Howard Metzger, MD
Family Medicine · North Canton, OHNPI 1558326892
Payments from drug & device makers
Across 111 payments — averaging $13.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$240
- Novo Nordisk$175
- Boehringer Ingelheim$118
- Astellas Pharma US Inc$115
- Lilly USA, LLC$109
- Amgen$96
- plus $662 from 18 others
What the payments were for
- Food & beverage$1,47097%
- Education$443%
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 |
|---|---|---|
| Pfizer | 22 | $240 |
| Novo Nordisk | 15 | $175 |
| Boehringer Ingelheim | 8 | $118 |
| Astellas Pharma US Inc | 7 | $115 |
| Lilly USA, LLC | 7 | $109 |
| Amgen | 7 | $96 |
| AstraZeneca | 6 | $89 |
| AbbVie(2 entities) | 5 | $76 |
| Amarin Pharma, Inc. | 5 | $73 |
| GSK | 5 | $70 |
| Abbott | 4 | $68 |
| Merck | 4 | $56 |
| Arbor Pharmaceuticals, Inc. | 3 | $37 |
| Teva Pharmaceuticals USA, Inc. | 2 | $30 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $28 |
| Dexcom, Inc. | 1 | $24 |
| E.r. Squibb & Sons, L.L.C. | 1 | $17 |
| Radius Health, Inc. | 1 | $16 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $14 |
| Novartis | 1 | $12 |
| Almatica Pharma LLC | 1 | $12 |
| Johnson & Johnson | 1 | $12 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
How this compares
$1,514 in reported general payments places this provider in the 70th percentile of 3,983 family medicine providers in Ohio.
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 |
|---|---|---|
| EliquisApixaban | 77 | $58,120 |
| XareltoRivaroxaban | 18 | $21,858 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 25 | $17,125 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 15 | $16,444 |
| OzempicSemaglutide | 17 | $16,254 |
| TradjentaLinagliptin | 13 | $14,747 |
| Tresiba Flextouch U-200Insulin Degludec | 22 | $13,980 |
| FarxigaDapagliflozin Propanediol | 24 | $13,670 |
| JardianceEmpagliflozin | 11 | $13,389 |
| Repatha SyringeEvolocumab | 17 | $13,118 |
| Repatha SureclickEvolocumab | 11 | $9,155 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 24 | $4,679 |
| Valsartan | 132 | $4,007 |
| Atorvastatin Calcium | 273 | $3,620 |
| Metoprolol Succinate | 186 | $2,472 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $240 | $58,12077 claims |
| Boehringer IngelheimTradjenta, Jardiance | $118 | $28,13624 claims |
| Johnson & JohnsonXarelto | $12 | $21,85818 claims |
| GSKTrelegy Ellipta | $70 | $17,12525 claims |
| Novo NordiskOzempic | $175 | $16,25417 claims |
| AstraZenecaFarxiga | $89 | $13,67024 claims |
| AbbVieSynthroid | $76 | $1,20319 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 70th percentile of 3,983 family medicine providers in Ohio.
Other family medicine in North Canton
- Michael ButcherCincinnati$18.3M
- William RandallKettering$7.5M
- Paul NugentCincinnati$4.9M
- Steve ChoiDayton$4.8M
- Martin SchearDayton$2.2M
- Rajesh DavitCincinnati$2M
- Kwabena OtengSpringdale$2M
- Blaise GattoMoraine$1.8M
- Cathy GreiweColumbus$1.4M
- Brian BeesleyColumbus$1.4M
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.