NATHAN NEVIL HOWARD

Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant ROYAL PALM BEACH, FL NPI 1104449024

General Payments — all program years on this page

$2,808.51

Category: General Payments
Program years: PY2021–2024
Record count: 146
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $1,823.21 across 98 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Food and Beverage	$1,823.21	98

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
ABBVIE INC.	$416.98	20
Janssen Pharmaceuticals, Inc	$276.34	18
Corium, Inc.	$167.98	8
Neurocrine BioSciences, Inc.	$163.47	9
Otsuka America Pharmaceutical, Inc.	$144.45	10
Teva Pharmaceuticals USA, Inc.	$133.94	8
Alkermes, Inc.	$89.89	4
Almatica Pharma Inc.	$76.72	3
ITI, Inc.	$76.52	4
Takeda Pharmaceuticals U.S.A., Inc.	$58.79	3
Lundbeck LLC	$53.13	3
Neos Therapeutics, LP	$35.27	2
Axsome Therapeutics, Inc.	$26.56	1
VERTEX PHARMACEUTICALS INCORPORATED	$24.92	1
SCILEX PHARMACEUTICALS INC.	$24.44	1
LivaNova USA, Inc.	$21.38	1
IDORSIA PHARMACEUTICALS US INC	$18.64	1
IRONSHORE PHARMACEUTICALS INC.	$13.79	1

By program year

Program year	Amount	Records
2021	$210.08	11
2022	$57.68	3
2023	$717.54	34
2024	$1,823.21	98

