Derek Howell, PA
Surgical · Norfolk, NENPI 1053364299
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,375 of the $3,296 with a category attached, or 72.1%. Terumo Cardiovascular Systems Corporation accounts for 82.3% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2022 at $2,914 and has fallen 92.6% since, to $217 in 2025. Among surgical clinicians in NE 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 24 payments — averaging $137.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Terumo Cardiovascular Systems Corporation$3K
- Organogenesis Inc.$155
- Arthrex$106
- Zimmer Biomet$74
- Integra Lifesciences Corporation$53
- Lemaitre Vascular, Inc.$43
- plus $152 from 8 others
What the payments were for
- Consulting fees$2,37572%
- Travel & lodging$3049%
- Food & beverage$61719%
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 |
|---|---|---|
| Terumo Cardiovascular Systems Corporation | 5 | $2,713 |
| Organogenesis Inc. | 6 | $155 |
| Arthrex | 1 | $106 |
| Zimmer Biomet | 1 | $74 |
| Integra Lifesciences Corporation | 2 | $53 |
| Lemaitre Vascular, Inc. | 1 | $43 |
| Medtronic | 1 | $35 |
| Kerecis Limited | 1 | $27 |
| Solventum Corporation | 1 | $21 |
| Convatec Inc. | 1 | $14 |
| Novartis | 1 | $14 |
| Smith+Nephew | 1 | $14 |
| Arbor Pharmaceuticals, Inc. | 1 | $13 |
| Johnson & Johnson | 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.
- Harvest$294
How this compares
$3,296 in reported general payments places this provider in the 90th percentile of 101 surgical providers in Nebraska.
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 |
|---|---|---|
| Doxycycline Monohydrate | 21 | $320 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 25 | $200 |
| Levofloxacin | 14 | $131 |
Paid to pharmacies, not to this prescriber.
Other surgical in Norfolk
- Christopher DarstLincoln$11K
- Kevin LoontjerFremont$8K
- John McPhailLincoln$7K
- Tanner SheaElkhorn$6K
- Angela HillElkhorn$6K
- Jessica ZarubaLincoln$4K
- Anthony MannElkhorn$4K
- Mindy KeaneOmaha$4K
- Spencer HamnerLincoln$4K
- Michaela DugganOmaha$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.