John Howington, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Silverdale, WANPI 1073581922
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,000 of the $4,618 with a category attached, or 65.0%. Intuitive Surgical accounts for 78.8% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2023 at $3,247 and has fallen 99.1% since, to $28 in 2025. That places this record below the midpoint for thoracic surgery (cardiothoracic vascular surgery) clinicians in WA, where the typical reported total is $4,673.
Across 20 payments — averaging $230.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- Pulmonx Corporation$765
- Ambu Inc.$137
- Invictus Surgical Incorporated$28
- Merck$17
- Covidien LP$15
- plus $14 from 1 others
What the payments were for
- Travel & lodging$87319%
- Food & beverage$74516%
- Education$3,00065%
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 |
|---|---|---|
| Intuitive Surgical | 7 | $3,641 |
| Pulmonx Corporation | 8 | $765 |
| Ambu Inc. | 1 | $137 |
| Invictus Surgical Incorporated | 1 | $28 |
| Merck | 1 | $17 |
| Covidien LP | 1 | $15 |
| Merit Medical Systems Inc | 1 | $14 |
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
$4,618 in reported general payments places this provider in the 45th percentile of 105 thoracic surgery (cardiothoracic vascular surgery) providers in Washington.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Washington →
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 |
|---|---|---|
| Chlorhexidine Gluconate | 31 | $116 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Silverdale
- Bahirathan KrishnadasanTacoma$930K
- John LuberTacoma$623K
- Glenn BarnhartSeattle$577K
- Daniel CuadradoTacoma$514K
- Eric VallieresSeattle$202K
- Matthew ForresterSpokane$129K
- Luis AlbertonEverett$78K
- Eric LehrSeattle$72K
- Justin ReevesSpokane$70K
- Alexi MatousekSpokane$60K
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.