Rebecca Howell, MD
Otolaryngology · West Chester, OHNPI 1043455843
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.1%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Cook Incorporated accounts for 90.5% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $7,270 and has fallen 98.6% since, to $103 in 2025. Among otolaryngology clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 24 payments — averaging $731.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Incorporated$16K
- Steris Corporation$779
- Cook Medical LLC$314
- Olympus America Inc.$272
- Stryker$126
- Pentax Of America, Inc.$125
- plus $54 from 3 others
What the payments were for
- Consulting fees$8,61549%
- Speaking & faculty fees$7,27541%
- Food & beverage$1,66910%
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 |
|---|---|---|
| Cook Incorporated | 8 | $15,890 |
| Steris Corporation | 3 | $779 |
| Cook Medical LLC | 4 | $314 |
| Olympus America Inc. | 2 | $272 |
| Stryker | 2 | $126 |
| Pentax Of America, Inc. | 2 | $125 |
| Optinose US, Inc. | 1 | $22 |
| Inspire Medical Systems, Inc. | 1 | $18 |
| Astellas Pharma US Inc | 1 | $13 |
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.
- Hercules$12,116
- Cook Medical Stents$2,425
- Cook Medical Laryngology$1,455
- TRUFREEZE$718
- Olympus$155
- RHINO-LARYNGO FIBERSCOPE$155
- Olympus Capital Accessories$117
- SCOPIS ENT$102
How this compares
$17,559 in reported general payments places this provider in the 95th percentile of 380 otolaryngology 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 |
|---|---|---|
| Mometasone Furoate | 21 | $1,161 |
| Ipratropium Bromide | 66 | $943 |
| Clotrimazole | 14 | $878 |
| Azelastine Hcl | 15 | $322 |
| Omeprazole | 46 | $254 |
| Amitriptyline Hcl | 19 | $169 |
| Methylprednisolone | 21 | $80 |
| Azithromycin | 12 | $40 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in West Chester
- Raj SindwaniCleveland$598K
- Mark MehleCleveland$403K
- Troy WoodardCleveland$392K
- Oliver AdunkaColumbus$338K
- Subinoy DasColumbus$142K
- Sanjeet RangarajanCleveland$113K
- Sumit BapnaDublin$95K
- Boris KaranfilovDublin$82K
- Alexander DonathCincinnati$64K
- Rod RezaeeCleveland$54K
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.