Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

RACHAEL J HOWARD

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1134676836
CMS profile
11071387
Location
MELBOURNE, FL

General Payments · PY2021–2023

$2,824.06

  • Reported across 112 records
  • CMS publication 2026-06-30

Latest program year · PY2023

$1,079.18

28 records · 0 disputed

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

How these totals are 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

PY2023 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $853.31 27
Travel and Lodging $225.87 1

By paying entity

PY2023 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $649.94 30
PY2022 $1,094.94 54
PY2023 $1,079.18 28

Payment records · PY2023 (28)

Sorted by paying entity, then date · as published by CMS

Program year 2023 20212022 Record-level detail is published for PY2023; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Abbott Laboratories $29.58 01/13/2023 Food and Beverage Undisputed 06/30/2026 1019757279 CMS
Abbott Laboratories $97.18 03/19/2023 Food and Beverage Undisputed 06/30/2026 1019764593 CMS
Abbott Laboratories $42.13 07/12/2023 Food and Beverage Undisputed 06/30/2026 1019763295 CMS
ABBVIE INC. $15.16 02/22/2023 Food and Beverage Undisputed 06/30/2026 1005606355 CMS
ABBVIE INC. $34.22 03/09/2023 Food and Beverage Undisputed 06/30/2026 1005606361 CMS
ABBVIE INC. $15.08 03/14/2023 Food and Beverage Undisputed 06/30/2026 1005606367 CMS
ABBVIE INC. $21.77 03/28/2023 Food and Beverage Undisputed 06/30/2026 1005606373 CMS
ABBVIE INC. $34.10 07/26/2023 Food and Beverage Undisputed 06/30/2026 1005606381 CMS
Almatica Pharma LLC $16.52 03/07/2023 Food and Beverage Undisputed 06/30/2026 993462059 CMS
Boston Scientific Corporation $15.39 02/09/2023 Food and Beverage Undisputed 06/30/2026 1022308991 CMS
Boston Scientific Corporation $15.40 02/09/2023 Food and Beverage Undisputed 06/30/2026 1022308993 CMS
Boston Scientific Corporation $20.13 04/13/2023 Food and Beverage Undisputed 06/30/2026 1022308995 CMS
Collegium Pharmaceutical, Inc. $17.87 05/15/2023 Food and Beverage Undisputed 06/30/2026 987406041 CMS
Curonix LLC $13.50 05/04/2023 Food and Beverage Undisputed 06/30/2026 1053097749 CMS
Nevro Corp. $14.14 03/28/2023 Food and Beverage Undisputed 06/30/2026 1051649771 CMS
Nevro Corp. $13.13 09/24/2023 Food and Beverage Undisputed 06/30/2026 1051649837 CMS
Pacira Pharmaceuticals Incorporated $17.85 02/09/2023 Food and Beverage Undisputed 06/30/2026 1041468715 CMS
Relievant Medsystems, Inc. $31.38 01/03/2023 Food and Beverage Undisputed 06/30/2026 1023533073 CMS
Relievant Medsystems, Inc. $33.79 01/03/2023 Food and Beverage Undisputed 06/30/2026 1023533079 CMS
Relievant Medsystems, Inc. $91.55 01/07/2023 Food and Beverage Undisputed 06/30/2026 1023549471 CMS
Relievant Medsystems, Inc. $225.87 01/10/2023 Travel and Lodging Undisputed 06/30/2026 1023533069 CMS
Relievant Medsystems, Inc. $142.96 01/10/2023 Food and Beverage Undisputed 06/30/2026 1023533083 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $18.05 01/25/2023 Food and Beverage Undisputed 06/30/2026 1057103245 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $21.24 03/08/2023 Food and Beverage Undisputed 06/30/2026 1057115151 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.68 04/26/2023 Food and Beverage Undisputed 06/30/2026 1057387713 CMS
TerSera Therapeutics LLC $22.34 05/01/2023 Food and Beverage Undisputed 06/30/2026 1052436207 CMS
TerSera Therapeutics LLC $22.56 07/24/2023 Food and Beverage Undisputed 06/30/2026 1052436211 CMS
Trevena, Inc. $18.61 01/26/2023 Food and Beverage Undisputed 06/30/2026 1057729833 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2021, 2022, 2023
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023
Generated from
OP_DTL_GNRL_PGYR2023_P06302026_06032026.csv

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