Timothy Howard, DPM
Foot & Ankle Surgery · Avon, INNPI 1619286457
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (42.1%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. Stryker accounts for 65.5% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2024 at $3,189 and has fallen 78.4% since, to $689 in 2025.
Across 133 payments — averaging $85.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$7K
- Depuy Synthes Products, Inc.$2K
- Paragon 28, Inc.$313
- Integra Lifesciences Corporation$288
- Johnson & Johnson$256
- Kerecis Limited$188
- plus $623 from 15 others
What the payments were for
- Consulting fees$2,25020%
- Travel & lodging$4,78742%
- Food & beverage$4,05836%
- Other$2652%
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 |
|---|---|---|
| Stryker | 82 | $7,442 |
| Depuy Synthes Products, Inc. | 1 | $2,250 |
| Paragon 28, Inc. | 5 | $313 |
| Integra Lifesciences Corporation | 3 | $288 |
| Johnson & Johnson(2 entities) | 8 | $256 |
| Kerecis Limited | 1 | $188 |
| Tactile Systems Technology Inc | 11 | $153 |
| Treace Medical Concepts, Inc. | 5 | $126 |
| Zimmer Biomet | 4 | $82 |
| Paratek Pharmaceuticals, Inc. | 2 | $34 |
| Boston Scientific | 1 | $31 |
| Mimedx Group, Inc. | 1 | $30 |
| Pfizer | 1 | $27 |
| Medtronic | 1 | $24 |
| Misonix Inc | 1 | $24 |
| Pacira Pharmaceuticals Incorporated | 1 | $18 |
| KCI USA, Inc. | 1 | $17 |
| Bioventus LLC | 1 | $14 |
| Alfasigma USA, Inc. | 1 | $14 |
| Smith+Nephew | 1 | $14 |
| Orthofix Medical, 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.
- INBONE$2,177
- INFINITY$958
- Kerecis Omega3 SurgiClose$564
- PROPHECY$551
- PRIME SERIES$528
- STAR$337
- PROstep$293
- SALVATION$291
- INTEGRA$265
- Kerecis Omega3 GraftGuide$188
- Kerecis Omega3 Marigen$188
- FLEXBAND$183
- AUGMENT INJECTABLE$169
- 7 X 23MM CITRELOCK IMPLANT$165
- Actishield$150
- VA-LCP PLATES & SCREWS$119
- HEADLESS COMPRESSION SCREWS$119
- BME NITINOL CONTINUOUS COMPRESSION IMPLANTS$119
- APEX TAR$118
How this compares
$11,360 in reported general payments places this provider in the 75th percentile of 212 foot & ankle surgery providers in Indiana.
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 |
|---|---|---|
| Gabapentin | 69 | $620 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 67 | $497 |
| Ketoconazole | 17 | $280 |
| Allopurinol | 40 | $186 |
| Amoxicillin | 34 | $158 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 14 | $94 |
| Methylprednisolone | 14 | $81 |
| Doxycycline Hyclate | 12 | $75 |
| Diclofenac Sodium | 11 | $67 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Avon
- Romesh DhadukAvon$23K
- Kalen FarrAvon$17K
- Steven HerbstMuncie$1.6M
- Douglas BlacklidgeKokomo$689K
- Patrick DeheerIndianapolis$493K
- Scott NevilleMooresville$353K
- Travis MontgomeryWestfield$345K
- Robert Clemency IiiSchererville$215K
- William AdamsGreenfield$178K
- Steven DouthettFort Wayne$153K
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.