Has Johnny Howton, MD received payments from drug or device companies?

Yes. Drug and device makers reported $32,304 in general payments to Johnny Howton, MD across 66 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Johnny Howton, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Johnny Howton, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Johnny Howton, MD

Colon & Rectal Surgery · Waco, TXNPI 1790733038

Payments from drug & device makers

What this record shows

This record is dominated by education: $29,000 of the $32,304 with a category attached, or 89.8%. Intuitive Surgical accounts for 96.9% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2021 at $29,794 and has fallen 99.9% since, to $37 in 2025.

$32,304in general payments, 2019–2025

Across 66 payments — averaging $489.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Intuitive Surgical$31K
Lexington Medical, Inc.$213
Axonics, Inc.$128
Takeda Pharmaceuticals U.S.A., Inc.$124
Boston Scientific$75
Integra Lifesciences Corporation$67
plus $392 from 14 others

What the payments were for

Travel & lodging$1,6295%
Food & beverage$1,6595%
Education$29,00090%
Gifts$160%

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	29	$31,305
Lexington Medical, Inc.	2	$213
Axonics, Inc.	6	$128
Takeda Pharmaceuticals U.S.A., Inc.	2	$124
Boston Scientific	4	$75
Integra Lifesciences Corporation	3	$67
Davol Inc.	1	$58
Medtronic	2	$44
TELA Bio, Inc.	2	$41
Pacira Pharmaceuticals Incorporated	2	$40
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC	2	$36
THD America, Inc.	2	$36
Activ Surgical, Inc.	1	$24
Baudax Bio Inc.	1	$23
Bristol Myers Squibb	2	$23
Myriad Genetic Laboratories, Inc.	1	$16
Johnson & Johnson	1	$15
Baxter Healthcare	1	$13
Hollister Incorporated	1	$12
Merck	1	$11

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.

Da Vinci Surgical System$29,880
DAVINCI XI$1,000
Aeon Endostapler & Echelon Flex Powered Stapler$200
GATTEX$112

How this compares

$32,304 in reported general payments places this provider in the 85th percentile of 200 colon & rectal surgery providers in Texas.

See all colon & rectal surgery providers in Texas →

Medicare billing

Part B allowed, 2024

$116,184

Medicare patients

339

Services billed

692

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
Mesalamine	20	$2,838
Lubiprostone	19	$2,544
Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine	30	$1,522
Hydrocortisone	58	$1,434
Cholestyramine LightCholestyramine	20	$719
Procto-Med HcHydrocortisone	37	$595
Enoxaparin Sodium	13	$525
ConstuloseLactulose	24	$522
Lactulose	23	$338
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	32	$272
Dicyclomine Hcl	11	$235
Ondansetron OdtOndansetron	33	$195
Ciprofloxacin Hcl	12	$142
Metronidazole	12	$99

Paid to pharmacies, not to this prescriber.

Other colon & rectal surgery in Waco

Thiru LakshmanAustin$756K
Diego Marines CopadoHouston$462K
Bidhan DasSugar Land$350K
Christopher de JesusSan Antonio$201K
Farshid AraghizadehFort Worth$181K
Jefferson HurleyIrving$163K
Erik AskenasyHouston$142K
Eric HaasHouston$140K
Robert JacobsonDallas$125K
Theodoros VoloyiannisHouston$100K

See the full list for Texas →

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.

Is this you, or does something look wrong? →