Daniel Howard, MD
Surgery · Mayfield, KYNPI 1336136514
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (47.7%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Leica Microsystems Inc. at 40.8% of the total. Reporting peaked in 2022 at $6,804 and has fallen 83.7% since, to $1,112 in 2025. Among surgery clinicians in KY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 181 payments — averaging $120.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Leica Microsystems Inc.$9K
- AbbVie$4K
- TELA Bio, Inc.$4K
- Sirius Medical Systems$1K
- Dilon Technologies, Inc.$736
- Integra Lifesciences Corporation$611
- plus $3K from 27 others
What the payments were for
- Consulting fees$3,24415%
- Speaking & faculty fees$5,42425%
- Travel & lodging$2,74513%
- Food & beverage$10,43048%
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 |
|---|---|---|
| Leica Microsystems Inc. | 9 | $8,918 |
| AbbVie(2 entities) | 79 | $3,829 |
| TELA Bio, Inc. | 32 | $3,780 |
| Sirius Medical Systems | 6 | $1,049 |
| Dilon Technologies, Inc. | 6 | $736 |
| Integra Lifesciences Corporation | 7 | $611 |
| Elucent Medical | 1 | $321 |
| Merck | 5 | $293 |
| Pacira Pharmaceuticals Incorporated | 2 | $255 |
| AstraZeneca | 2 | $224 |
| Stryker | 1 | $208 |
| Hologic Sales And Service, LLC | 2 | $196 |
| Johnson & Johnson | 3 | $196 |
| Hologic Inc | 2 | $179 |
| Icad, Inc | 2 | $147 |
| GE HealthCare | 1 | $125 |
| Focal Therapeutics, Inc. | 4 | $123 |
| Inspire Medical Systems, Inc. | 1 | $119 |
| Tactile Systems Technology Inc | 2 | $118 |
| Gilead | 1 | $96 |
| Stemline Therapeutics Inc. | 1 | $81 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $45 |
| Davol Inc. | 1 | $24 |
| Bard Peripheral Vascular, Inc. | 1 | $23 |
| Innocoll Pharmaceuticals Limited | 1 | $23 |
| KCI USA, Inc. | 1 | $19 |
| Melinta Therapeutics, LLC | 1 | $17 |
| Smith+Nephew | 1 | $17 |
| Merit Medical Systems Inc | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Tetraphase Pharmaceuticals, Inc. | 1 | $14 |
| Boston Scientific | 1 | $13 |
| Ambu Inc. | 1 | $13 |
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.
- NEOPROBE$5,424
- NATRELLE SALINE-FILLED BREAST IMPLANTS$3,608
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$2,724
- ORIGINAL MAMMOTOME$1,744
- REVOLVE$1,654
- PINTUITION$872
- OviTex 2S$683
- HemoBlast Bellows$594
- SURGIMEND$398
- INTEGRA$328
- Ovitex$254
- EXPAREL$232
- KEYTRUDA$223
- 1788$208
- BREVERA BREAST BIOPSY SYSTEM$204
- OMNIGRAFT$164
- INTEGRA DERMAL REGENERATION TEMPLATE$164
- Enhertu$126
- HARMONIC Product Family$123
- SURGIFLO Hemostatic Matrix Family of Products$123
How this compares
$21,842 in reported general payments places this provider in the 90th percentile of 377 surgery providers in Kentucky.
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 |
|---|---|---|
| Letrozole | 118 | $2,117 |
| Tamoxifen Citrate | 86 | $1,398 |
| Montelukast Sodium | 180 | $1,050 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 75 | $143 |
| Mupirocin | 16 | $110 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 15 | $30 |
Paid to pharmacies, not to this prescriber.
Other surgery in Mayfield
- Eric SmithAshland$1.1M
- John RothLexington$820K
- John OldhamLouisville$515K
- George MundayDanville$271K
- Amber KoonHenderson$210K
- Frank MillerLouisville$119K
- Jared DavisLouisville$89K
- Aaron HouseCorbin$79K
- James WatkinsCampbellsville$70K
- Katrina KolasaDanville$66K
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.