John Houghtaling, MD
Hand Surgery · Toledo, OHNPI 1063661262
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (50.6%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Endo Pharmaceuticals Inc. accounts for 74.2% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2022 at $4,795 and has fallen 95.2% since, to $230 in 2025.
Across 64 payments — averaging $105.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endo Pharmaceuticals Inc.$5K
- Sonex Health, Inc.$766
- Pacira Therapeutics, Inc.$129
- Endo USA, Inc.$127
- Rock Medical Orthopedics, Inc.$95
- ETS Wound Care LLC$85
- plus $532 from 15 others
What the payments were for
- Consulting fees$3,40051%
- Travel & lodging$1,58524%
- Food & beverage$1,74126%
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 |
|---|---|---|
| Endo Pharmaceuticals Inc. | 19 | $4,991 |
| Sonex Health, Inc. | 6 | $766 |
| Pacira Therapeutics, Inc. | 7 | $129 |
| Endo USA, Inc. | 7 | $127 |
| Rock Medical Orthopedics, Inc. | 2 | $95 |
| ETS Wound Care LLC | 1 | $85 |
| Zimmer Biomet | 3 | $83 |
| Nexus Medical Technologies LLC | 3 | $82 |
| Bioventus LLC | 3 | $68 |
| Stryker | 1 | $45 |
| Pacira Pharmaceuticals Incorporated | 2 | $44 |
| Si-bone, Inc. | 1 | $29 |
| Avanos Medical | 1 | $27 |
| Abbott | 1 | $25 |
| Johnson & Johnson | 1 | $24 |
| Integra Lifesciences Corporation | 1 | $23 |
| Vertex | 1 | $21 |
| Axogen | 1 | $20 |
| Heron Therapeutics, Inc. | 1 | $17 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| Checkpoint Surgical, Inc | 1 | $8 |
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.
- XIAFLEX$4,677
- Sx-One Microknife$655
How this compares
$6,725 in reported general payments places this provider in the 70th percentile of 88 hand surgery 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 |
|---|---|---|
| Celecoxib | 19 | $380 |
| Ibuprofen | 22 | $197 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 47 | $154 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $118 |
| Meloxicam | 15 | $109 |
| Prednisone | 34 | $77 |
| Cephalexin | 15 | $47 |
| Tramadol Hcl | 14 | $24 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Toledo
- Abdul Azim MustaphaToledo$16K
- Ryan HamiltonToledo$3K
- Martin SkieToledo$3K
- Asher SmithToledo$2K
- Mollie ManleyAkron$540K
- Harry HoyenCleveland$330K
- Joseph StyronCleveland$197K
- H Brent BambergerDayton$100K
- Youssra MarjouaCleveland$93K
- Raymond WurapaGahanna$74K
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.