Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

NANCY L HOWDEN

Allopathic & Osteopathic Physicians Obstetrics & Gynecology

NPI
1538133186
CMS profile
69539
Location
ASHEVILLE, NC

General Payments · PY2018–2024

$2,161.33

  • Reported across 117 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$267.78

13 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $267.78 13

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $238.56 14
PY2019 $412.21 20
PY2020 $180.27 12
PY2021 $278.40 17
PY2022 $472.89 23
PY2023 $311.22 18
PY2024 $267.78 13

Payment records · PY2024 (13)

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

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Astellas Pharma US Inc $17.01 02/09/2024 Food and Beverage Undisputed 01/23/2026 1139292066 CMS
Astellas Pharma US Inc $18.30 05/23/2024 Food and Beverage Undisputed 01/23/2026 1139340578 CMS
Astellas Pharma US Inc $17.16 07/17/2024 Food and Beverage Undisputed 01/23/2026 1139274160 CMS
Astellas Pharma US Inc $17.46 11/12/2024 Food and Beverage Undisputed 01/23/2026 1139431790 CMS
Axonics, Inc. $29.94 05/30/2024 Food and Beverage Undisputed 01/23/2026 1142374997 CMS
Boston Scientific Corporation $17.94 08/14/2024 Food and Beverage Undisputed 01/23/2026 1092375267 CMS
COLOPLAST CORP $27.89 03/13/2024 Food and Beverage Undisputed 01/23/2026 1117447244 CMS
Medtronic, Inc. $38.61 07/10/2024 Food and Beverage Undisputed 01/23/2026 1119363471 CMS
Myriad Genetic Laboratories, Inc. $19.38 08/20/2024 Food and Beverage Undisputed 01/23/2026 1152532852 CMS
Organon Llc $13.74 05/14/2024 Food and Beverage Undisputed 01/23/2026 1136226574 CMS
PFIZER INC. $14.53 05/08/2024 Food and Beverage Undisputed 01/23/2026 1131565250 CMS
Sumitomo Pharma America, Inc. $14.02 01/17/2024 Food and Beverage Undisputed 01/23/2026 1148866293 CMS
Sumitomo Pharma America, Inc. $21.80 06/12/2024 Food and Beverage Undisputed 01/23/2026 1148866295 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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