Medicare Enrolled
Dr. Jay Howington, MD
Neurological Surgery · Savannah, GA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Consulting-driven
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Howington from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Howington?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Howington
Dr. Jay Howington is a neurological surgery specialist in Savannah, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Howington performed 3,746 Medicare services across 857 unique beneficiaries.
Between the years covered by Open Payments, Dr. Howington received a total of $137,276 from 40 pharmaceutical and/or device companies across 380 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Howington is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 2% volume in GA
$137,276 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,746
Medicare services
Top 2% in GA for neurological surgery
857
Unique beneficiaries
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~187 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| MRI contrast dye injection (gadobutrol) | 1,425 | $0 | $1 |
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
1,400 | $0 | $0 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
195 | $62 | $191 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
92 | $122 | $432 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
78 | $61 | $191 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
54 | $99 | $358 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
52 | $104 | $1,052 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
51 | $38 | $103 |
| MRI of head blood vessels without contrast An MRI scan that creates detailed images of the blood vessels in the head without using contrast dye. |
39 | $110 | $2,409 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
36 | $8 | $15 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
35 | $37 | $269 |
| Additional sedation, per 15 minutes Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period. |
32 | $8 | $134 |
| Brain artery catheterization A tube is inserted into an artery in the brain for diagnosis or treatment, with review by a radiologist. |
29 | $1,114 | $19,277 |
| Neck artery catheter insertion with radiology review A tube is inserted into an artery in the neck for diagnostic or treatment purposes. A radiologist reviews the procedure. |
28 | $2,219 | $20,231 |
| Arterial catheter insertion in neck A tube is inserted into an artery in the neck for diagnostic or treatment purposes. A radiologist reviews the procedure. |
28 | $272 | $2,711 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
26 | $131 | $533 |
| CT scan of head/brain, without contrast A CT scan uses X-rays to create detailed images of the head or brain without the use of contrast dye. |
23 | $47 | $536 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
21 | $134 | $380 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
20 | $92 | $282 |
| Occlusion of central nervous system or spinal cord artery | 18 | $888 | $6,198 |
| Radiologist review of image for embolization A radiologist reviews medical images to guide the insertion of material designed to block blood flow. |
18 | $55 | $3,296 |
| Blood vessel imaging Imaging test to visualize the blood vessels. |
18 | $70 | $388 |
| MRI of brain with and without contrast An MRI scan of the brain using contrast dye both before and after administration to provide detailed images of brain structures. |
15 | $165 | $2,630 |
| 3D radiographic procedure with computerized image postprocessing A radiographic imaging procedure that creates three-dimensional images using computerized processing of the captured data. |
13 | $29 | $412 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
2.3% high complexity
79.3% medium
18.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$137,276
Total received (2018-2024)
Avg $19,611/year across 7 years
Top 9% in GA for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
40
Companies
380
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$127,883 (93.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,348 (6.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$45 (0.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$46,418
2023
$12,927
2022
$22,624
2021
$11,414
2020
$640
2019
$26,699
2018
$16,554
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medical Device Business Services, Inc.
$44,969
DePuy Synthes Sales Inc.
$835
Boston Scientific Corporation
$251
Integra LifeSciences Corporation
$68
Zimmer Biomet Holdings, Inc.
$48
Monteris Medical Corporation
$44
Acera Surgical, Inc.
$41
Nevro Corp.
$39
Medtronic, Inc.
$32
CARDIVA MEDICAL, INC.
$25
Stryker Corporation
$24
Abbott Laboratories
$23
PFIZER INC.
$19
Top 3 companies account for 99.2% of 2024 payments
All-time payments by company (2018-2024) ›
Medical Device Business Services, Inc.
$127,883
DePuy Synthes Sales Inc.
$2,659
Boston Scientific Corporation
$1,509
GE HEALTHCARE
$1,507
BOSTON SCIENTIFIC CORPORATION
$406
GT Medical Technologies, Inc
$402
Rapid Medical Ltd
$279
Penumbra, Inc.
$264
Integra LifeSciences Corporation
$255
Zimmer Biomet Holdings, Inc.
$205
Medtronic, Inc.
$183
Stryker Corporation
$153
ARBOR PHARMACEUTICALS, INC.
$142
Viz.ai, Inc.
$124
Balt USA, LLC
$110
Synaptive Medical Inc.
