Howard Smith, MD
Surgical Critical Care · Orlando, FLNPI 1831179027
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (59.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Mallinckrodt Enterprises LLC at 29.0% of the total. Reporting peaked in 2019 at $3,958 and has fallen 63.6% since, to $1,441 in 2025.
Across 68 payments — averaging $107.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mallinckrodt Enterprises LLC$2K
- KCI USA, Inc.$1K
- Smith+Nephew$1K
- Davol Inc.$406
- Vericel Corporation$365
- Aroa Biosurgery Incorporated$309
- plus $2K from 16 others
What the payments were for
- Consulting fees$2,92540%
- Travel & lodging$90%
- Food & beverage$4,38360%
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 |
|---|---|---|
| Mallinckrodt Enterprises LLC | 4 | $2,125 |
| KCI USA, Inc. | 3 | $1,029 |
| Smith+Nephew | 23 | $1,014 |
| Davol Inc. | 4 | $406 |
| Vericel Corporation | 3 | $365 |
| Aroa Biosurgery Incorporated | 3 | $309 |
| Polynovo North America LLC | 5 | $299 |
| Integra Lifesciences Corporation | 3 | $284 |
| Solventum Corporation | 2 | $160 |
| Stryker | 1 | $147 |
| Baxter Healthcare | 1 | $146 |
| Access Pro Medical, LLC | 1 | $137 |
| Acera Surgical, Inc. | 1 | $133 |
| Zimmer Biomet | 2 | $128 |
| Portola Pharmaceuticals, LLC | 1 | $125 |
| Avita Medical Americas, LLC | 3 | $123 |
| Acell, Inc. | 1 | $121 |
| Cumberland Pharmaceuticals, Inc. | 1 | $101 |
| Medical Device Business Services, Inc. | 3 | $71 |
| Polymedics Innovations Inc. | 1 | $39 |
| Medline Industries LP | 1 | $38 |
| Mallinckrodt Hospital Products Inc. | 1 | $16 |
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.
- KERRACONTACT AG (US)$800
- ACTICOAT 4" X 4"$502
- INTEGRA$462
- Oasis$375
- Versajet$375
- COLLAGENASE SANTYL$352
- PREVENA$349
- Phasix Mesh$269
- V.A.C. ULTA$223
- NexoBrid$208
- INTEGRA DERMAL REGENERATION TEMPLATE$154
- PRIMATRIX$154
- FLOWTRIEVER CATHETER, S$147
- CT THROMBECTOMY SYSTEM KIT$147
- FLOSEAL$146
- Biobrane$139
- Matriderm$137
- Restrata Wound Matrix$133
- Novosorb BTM$128
- Epicel$125
How this compares
$7,317 in reported general payments places this provider in the 75th percentile of 132 surgical critical care providers in Florida.
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 |
|---|---|---|
| Clindamycin Phosphate | 16 | $920 |
| Methocarbamol | 14 | $47 |
Paid to pharmacies, not to this prescriber.
Other surgical critical care in Orlando
- Chadwick SmithOrlando$23K
- Emily HelmickOrlando$16K
- Marcus DarrabieOrlando$14K
- Joseph IbrahimOrlando$13K
- Fahd AliOrlando$12K
- Kathleen SchuemannOrlando$11K
- Michael GreggOrlando$9K
- William HavronOrlando$7K
- Ryan LawlessOrlando$6K
- Indermeet BhullarOrlando$1K
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.