Kris Howard, MD
Procedural Dermatology · Odessa, TXNPI 1740283019
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,576 of the $3,036 with a category attached, or 84.9%. It is spread thinly across 24 manufacturers, the largest accounting for just 18.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $716 and has fallen 55.4% since, to $320 in 2025.
Across 180 payments — averaging $16.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$547
- Mayne Pharma Commercial LLC$439
- Lilly USA, LLC$438
- AbbVie$231
- Novartis$225
- E.r. Squibb & Sons, L.L.C.$179
- plus $977 from 18 others
What the payments were for
- Food & beverage$2,57685%
- Education$46015%
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 |
|---|---|---|
| Johnson & Johnson | 19 | $547 |
| Mayne Pharma Commercial LLC | 39 | $439 |
| Lilly USA, LLC | 23 | $438 |
| AbbVie(2 entities) | 20 | $231 |
| Novartis | 24 | $225 |
| E.r. Squibb & Sons, L.L.C. | 10 | $179 |
| Almirall LLC | 7 | $166 |
| Galderma Laboratories, L.p. | 13 | $152 |
| Regeneron Healthcare Solutions, Inc. | 2 | $132 |
| UCB, Inc. | 1 | $92 |
| Janssen Scientific Affairs, LLC | 1 | $76 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 4 | $71 |
| Genentech USA, Inc. | 3 | $62 |
| Icad, Inc | 1 | $59 |
| Journey Medical Corporation | 2 | $34 |
| VYNE Pharmaceuticals Inc. | 2 | $33 |
| Dermira, Inc. | 1 | $23 |
| Pfizer | 1 | $16 |
| Dermavant Sciences, Inc. | 1 | $14 |
| Incyte Corporation | 1 | $13 |
| Amgen | 1 | $12 |
| Bristol Myers Squibb | 1 | $11 |
| Biofrontera Inc. | 1 | $6 |
| Organon | 2 | $6 |
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.
- DUPIXENT$115
How this compares
$3,036 in reported general payments places this provider in the 55th percentile of 25 procedural dermatology providers in Texas.
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 |
|---|---|---|
| Cosentyx Unoready PenSecukinumab | 16 | $212,481 |
| Taltz AutoinjectorIxekizumab | 13 | $88,796 |
| Humira(Cf) PenAdalimumab | 13 | $81,806 |
| Taltz SyringeIxekizumab | 12 | $78,614 |
| Dupixent PenDupilumab | 13 | $46,924 |
| Fluorouracil | 80 | $5,797 |
| Doxycycline Ir-DrDoxycycline Monohydrate | 12 | $5,711 |
| Clobetasol Propionate | 100 | $4,602 |
| Fluocinonide-EFluocinonide/Emollient Base | 27 | $1,808 |
| Metronidazole | 23 | $1,715 |
| Triamcinolone Acetonide | 110 | $1,142 |
| Doxycycline Hyclate | 74 | $1,005 |
| ValacyclovirValacyclovir Hcl | 33 | $994 |
| Clindamycin Phosphate | 18 | $969 |
| Hydroxychloroquine Sulfate | 24 | $945 |
Paid to pharmacies, not to this prescriber.
Other procedural dermatology in Odessa
- Daniel FriedmannAustin$146K
- Liet leKingwood$90K
- Jean-Denis BoucherLive Oak$20K
- Tho NguyenHurst$16K
- Douglas FarrisHurst$16K
- Robert OchsSan Antonio$11K
- Farhad NiroomandDallas$9K
- Laura SearsDallas$8K
- Georganna DavisHouston$8K
- Paige HoyerEl Campo$5K
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.