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

Covered recipient · General Payments record

CHRISTIAN D HOWELL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1144818329
CMS profile
10822423
Location
SMYRNA, TN

General Payments · PY2025

$429.20

  • Reported across 21 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$429.20

21 records · 0 disputed

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

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $429.20 21

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2025 $429.20 21

Payment records · PY2025 (21)

Ordering applied by this site (paying entity, then date) · record values are shown as CMS published them

Program year 2025
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $14.46 11/11/2025 Food and Beverage Undisputed 06/30/2026 1228854179 CMS
Amgen Inc. $14.56 12/12/2025 Food and Beverage Undisputed 06/30/2026 1228854185 CMS
Axsome Therapeutics, Inc. $21.94 10/14/2025 Food and Beverage Undisputed 06/30/2026 1235559575 CMS
Axsome Therapeutics, Inc. $24.36 11/13/2025 Food and Beverage Undisputed 06/30/2026 1235621863 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.30 10/16/2025 Food and Beverage Undisputed 06/30/2026 1225581227 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.08 11/11/2025 Food and Beverage Undisputed 06/30/2026 1225581229 CMS
CeQur Corporation $21.84 10/29/2025 Food and Beverage Undisputed 06/30/2026 1228695045 CMS
Esperion Therapeutics, Inc. $14.23 11/19/2025 Food and Beverage Undisputed 06/30/2026 1243988289 CMS
Exact Sciences Corporation $15.24 10/22/2025 Food and Beverage Undisputed 06/30/2026 1235269599 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $32.28 11/21/2025 Food and Beverage Undisputed 06/30/2026 1241551234 CMS
Merck Sharp & Dohme LLC $30.39 10/14/2025 Food and Beverage Undisputed 06/30/2026 1238215900 CMS
Novartis Pharmaceuticals Corporation $17.04 10/23/2025 Food and Beverage Undisputed 06/30/2026 1200209496 CMS
Novo Nordisk Inc $15.60 05/14/2025 Food and Beverage Undisputed 06/30/2026 1188768410 CMS
Novo Nordisk Inc $26.03 11/04/2025 Food and Beverage Undisputed 06/30/2026 1188671695 CMS
Novo Nordisk Inc $26.59 11/13/2025 Food and Beverage Undisputed 06/30/2026 1188646136 CMS
Otsuka America Pharmaceutical, Inc. $24.02 10/21/2025 Food and Beverage Undisputed 06/30/2026 1227758521 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.81 11/03/2025 Food and Beverage Undisputed 06/30/2026 1232049957 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.29 12/21/2025 Food and Beverage Undisputed 06/30/2026 1232049960 CMS
Sumitomo Pharma America, Inc. $16.70 11/20/2025 Food and Beverage Undisputed 06/30/2026 1176771125 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.11 10/20/2025 Food and Beverage Undisputed 06/30/2026 1223981591 CMS
Verona Pharma, Inc. $24.33 11/14/2025 Food and Beverage Undisputed 06/30/2026 1233794256 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
2025
Source files
Dataset page · Bulk file · PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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