Howard Pickett, MD
Family Medicine · Excelsior Springs, MONPI 1821069790
Payments from drug & device makers
Across 440 payments — averaging $17.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Lilly USA, LLC$740
- AstraZeneca$561
- Otsuka America Pharmaceutical, Inc.$554
- Amgen$550
- Pfizer$443
- plus $3K from 33 others
What the payments were for
- Food & beverage$7,56999%
- Education$751%
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.
How this compares
$7,644 in reported general payments places this provider in the 90th percentile of 2,203 family medicine providers in Missouri.
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 | 184 | $147,388 |
| OzempicSemaglutide | 128 | $146,199 |
| MounjaroTirzepatide | 37 | $55,344 |
| JardianceEmpagliflozin | 87 | $52,136 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 64 | $48,084 |
| RexultiBrexpiprazole | 30 | $21,978 |
| VraylarCariprazine Hcl | 13 | $21,825 |
| GemtesaVibegron | 34 | $17,252 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 60 | $15,867 |
| Spiriva RespimatTiotropium Bromide | 16 | $14,753 |
| MyrbetriqMirabegron | 21 | $11,440 |
| Humalog Kwikpen U-100Insulin Lispro | 36 | $9,882 |
| Spiriva HandihalerTiotropium Bromide | 17 | $9,852 |
| Incruse ElliptaUmeclidinium Bromide | 20 | $9,550 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 39 | $7,952 |
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, Abrysvo | $443 | $152,885205 claims |
| Novo NordiskOzempic | $368 | $146,199128 claims |
| GSKTrelegy Ellipta, Arexvy, Incruse Ellipta, Breo Ellipta | $285 | $79,110155 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $238 | $66,889103 claims |
| Lilly USA, LLCMounjaro, Humalog | $740 | $58,61168 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $554 | $21,97830 claims |
| AbbVieVraylar | $1,493 | $21,82513 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $114 | $17,25234 claims |
| Astellas Pharma US IncMyrbetriq | $254 | $11,44021 claims |
| AstraZenecaSymbicort | $561 | $7,46128 claims |
| MerckDulera | $112 | $5,39015 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 90th percentile of 2,203 family medicine providers in Missouri.
Other family medicine in Excelsior Springs
- James LasalleExcelsior Springs$130K
- Timothy JenningsMaryland Heights$30.2M
- William HowittSpringfield$19.9M
- Rupal TrivediSaint Louis$10.6M
- Frederic PraterMaryland Heights$9.1M
- Leea ReedRogersville$7.9M
- Dennis MorrisonSpringfield$5.7M
- Luke van KirkSpringfield$5.6M
- Amy RobertsTown And Country$4M
- Scott KuennenKansas City$2.2M
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.