Howard Rubenstein
Family Medicine · Saraland, ALNPI 1376598086
Payments from drug & device makers
Across 604 payments — averaging $5485.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka Pharmaceutical Development & Commercialization, Inc.$1.6M
- AbbVie$686K
- AstraZeneca$399K
- Novartis$242K
- Pfizer$201K
- Boehringer Ingelheim$82K
- plus $81K from 37 others
Across 7 payments — averaging $242.09 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Otsuka Pharmaceutical Development & Commercialization, Inc.$2K
What the payments were for
- Travel & lodging$1,61720%
- Food & beverage$6,49579%
- Education$380%
- Gifts$591%
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.
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.
How this compares
$3,313,462 in reported general payments places this provider in the 95th percentile of 1,680 family medicine providers in Alabama.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 103 | $4,065 |
| Fentanyl | 28 | $3,998 |
| Fluconazole | 41 | $1,952 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 37 | $1,754 |
| Morphine Sulfate ErMorphine Sulfate | 12 | $1,458 |
| Gabapentin | 89 | $842 |
| Oxycodone Hcl | 19 | $792 |
| Morphine Sulfate | 20 | $685 |
| Ondansetron Hcl | 16 | $381 |
| Lorazepam | 47 | $308 |
| Pantoprazole Sodium | 15 | $277 |
| Pregabalin | 13 | $241 |
| Lorazepam IntensolLorazepam | 11 | $228 |
| Clonazepam | 18 | $219 |
| Tramadol Hcl | 19 | $180 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Saraland
- Michael VaughnBirmingham$9.9M
- William NixonGuntersville$7.1M
- Randall QuinnCullman$5.4M
- Matthew CaldwellAthens$4.1M
- Michael CarterHuntsville$3.4M
- Randle MiddletonHuntsville$3.3M
- Aaron KarrSheffield$3.1M
- Nidal MorrarFoley$3M
- Timothy HowardHuntsville$3M
- David WeverPelham$2.6M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.