Records — PY2024 (98)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1077976342	Janssen Pharmaceuticals, Inc	$7.83	06/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976350	Janssen Pharmaceuticals, Inc	$10.27	09/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976354	Janssen Pharmaceuticals, Inc	$28.73	01/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976356	Janssen Pharmaceuticals, Inc	$8.11	04/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976358	Janssen Pharmaceuticals, Inc	$7.77	10/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976360	Janssen Pharmaceuticals, Inc	$25.40	03/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976362	Janssen Pharmaceuticals, Inc	$26.20	01/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976364	Janssen Pharmaceuticals, Inc	$7.20	05/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976366	Janssen Pharmaceuticals, Inc	$23.28	10/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976374	Janssen Pharmaceuticals, Inc	$28.79	07/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976376	Janssen Pharmaceuticals, Inc	$0.87	03/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976384	Janssen Pharmaceuticals, Inc	$19.68	03/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976388	Janssen Pharmaceuticals, Inc	$23.63	08/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976390	Janssen Pharmaceuticals, Inc	$7.86	06/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976392	Janssen Pharmaceuticals, Inc	$7.59	04/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976394	Janssen Pharmaceuticals, Inc	$8.77	08/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976400	Janssen Pharmaceuticals, Inc	$1.44	01/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077976402	Janssen Pharmaceuticals, Inc	$32.92	08/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1082668141	Neos Therapeutics, LP	$22.04	05/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1082671349	Neos Therapeutics, LP	$13.23	07/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100076081	Corium, LLC	$29.21	02/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100083648	Corium, LLC	$24.91	04/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100098998	Corium, LLC	$19.62	03/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100107622	Corium, LLC	$16.84	05/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100150965	Corium, LLC	$7.84	08/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100178508	Corium, LLC	$20.28	07/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100186227	Corium, LLC	$22.92	09/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100194504	Corium, LLC	$26.36	08/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105924437	VERTEX PHARMACEUTICALS INCORPORATED	$24.92	08/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361503	ABBVIE INC.	$22.05	01/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361505	ABBVIE INC.	$9.83	01/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361507	ABBVIE INC.	$26.33	04/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361509	ABBVIE INC.	$9.65	05/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361511	ABBVIE INC.	$20.50	05/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361513	ABBVIE INC.	$4.81	05/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361515	ABBVIE INC.	$106.07	05/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361517	ABBVIE INC.	$8.44	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361519	ABBVIE INC.	$18.50	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361521	ABBVIE INC.	$30.56	06/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361523	ABBVIE INC.	$21.28	07/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361525	ABBVIE INC.	$16.27	08/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361527	ABBVIE INC.	$3.85	08/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361529	ABBVIE INC.	$15.18	08/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361531	ABBVIE INC.	$31.34	09/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361533	ABBVIE INC.	$8.51	09/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361535	ABBVIE INC.	$6.02	10/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361537	ABBVIE INC.	$33.00	10/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361539	ABBVIE INC.	$6.49	10/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107361541	ABBVIE INC.	$18.30	11/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119098462	Otsuka America Pharmaceutical, Inc.	$10.55	01/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119098464	Otsuka America Pharmaceutical, Inc.	$28.08	02/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119098466	Otsuka America Pharmaceutical, Inc.	$17.39	03/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119098468	Otsuka America Pharmaceutical, Inc.	$15.93	04/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119098470	Otsuka America Pharmaceutical, Inc.	$29.40	04/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119098472	Otsuka America Pharmaceutical, Inc.	$9.30	06/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119098474	Otsuka America Pharmaceutical, Inc.	$15.98	07/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119098476	Otsuka America Pharmaceutical, Inc.	$6.77	08/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119098478	Otsuka America Pharmaceutical, Inc.	$6.06	08/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119098480	Otsuka America Pharmaceutical, Inc.	$4.99	09/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120518716	Alkermes, Inc.	$25.45	03/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120518718	Alkermes, Inc.	$22.73	04/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120518720	Alkermes, Inc.	$25.00	05/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120518722	Alkermes, Inc.	$16.71	12/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1136219986	SCILEX PHARMACEUTICALS INC.	$24.44	01/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137599909	Almatica Pharma LLC	$19.34	02/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137599914	Almatica Pharma LLC	$28.95	04/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137599918	Almatica Pharma LLC	$28.43	12/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137765843	Takeda Pharmaceuticals U.S.A., Inc.	$16.99	02/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137765845	Takeda Pharmaceuticals U.S.A., Inc.	$20.72	05/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137765847	Takeda Pharmaceuticals U.S.A., Inc.	$21.08	06/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143504696	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$13.90	01/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143504702	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$23.99	04/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143504707	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$20.67	05/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143504714	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.96	07/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146037298	Lundbeck LLC	$20.06	02/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146037300	Lundbeck LLC	$15.42	09/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146037302	Lundbeck LLC	$17.65	10/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146266991	IRONSHORE PHARMACEUTICALS INC.	$13.79	07/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146779549	IDORSIA PHARMACEUTICALS US INC	$18.64	05/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148397001	Axsome Therapeutics, Inc.	$26.56	01/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150945377	Neurocrine Biosciences, Inc.	$27.83	02/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150959292	Neurocrine Biosciences, Inc.	$24.00	01/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150959316	Neurocrine Biosciences, Inc.	$23.99	08/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150963610	Neurocrine Biosciences, Inc.	$23.08	03/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150992804	Neurocrine Biosciences, Inc.	$17.40	09/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150995664	Neurocrine Biosciences, Inc.	$16.85	05/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151010491	Neurocrine Biosciences, Inc.	$13.14	03/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151016177	Neurocrine Biosciences, Inc.	$8.96	07/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151017151	Neurocrine Biosciences, Inc.	$8.22	03/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151481800	Teva Pharmaceuticals USA, Inc.	$14.86	02/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151481828	Teva Pharmaceuticals USA, Inc.	$31.51	04/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151481866	Teva Pharmaceuticals USA, Inc.	$18.95	05/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151481868	Teva Pharmaceuticals USA, Inc.	$14.98	06/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151481882	Teva Pharmaceuticals USA, Inc.	$17.62	07/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151481898	Teva Pharmaceuticals USA, Inc.	$16.23	08/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151481939	Teva Pharmaceuticals USA, Inc.	$4.14	10/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151481941	Teva Pharmaceuticals USA, Inc.	$15.65	10/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1152798191	LivaNova USA, Inc.	$21.38	04/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.