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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

DESIREE M HOWLEY

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1316472723
CMS profile
10496440
Location
FERNANDINA BEACH, FL

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2023–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$2,014.30

79 records · 0 disputed

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

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) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,014.30 79

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $14.45 1
PY2024 $29.24 2
PY2025 $2,014.30 79

Payment records · PY2025 (79)

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

Program year 2025 20232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
PFIZER INC. $29.51 12/29/2025 Food and Beverage No dispute reported 06/30/2026 1229387455 CMS
United Therapeutics Corporation $27.74 12/18/2025 Food and Beverage No dispute reported 06/30/2026 1242554062 CMS
Bayer Healthcare Pharmaceuticals Inc. $8.12 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1225581395 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $19.58 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1173709576 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.60 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1225581397 CMS
Novartis Pharmaceuticals Corporation $29.54 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1200260589 CMS
Merck Sharp & Dohme LLC $22.06 11/14/2025 Food and Beverage No dispute reported 06/30/2026 1238339805 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.60 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1225581389 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.83 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1225581393 CMS
United Therapeutics Corporation $23.04 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1242524352 CMS
United Therapeutics Corporation $74.99 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1242552780 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $13.29 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1173709584 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.81 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1222834362 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $18.55 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1173709578 CMS
Alnylam Pharmaceuticals Inc. $24.86 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1212747347 CMS
BridgeBio Pharma, Inc. $13.46 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1250437813 CMS
United Therapeutics Corporation $50.00 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1242551686 CMS
Bayer Healthcare Pharmaceuticals Inc. $1.37 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1225581383 CMS
Bayer Healthcare Pharmaceuticals Inc. $1.37 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1225581385 CMS
Amgen Inc. $14.38 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1229041198 CMS
United Therapeutics Corporation $20.53 10/27/2025 Food and Beverage No dispute reported 06/30/2026 1242525158 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.21 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1225581387 CMS
Novartis Pharmaceuticals Corporation $15.81 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1200374411 CMS
Merck Sharp & Dohme LLC $22.74 10/20/2025 Food and Beverage No dispute reported 06/30/2026 1238016329 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $16.73 10/13/2025 Food and Beverage No dispute reported 06/30/2026 1173709582 CMS
Surmodics, Inc. $19.08 10/03/2025 Food and Beverage No dispute reported 06/30/2026 1209907521 CMS
United Therapeutics Corporation $33.79 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1242535192 CMS
Novartis Pharmaceuticals Corporation $24.60 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1200374409 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.33 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1225581391 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.19 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1222834360 CMS
SCPHARMACEUTICALS INC. $23.19 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1228199672 CMS
Alnylam Pharmaceuticals Inc. $26.28 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1212747343 CMS
BridgeBio Pharma, Inc. $22.54 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1250437815 CMS
Esperion Therapeutics, Inc. $13.88 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1243988329 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.80 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1225581379 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $17.41 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1173709580 CMS
Novartis Pharmaceuticals Corporation $16.93 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1200374407 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $20.04 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1173709574 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.35 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1225581377 CMS
United Therapeutics Corporation $19.76 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1242531402 CMS
Merck Sharp & Dohme LLC $18.21 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1238338191 CMS
Novartis Pharmaceuticals Corporation $14.40 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1200374405 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.10 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1225581367 CMS
Esperion Therapeutics, Inc. $17.01 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1243988327 CMS
ABIOMED $29.66 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1174510881 CMS
Esperion Therapeutics, Inc. $17.50 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1243988325 CMS
Merck Sharp & Dohme LLC $22.57 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1238165324 CMS
Alnylam Pharmaceuticals Inc. $19.63 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1212747323 CMS
Novartis Pharmaceuticals Corporation $17.04 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1200374403 CMS
Alnylam Pharmaceuticals Inc. $19.54 07/17/2025 Food and Beverage No dispute reported 06/30/2026 1212747289 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.99 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1225581375 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.68 07/11/2025 Food and Beverage No dispute reported 06/30/2026 1222834358 CMS
Merck Sharp & Dohme LLC $22.84 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1238298705 CMS
Esperion Therapeutics, Inc. $21.73 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1243988323 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.96 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1225581373 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $24.47 06/19/2025 Food and Beverage No dispute reported 06/30/2026 1173709572 CMS
PFIZER INC. $18.32 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1231686109 CMS
SCPHARMACEUTICALS INC. $27.69 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1228188031 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.95 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1222834356 CMS
Merck Sharp & Dohme LLC $24.98 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1238338193 CMS
Novartis Pharmaceuticals Corporation $22.34 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1200374379 CMS
PFIZER INC. $20.92 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1231289043 CMS
Edwards Lifesciences Corporation $135.38 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1225252660 CMS
Amgen Inc. $15.66 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1229041204 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $25.37 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1173709570 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.58 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1225581371 CMS
Esperion Therapeutics, Inc. $17.54 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1243988321 CMS
Alnylam Pharmaceuticals Inc. $27.56 05/01/2025 Food and Beverage No dispute reported 06/30/2026 1212747279 CMS
Abbott Laboratories $166.43 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1240865147 CMS
Novartis Pharmaceuticals Corporation $17.07 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1200374383 CMS
Kestra Medical Technology Services, Inc. $31.26 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1248815427 CMS
Merck Sharp & Dohme LLC $19.86 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1238248071 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.53 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1225581369 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.19 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1222834352 CMS
Philips North America LLC $36.93 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1232631123 CMS
AstraZeneca Pharmaceuticals LP $18.04 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1206452048 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $22.30 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1222834354 CMS
Alnylam Pharmaceuticals Inc. $16.67 03/31/2025 Food and Beverage No dispute reported 06/30/2026 1212747265 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.51 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1225581381 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
2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.

Cite this record.

Plain
DESIREE M HOWLEY, NPI 1316472723. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1316472723.
APA 7
IndustryPayments. (2026). DESIREE M HOWLEY, NPI 1316472723 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1316472723
Bluebook
DESIREE M HOWLEY, NPI 1316472723, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1316472723.

Source: Centers for Medicare & Medicaid Services, Open Payments.