$109
Sunovion Pharmaceuticals Inc.
$104
Nevro Corp.
$95
Medtronic USA, Inc.
$92
Arbor Pharmaceuticals, Inc.
$85
Carl Zeiss Meditec, Inc.
$84
Acera Surgical, Inc.
$71
Abbott Laboratories
$60
LeMaitre Vascular, Inc.
$56
CARDIVA MEDICAL, INC.
$47
IRRAS USA, Inc.
$45
Monteris Medical Corporation
$44
Philips Electronics North America Corporation
$44
NuVasive, Inc.
$40
PORTOLA PHARMACEUTICALS, INC.
$38
Novocure Inc.
$30
NATUS MEDICAL INCORPORATED
$22
Radius Health, Inc.
$21
AstraZeneca Pharmaceuticals LP
$21
PFIZER INC.
$19
Azurity Pharmaceuticals, Inc.
$17
Misonix Inc
$15
Orthofix Medical, Inc.
$12
MicroVention, Inc.
$12
Brainlab, Inc.
$11
Top 3 companies account for 96.2% of all-time payments
Associated products mentioned in payments ›
(8324) Azurion 7 M20 · 1.5mm Neuro · ACCULINK · ANASTOCLIP GC 8CM (MEDIUM) · ANDEXXA · ANSPACH · APTIOM · AQUAMANTYS · AXERT · BRILINTA · Biomet SpinalPak · Brightmatter Guide/Modus V · CARDIVA VASCADE 6/7F VCS · CEREPAK UNIFORM · CODMAN · CODMAN CERTAS · COHERE · Cerenovus Enterprise · Curve · DURAGEN DURAL GRAFT MATRIX · EMBOGUARD · EMBOTRAP · ENTERPRISE · GELFOAM · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · Galaxy G3 · GammaTile · General - Pain Management · Gliadel · HAKIM · HTR-PEKK · INFINION · INTELLIS · IRRAFLOW · KINEVO · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · MIDAS REX · Neuroblate · Oncology · PIPELINE · PULSERIDER · Pekk Htr Cranioplasty · Penumbra System · Pipeline · Prestige Coil System · Proclaim Family of SCS IPGs · Pulsar Vascular PulseRider Aneurysm Neck Reconstruction Device · Restrata Wound Matrix · SPECTRA WAVEWRITER · SPINEJACK · SURPASS EVOLVE · Senza · Senza Spinal Cord Stimulation System · SonaStar · Spectra · TARGET · TIGERTRIEVER 17 REVASCULARIZATION DEVICE · TREVO · TRUFILL · Traumaone · Trinity ELITE · Tymlos · Vascular Closure Device · Viz.AI LVO · WAVEWRITER ALPHA · WEB Aneurysm Embolization System · WaveWriter Alpha Prime 16
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (93%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 9% for neurological surgery in GA.
Geographic Context
Neurological surgerists within 10 mi
14
Per 100K population
4.7
County median income
$69,575
Nearest hospital
CANDLER HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Howington is a mixed practice specialist, with above-average Medicare volume (top 2% in GA), with consulting-driven industry engagement in the top 9% of GA peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Howington experienced with mri contrast dye injection (gadobutrol)?
Based on Medicare claims data, Dr. Howington performed 1,425 mri contrast dye injection (gadobutrol) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Howington receive payments from pharmaceutical companies?
Yes. Dr. Howington received a total of $137,276 from 40 companies across 380 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Howington's costs compare to other neurological surgerists in Savannah?
Dr. Howington's average Medicare payment per service is $48. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Howington) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
Explore related providers
Same specialty & city
Neurological Surgerists in Savannah
Browse neurological surgerists in Savannah ranked by procedure volume and transparency data.
Highest volume
Top Neurological Surgerists in GA
Neurological surgerists ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Neurological Surgerists in GA
Which GA neurological surgerists receive the most from drug and device companies.
By company
Medical Device Business Services, Inc. Payments to Doctors
See all physicians who received payments from Medical Device Business Services, Inc.
By company
DePuy Synthes Sales Inc. Payments to Doctors
See all physicians who received payments from DePuy Synthes Sales Inc.
By company
Boston Scientific Corporation Payments to Doctors
See all physicians who received payments from Boston Scientific Corporation.
About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology