| Sun Pharmaceutical Industries Inc. | 28 | $579 |
| Regeneron Healthcare Solutions, Inc. | 19 | $522 |
| Lilly USA, LLC | 16 | $481 |
| Galderma Laboratories, L.p. | 30 | $376 |
| Johnson & Johnson | 14 | $368 |
| Sanofi | 16 | $323 |
| E.r. Squibb & Sons, L.L.C. | 26 | $274 |
| Dermavant Sciences, Inc. | 12 | $225 |
| Encore Dermatology Inc. | 24 | $173 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 12 | $161 |
| Bristol Myers Squibb | 5 | $157 |
| Incyte Corporation | 2 | $150 |
| Pfizer | 5 | $88 |
| Convatec Inc. | 3 | $76 |
| Strata Skin Sciences, Inc. | 7 | $73 |
| Bioventus LLC | 2 | $68 |
| UCB, Inc. | 3 | $63 |
| Almirall LLC | 3 | $50 |
| Medline Industries LP | 2 | $49 |
| VYNE Pharmaceuticals Inc. | 3 | $40 |
| LEO Pharma Inc. | 2 | $35 |
| Hill Dermaceuticals, Inc. | 1 | $32 |
| Mylan Pharmaceuticals Inc. | 2 | $30 |
| Merz North America, Inc. | 1 | $26 |
| Mayne Pharma Commercial LLC | 1 | $21 |
| Kerecis Limited | 1 | $19 |
| Dermira, Inc. | 1 | $18 |
| Mimedx Group, Inc. | 1 | $18 |
| Genentech USA, Inc. | 1 | $16 |
| Merck | 1 | $11 |
| Organon | 2 | $8 |
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.
How this compares
$6,769 in reported general payments places this provider in the 60th percentile of 1,098 dermatology providers in Texas.
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 |
|---|---|---|
| Dupixent PenDupilumab | 37 | $143,998 |
| Doxycycline Hyclate | 506 | $3,676 |
| Clobetasol Propionate | 95 | $2,541 |
| Fluocinonide | 57 | $1,762 |
| Ketoconazole | 115 | $1,528 |
| Metronidazole | 37 | $1,473 |
| Triamcinolone Acetonide | 107 | $1,336 |
| Minoxidil | 89 | $608 |
| Naltrexone Hcl | 11 | $573 |
| Desonide | 13 | $543 |
| Clindamycin Phosphate | 19 | $527 |
| Alclometasone Dipropionate | 15 | $323 |
| Mupirocin | 40 | $261 |
| Doxycycline Monohydrate | 29 | $246 |
| ValacyclovirValacyclovir Hcl | 22 | $188 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Houston
- Michael MigdenHouston$3.7M
- Megan CouvillionHouston$3M
- Alpesh DesaiHouston$2.7M
- Suzanne BruceHouston$2.2M
- Geeta PatelHouston$626K
- Madeleine DuvicHouston$597K
- Auris HuenHouston$323K
- Catherine PapasakelariouHouston$289K
- Anisha PatelHouston$268K
- Stephen TyringWebster$14.1M
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.