Medicare Enrolled

Dr. Johnny Howton, M.D.

Optician · Waco, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
50 HILLCREST MEDICAL BLVD STE 105, Waco, TX 76712
2547541522
In practice since 2006 (19 years)
NPI: 1790733038 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. Howton 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. Howton? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Howton

Dr. Johnny Howton is an optician in Waco, TX, with 19 years in practice. Based on federal Medicare data, Dr. Howton performed 636 Medicare services across 536 unique beneficiaries.

Between the years covered by Open Payments, Dr. Howton received a total of $32,459 from 23 pharmaceutical and/or device companies across 77 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Howton is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice▲ 636 Medicare services$ $32,459 industry payments

Medicare Practice Summary

Medicare Utilization ↗
636
Medicare services
Bottom 38% in TX for optician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
536
Unique beneficiaries
$112
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~33 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (20-29 min)124$62$125
Diagnostic exam of anus using an endoscope119$82$415
Colonoscopy with biopsy107$74$1,130
Removal of polyps or growths of large bowel using an endoscope with mechanical snare91$200$1,208
Removal of external hemorrhoids by rubber banding65$200$650
Office visit, established patient (30-39 min)44$83$175
Colorectal cancer screening; colonoscopy on individual at high risk43$174$853
Office visit, established patient, complex (40-54 min)16$130$235
New patient office visit (30-44 min)14$62$190
Diagnostic exam of lower portion of large bowel using a flexible endoscope13$33$177
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 ↗
$32,459
Total received (2018-2024)
Avg $4,637/year across 7 years
Top 7% in TX for optician
23
Companies
77
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$30,750 (94.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,709 (5.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$266
2023
$653
2022
$1,277
2021
$29,753
2020
$24
2019
$222
2018
$263

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Intuitive Surgical, Inc.
$31,233
Lexington Medical, Inc.
$213
Takeda Pharmaceuticals U.S.A., Inc.
$189
Axonics, Inc.
$128
Synergy Pharmaceuticals Inc
$115
Integra LifeSciences Corporation
$67
DAVOL INC.
$58
Medtronic, Inc.
$44
TELA Bio, Inc.
$41
Pacira Pharmaceuticals Incorporated
$40
BOSTON SCIENTIFIC CORPORATION
$38
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$36
THD America, Inc.
$36
Medtronic USA, Inc.
$30
Boston Scientific Corporation
$29
Sebela Pharmaceuticals Inc.
$26
Merck Sharp & Dohme Corporation
$26
Activ Surgical, Inc.
$24
Baudax Bio Inc.
$23
Celgene Corporation
$23
Myriad Genetic Laboratories, Inc.
$16
Baxter Healthcare
$13
Hollister Incorporated
$12
Top 3 companies account for 97.5% of total payments
Associated products mentioned in payments ›
ANALPRAM · ANJESO · ActivSight · Aeon Endostapler & Echelon Flex Powered Stapler · Amitiza · Axonics · BRIDION · CERAPLUS · DAVINCI XI · Da Vinci Surgical System · EXPAREL · Exparel · GATTEX · GENERAL HEMOSTASIS · GENERAL BILIARY DEVICES · GENERAL ENDOCHOICE · GI Genius · INTEGRA MESHED BILAYER WOUND MATRIX · INTERSTIM · Integra · No Related Product · ORISE · OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) · PHASIX · TRULANCE · Trulance · ZEPOSIA · myRisk
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 (95%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in optician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for optician in TX.

Equivalent to $5,104 per 100 Medicare services performed
Looking for a optician in Waco?
Compare opticians in the Waco area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Opticians within 10 mi
31
Per 100K population
11.8
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Howton is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (speaking/promotional, top 7%), with 19 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Howton experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Howton performed 124 office visit, established patient (20-29 min) 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. Howton receive payments from pharmaceutical companies?
Yes. Dr. Howton received a total of $32,459 from 23 companies across 77 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. Howton's costs compare to other opticians in Waco?
Dr. Howton's average Medicare payment per service is $112. 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. Howton) 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. The Transparency Score measures 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 →