Howard Guthmann
Family Medicine · Waxhaw, NCNPI 1134181118
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.8% of the total across 113 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 17 manufacturers, the largest accounting for just 22.3% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $737 and has fallen 92.6% since, to $55 in 2025.
Across 113 payments — averaging $19.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$499
- Amgen$372
- Bayer$241
- Lilly USA, LLC$177
- AstraZeneca$169
- Boehringer Ingelheim$161
- plus $621 from 11 others
What the payments were for
- Food & beverage$2,21599%
- Education$261%
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 |
|---|---|---|
| Novo Nordisk | 28 | $499 |
| Amgen | 28 | $372 |
| Bayer | 10 | $241 |
| Lilly USA, LLC | 9 | $177 |
| AstraZeneca | 5 | $169 |
| Boehringer Ingelheim | 8 | $161 |
| Amarin Pharma, Inc. | 1 | $122 |
| Edwards Lifesciences | 1 | $111 |
| Abbott | 5 | $103 |
| Johnson & Johnson | 5 | $75 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $67 |
| Novartis | 2 | $38 |
| Pfizer | 2 | $35 |
| Paratek Pharmaceuticals, Inc. | 1 | $22 |
| Ionis Pharmaceuticals, Inc. | 1 | $19 |
| AbbVie | 1 | $17 |
| Eisai 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.
- Vascepa$122
- Kerendia$121
- Edwards SAPIEN 3 Transcatheter Heart Valve$111
- RYBELSUS$105
- Saxenda$101
How this compares
$2,242 in reported general payments places this provider in the 80th percentile of 3,444 family medicine providers in North Carolina.
Other family medicine in Waxhaw
- William CromwellRaleigh$879K
- Steve VacalisGastonia$693K
- David DundeeWinston Salem$633K
- Kevin SodenCharlotte$558K
- Brian ForrestApex$398K
- Joseph KonenCharlotte$322K
- Richard RachimaCharlotte$294K
- Dimitrios HondrosCharlotte$275K
- Domingo Rodriguez-CueGarner$253K
- Christopher ChaoCary$201K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.