James Howard, MD
Family Medicine · Lexington, KYNPI 1255711453
Payments from drug & device makers
Across 81 payments — averaging $16.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$327
- Merck$193
- AstraZeneca$146
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$99
- Novo Nordisk$74
- Esperion Therapeutics, Inc.$70
- plus $455 from 19 others
What the payments were for
- Food & beverage$1,364100%
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
$1,364 in reported general payments places this provider in the 60th percentile of 1,559 family medicine providers in Kentucky.
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 |
|---|---|---|
| Doxycycline Monohydrate | 36 | $283 |
| Methylprednisolone | 46 | $258 |
| Azithromycin | 37 | $107 |
| Cephalexin | 18 | $93 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $80 |
| Prednisone | 13 | $64 |
| Ciprofloxacin Hcl | 12 | $40 |
| PaxlovidNirmatrelvir/Ritonavir | 15 | $0 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Lexington
- Barbara Fleming-PhillipsLexington$1.4M
- John RichardLexington$226K
- Eleida Tur OlivaLexington$113K
- Susan NeilLexington$18K
- Brian SmithVersailles$7.7M
- Christopher RhyneLouisville$1M
- Kruti PatelBurlington$463K
- Michael LovelaceLouisville$244K
- Diego MastronardiBowling Green$196K
- James TurnboPaducah$124K
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.