Medicare Enrolled

Dr. John Houghtaling, MD

Orthopaedic Hand Surgery Physician · Toledo, OH
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
2865 N REYNOLDS RD, Toledo, OH 43615
4195787200
In practice since 2008 (17 years)
NPI: 1063661262 verify on NPPES ↗
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. Houghtaling 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. Houghtaling? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Houghtaling

Dr. John Houghtaling is an orthopaedic hand surgery physician in Toledo, OH, with 17 years of NPI registration. Based on federal Medicare data, Dr. Houghtaling performed 2,774 Medicare services across 1,494 unique beneficiaries.

Between the years covered by Open Payments, Dr. Houghtaling received a total of $6,939 from 26 pharmaceutical and/or device companies across 67 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic hand surgery physician. 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. Houghtaling 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.

✓ 17 years in practice ▲ Top 4% volume in OH $6,939 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,774
Medicare services
Top 4% in OH for orthopaedic hand surgery physician
1,494
Unique beneficiaries
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~163 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
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
1,024 $5 $11
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.
324 $62 $112
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
266 $25 $66
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
208 $73 $167
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
152 $38 $178
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
121 $39 $176
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
108 $27 $74
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
76 $38 $75
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.
69 $115 $315
X-ray of finger, minimum of 2 views
An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures.
64 $26 $63
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.
60 $85 $165
Hand nerve release or relocation
A surgical procedure to release or reposition a nerve in the hand.
57 $328 $1,027
Injection of carpal tunnel 49 $75 $234
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
49 $37 $175
Incision of finger tendon sheath
A surgical procedure to cut open the protective covering of a finger tendon.
35 $177 $1,295
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
32 $24 $92
Elbow X-ray, minimum 3 views
An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures.
31 $23 $83
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
24 $45 $191
Wrist to finger joint removal
Surgical removal of the bones forming the joints between the wrist and the fingers.
14 $634 $1,653
Tendon relocation of forearm or wrist
A surgical procedure to reposition a tendon in the forearm or wrist to restore proper function or alignment.
11 $246 $1,692
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$6,939
Total received (2018-2024)
Avg $991/year across 7 years
Top 28% in OH for orthopaedic hand surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
67
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
$4,704 (67.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,235 (32.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$998
2023
$205
2022
$4,795
2021
$249
2020
$64
2019
$184
2018
$444

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Sonex Health, Inc.
$766
ETS Wound Care LLC
$85
Nexus Medical Technologies Llc
$44
Endo USA, Inc.
$31
Endo Pharmaceuticals Inc.
$29
Ethicon US, LLC
$24
Bioventus LLC
$20
Top 3 companies account for 89.6% of 2024 payments
All-time payments by company (2018-2024) ›
Endo Pharmaceuticals Inc.
$5,032
Sonex Health, Inc.
$766
Skeletal Dynamics LLC
$152
Flexion Therapeutics, Inc.
$144
ETS Wound Care LLC
$85
Horizon Pharma plc
$73
Bioventus LLC
$68
Zimmer Biomet Holdings, Inc.
$61
ROCK MEDICAL ORTHOPEDICS, INC.
$58
Integra LifeSciences Corporation
$50
Pacira Therapeutics, Inc.
$50
Stryker Corporation
$44
Nexus Medical Technologies Llc
$44
Rock Medical Orthopedics, Inc.
$38
Orthofix Medical, Inc.
$35
SANOFI-AVENTIS U.S. LLC
$35
Endo USA, Inc.
$31
SI-BONE, INC.
$29
Abbott Laboratories
$25
Ethicon US, LLC
$24
AXOGEN
$20
Pacira Pharmaceuticals Incorporated
$18
FIDIA PHARMA USA INC.
$18
Heron Therapeutics, Inc.
$17
PFIZER INC.
$14
Checkpoint Surgical, Inc
$8
Top 3 companies account for 85.7% of all-time payments
Associated products mentioned in payments ›
Avance Nerve Graft · Axium Sheath Braided DRG · Checkpoint Stimulators · EXOGEN ULTRASOUND BONE HEALING SYSTEM · EXPAREL · FREEDOM WRIST · GELSYN 3 · GELSYN-3 · Gel One · Geminus · HYALGAN · IFUSE IMPLANT · MIRRAGEN ADVANCED WOUND MATRIX · PRIMARY CARE - DISEASE STATE · Persona · Physio-Stim · SURGICEL NU-KNIT · SX-ONE MICROKNIFE · SYNVISC-ONE · TENOGLIDE · THROMBIN · VARIAX · XIAFLEX · ZYNRELEF · Zilretta
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 (68%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Looking for an orthopaedic hand surgery physician in Toledo?
Compare orthopaedic hand surgery physicians in the Toledo area by procedure volume, costs, and industry payment transparency.
Browse orthopaedic hand surgery physicians nearby

Geographic Context

Orthopaedic hand surgery physicians within 10 mi
4
Per 100K population
0.9
County median income
$60,095
Nearest hospital
PROMEDICA TOLEDO HOSPITAL
3.5 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. Houghtaling is a clinical cardiology specialist, with above-average Medicare volume (top 4% in OH), with consulting-driven industry engagement, with 17 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. Houghtaling experienced with betamethasone steroid injection?
Based on Medicare claims data, Dr. Houghtaling performed 1,024 betamethasone steroid injection 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. Houghtaling receive payments from pharmaceutical companies?
Yes. Dr. Houghtaling received a total of $6,939 from 26 companies across 67 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. Houghtaling's costs compare to other orthopaedic hand surgery physicians in Toledo?
Dr. Houghtaling's average Medicare payment per service is $44. 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. Houghtaling) 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 →
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

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →