Vaughn Howe
Medical · Bremerton, WANPI 1235256272
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 207 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 27 manufacturers reported payments, led by AbbVie at 26.3% of the total. Among medical clinicians in WA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 207 payments — averaging $20.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Collegium Pharmaceutical, Inc.$820
- Boston Scientific$296
- Vertex$282
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$230
- Pfizer$196
- plus $1K from 21 others
What the payments were for
- Food & beverage$4,151100%
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 |
|---|---|---|
| AbbVie | 54 | $1,093 |
| Collegium Pharmaceutical, Inc. | 62 | $820 |
| Boston Scientific | 9 | $296 |
| Vertex | 4 | $282 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 12 | $230 |
| Pfizer | 9 | $196 |
| Nevro Corp. | 6 | $172 |
| Lilly USA, LLC | 8 | $149 |
| Nalu Medical, Inc. | 3 | $114 |
| Biodelivery Sciences International, Inc. | 6 | $106 |
| Virtus Pharmaceuticals LLC | 4 | $90 |
| Scilex Pharmaceuticals Inc. | 5 | $79 |
| Teva Pharmaceuticals USA, Inc. | 3 | $73 |
| Relievant Medsystems, Inc. | 3 | $68 |
| Biohaven Pharmaceuticals, Inc. | 3 | $62 |
| Amgen(2 entities) | 3 | $56 |
| Pacira Therapeutics, Inc. | 2 | $45 |
| Redhill Biopharma Inc. | 2 | $38 |
| Biotronik NRO, Inc. | 1 | $29 |
| Averitas Pharma Inc. | 1 | $29 |
| Saluda Medical Americas, Inc. | 1 | $22 |
| Fidia Pharma USA Inc. | 1 | $20 |
| Tersera Therapeutics LLC | 1 | $19 |
| Si-bone, Inc. | 1 | $18 |
| Arbor Pharmaceuticals, Inc. | 1 | $17 |
| Globus Medical | 1 | $16 |
| GRT US Holding, 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.
- JOURNAVX$236
How this compares
$4,151 in reported general payments places this provider in the 90th percentile of 457 medical 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 |
|---|---|---|
| Levorphanol Tartrate | 14 | $96,856 |
| Xtampza ErOxycodone Myristate | 122 | $88,784 |
| OxycontinOxycodone Hcl | 43 | $32,119 |
| Oxycodone Hcl | 1,085 | $27,956 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 640 | $25,209 |
| BelbucaBuprenorphine Hcl | 30 | $22,947 |
| Fentanyl | 92 | $16,948 |
| Morphine Sulfate ErMorphine Sulfate | 489 | $15,109 |
| QuliptaAtogepant | 13 | $14,284 |
| Buprenorphine | 43 | $12,004 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 215 | $10,452 |
| LyricaPregabalin | 12 | $10,410 |
| Nucynta ErTapentadol Hcl | 11 | $6,722 |
| Pregabalin | 374 | $6,231 |
| Tramadol Hcl | 250 | $4,643 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Collegium Pharmaceutical, Inc.Xtampza Er, Belbuca, Nucynta Er | $820 | $118,454163 claims |
| Virtus Pharmaceuticals LLCLevorphanol Tartrate, Lactulose | $90 | $97,10227 claims |
| AbbVieQulipta | $1,093 | $14,28413 claims |
| PfizerLyrica | $196 | $10,41012 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 457 medical providers in Washington.
Other medical in Bremerton
- Douglas StampBremerton$5K
- Diana McFarlaneSeattle$95K
- Karissa SecoraTacoma$53K
- Tori FranklinLakewood$23K
- Salvador LopezYakima$17K
- Amy NelsonSeattle$15K
- Rebecca JohnsonSpokane$14K
- Jonathan CyphersBurien$13K
- Jonathan WhiteSeattle$13K
- Julia TaylorSpokane$12K
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.