Howard Hack
Gastroenterology · Grand Forks, NDNPI 1952483786
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 83 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 20 manufacturers reported payments, led by AbbVie at 35.0% of the total. Reporting peaked in 2022 at $451 and has fallen 74.4% since, to $116 in 2025.
Across 83 payments — averaging $18.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$526
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$172
- Conmed Corporation$116
- Intercept Pharmaceuticals, Inc.$114
- Takeda Pharmaceuticals U.S.A., Inc.$107
- Johnson & Johnson$79
- plus $387 from 14 others
What the payments were for
- Food & beverage$1,502100%
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 | 29 | $526 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 11 | $172 |
| Conmed Corporation | 1 | $116 |
| Intercept Pharmaceuticals, Inc. | 7 | $114 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $107 |
| Johnson & Johnson | 5 | $79 |
| Gilead | 5 | $70 |
| Pfizer | 3 | $55 |
| Braintree Laboratories, Inc. | 3 | $49 |
| Bristol Myers Squibb | 2 | $34 |
| QOL Medical, LLC | 3 | $30 |
| AstraZeneca | 1 | $22 |
| Regeneron Healthcare Solutions, Inc. | 1 | $21 |
| Sanofi | 1 | $21 |
| Shire North American Group Inc | 1 | $16 |
| Ferring Pharmaceuticals Inc. | 1 | $16 |
| Medtronic | 1 | $15 |
| Bayer | 1 | $14 |
| Alfasigma USA, Inc. | 1 | $13 |
| Nestle Healthcare Nutrition 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.
- CONMED BILIARY$116
How this compares
$1,502 in reported general payments places this provider in the 55th percentile of 26 gastroenterology providers in North Dakota.
Other gastroenterology in Grand Forks
- Krishna GurramGrand Forks$5K
- James WoodGrand Forks$48
- Marcin SzemberGrand Forks$0
- Arezoo TaheriFargo$28K
- Syed ZaidiBismarck$6K
- Israr SheikhFargo$5K
- Mark BrewsterBismarck$4K
- Fadel NammourFargo$3K
- Surianarayanan KarthikeyanFargo$3K
- Douglas RentonBismarck$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.