Medicare Enrolled

Dr. Michael Howard, M.D.

Orthopedic Surgery · Plano, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
5228 W PLANO PKWY, Plano, TX 75093
9722505700
Registered in NPPES since 2007
NPI: 1568586550 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. Howard 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 →
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What this data tells you about Dr. Howard

Dr. Michael Howard is an orthopedic surgery specialist in Plano, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Howard performed 2,714 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Howard received a total of $29,646 from 24 pharmaceutical and/or device companies across 96 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Howard 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.

✓ 19 years of NPI registration ▲ Top 21% volume in TX $29,646 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
2,714
Medicare services
Top 21% in TX for orthopedic surgery
Not available
Unique patients (not deduplicated)
$70
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
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.
649 $25 $92
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.
393 $66 $150
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.
366 $87 $175
Ketorolac injection, per 15 mg
An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg.
281 $0 $3
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
248 $48 $207
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.
195 $112 $290
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
163 $1 $5
Bupivacaine injection, 0.5 mg
An injection of bupivacaine, a local anesthetic, administered in a dose of 0.5 mg.
135 $0 $3
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.
93 $22 $91
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
45 $74 $219
Total shoulder joint prosthetic repair
Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function.
42 $1,119 $4,577
Arthroscopic rotator cuff repair
A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions.
28 $778 $3,065
Arthroscopic shoulder surgery for bone shaving and ligament repair
A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament.
24 $126 $1,120
Anchoring of biceps tendon 15 $286 $2,524
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
13 $40 $170
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.
13 $26 $86
Methylprednisolone acetate injection, 80 mg
An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication.
11 $9 $27
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. These counts do not measure clinical quality or years of experience.
0.9% high complexity
33.0% medium
66.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$29,646
Total received (2018-2024)
Avg $4,235/year across 7 years
Top 17% in TX for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
96
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$589
2023
$1,554
2022
$12,552
2021
$1,843
2020
$518
2019
$7,649
2018
$4,942

Payments by company (2024)

DePuy Synthes Sales Inc.
$205
Siemens Medical Solutions USA, Inc.
$103
Stryker Corporation
$80
Smith+Nephew, Inc.
$71
Globus Medical, Inc.
$43
Pylant Medical
$34
Innovation Technologies Inc
$21
ABANZA INC.
$17
VERTEX PHARMACEUTICALS INCORPORATED
$15
Top 3 companies account for 65.8% of 2024 payments
All-time payments by company (2018-2024) ›
iCAD, Inc
$11,747
Medartis Inc.
$6,478
Pylant Medical
$4,639
Arthrex, Inc.
$3,715
DePuy Synthes Products, Inc.
$985
Medical Device Business Services, Inc.
$548
Siemens Medical Solutions USA, Inc.
$423
Stryker Corporation
$302
DePuy Synthes Sales Inc.
$218
Terumo BCT, Inc.
$161
Smith+Nephew, Inc.
$93
Flexion Therapeutics, Inc.
$60
Globus Medical, Inc.
$43
ERMI Inc.
$36
Orthofix Medical, Inc.
$33
Bioventus LLC
$26
Zimmer Biomet Holdings, Inc.
$24
Innovation Technologies Inc
$21
Medtronic USA, Inc.
$18
Ferring Pharmaceuticals Inc.
$17
ABANZA INC.
$17
VERTEX PHARMACEUTICALS INCORPORATED
$15
Molnlycke Health Care US, LLC
$15
SI-BONE, Inc.
$14
Top 3 companies account for 77.1% of all-time payments
Associated products mentioned in payments ›
3.5MM · APTUS · AQUAMANTYS · AXXENT SURFACE CONTROLLER · Avance · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · CONEXTIONS TR TENDON REPAIR SYSTEM-IMPLANT MECHANISM · COR · Coblation · EUFLEXXA · Exogen · HARVEST BMAC · HARVEST SmartPrep · Harvest · IRRISEPT · KNOTILUS ANCHOR · Knee Creations Brand · LCP · LENS 4K · MONOVISC · Mammography-Powerlook AMP · N/A · NA · ORTHOVISC · Physio-Stim · Physio-Stim Osteogenesis Stimulator · SPEED · TRUESPAN · TrueBeam · VARIAX · WasherCap Fixation System 10mm · Zilretta · iFuse Implant
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an orthopedic surgery specialist in Plano?
Compare orthopedic surgeons in the Plano area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons in nearby ZIP areas
301
County median income
$117,588
Nearest hospital to ZIP centroid (approximate)
TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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. Howard is a clinical cardiology specialist, with above-average Medicare volume (top 21% in TX), with 19 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. Howard experienced with shoulder x-ray, 2+ views?
Based on Medicare claims data, Dr. Howard performed 649 shoulder x-ray, 2+ views services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Howard receive payments from pharmaceutical companies?
Yes. Dr. Howard received a total of $29,646 from 24 companies across 96 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Howard's costs compare to other orthopedic surgeons in Plano?
Dr. Howard's average Medicare payment per service is $70. 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. Howard) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →