Total Payments
$19,848
2024 Payments
$85.87
Companies
14
Transactions
109
Medicare Patients
1,804
Medicare Billing
$683,610
Payment Breakdown by Category
Consulting$8,295 (41.8%)
Food & Beverage$6,063 (30.5%)
Travel$3,989 (20.1%)
Other$1,500 (7.6%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $8,295 | 1 | 41.8% |
| Food and Beverage | $6,063 | 94 | 30.5% |
| Travel and Lodging | $3,989 | 13 | 20.1% |
| Honoraria | $1,500 | 1 | 7.6% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Medical Device Business Services, Inc. | $11,005 | 22 | $0 (2019) |
| Medtronic USA, Inc. | $2,674 | 40 | $0 (2020) |
| Cerapedics, Inc. | $1,500 | 1 | $0 (2018) |
| Medtronic, Inc. | $1,458 | 16 | $0 (2023) |
| RTI Surgical, Inc. | $1,072 | 1 | $0 (2017) |
| DePuy Synthes Sales Inc. | $656.73 | 10 | $0 (2024) |
| NUVASIVE, INC. | $463.02 | 3 | $0 (2017) |
| Stryker Corporation | $332.09 | 3 | $0 (2022) |
| SI-BONE, INC. | $295.75 | 6 | $0 (2023) |
| Boston Scientific Corporation | $95.52 | 2 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $85.87 | 1 | DePuy Synthes Sales Inc. ($85.87) |
| 2023 | $778.27 | 8 | DePuy Synthes Sales Inc. ($358.22) |
| 2022 | $959.65 | 12 | Medtronic, Inc. ($484.70) |
| 2021 | $995.43 | 13 | Medtronic, Inc. ($710.85) |
| 2020 | $988.72 | 17 | Medtronic USA, Inc. ($978.72) |
| 2019 | $412.51 | 9 | Medical Device Business Services, Inc. ($263.93) |
| 2018 | $3,459 | 20 | Cerapedics, Inc. ($1,500) |
| 2017 | $12,168 | 29 | Medical Device Business Services, Inc. ($9,630) |
All Payment Transactions
109 individual payment records from CMS Open Payments — Page 1 of 5
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 05/01/2024 | DePuy Synthes Sales Inc. | VIPER (Device), CONDUIT, SYMPHONY | Food and Beverage | In-kind items and services | $85.87 | General |
| Category: Spine | ||||||
| 12/12/2023 | DePuy Synthes Sales Inc. | VIPER (Device) | Food and Beverage | In-kind items and services | $125.62 | General |
| Category: Spine | ||||||
| 12/05/2023 | Arteriocyte Medical Systems, Inc. | Magellan (Device) | Food and Beverage | Cash or cash equivalent | $67.55 | General |
| Category: Orthopedics | ||||||
| 12/05/2023 | OssDsign Incorporated | — | Food and Beverage | Cash or cash equivalent | $67.54 | General |
| 11/30/2023 | Medtronic, Inc. | VANTA ADAPTIVESTIM (Device) | Food and Beverage | In-kind items and services | $128.07 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 05/18/2023 | DePuy Synthes Sales Inc. | Teligen (Device) | Food and Beverage | In-kind items and services | $91.04 | General |
| Category: Spine | ||||||
| 04/18/2023 | SI-BONE, INC. | — | Food and Beverage | Cash or cash equivalent | $22.94 | General |
| 03/28/2023 | Medtronic, Inc. | OSTEOCOOL RF ABLATION SYSTEM (Device) | Food and Beverage | In-kind items and services | $133.95 | General |
| Category: Neuro Pain (includes Interventional) | ||||||
| 01/27/2023 | DePuy Synthes Sales Inc. | TRUMATCH (Device) | Food and Beverage | In-kind items and services | $141.56 | General |
| Category: Ortho-Knee | ||||||
| 12/07/2022 | Medtronic, Inc. | OSTEOCOOL RF ABLATION SYSTEM (Device) | Food and Beverage | In-kind items and services | $72.11 | General |
| Category: Neuro Pain (includes Interventional) | ||||||
| 08/18/2022 | Biocomposites Inc | Stimulan Rapid Cure (Device) | Food and Beverage | Cash or cash equivalent | $65.75 | General |
| Category: Bone Void Filler | ||||||
| 01/31/2022 | Stryker Corporation | — | Food and Beverage | In-kind items and services | $66.49 | General |
| 01/30/2022 | Medtronic, Inc. | VANTA ADAPTIVESTIM (Device) | Food and Beverage | In-kind items and services | $124.91 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 01/29/2022 | Boston Scientific Corporation | WaveWriter Alpha Prime 16 (Device) | Food and Beverage | In-kind items and services | $73.75 | General |
| Category: WaveWriter Alpha_NMD | ||||||
| 01/29/2022 | Medtronic, Inc. | VANTA ADAPTIVESTIM (Device) | Food and Beverage | In-kind items and services | $55.44 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 01/28/2022 | Stryker Corporation | EVEREST SPINAL SYSTEM (Device) | Food and Beverage | In-kind items and services | $173.94 | General |
| Category: SPINE | ||||||
| 01/28/2022 | Medtronic, Inc. | VANTA ADAPTIVESTIM (Device) | Food and Beverage | In-kind items and services | $118.55 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 01/28/2022 | Medtronic, Inc. | VANTA ADAPTIVESTIM (Device) | Travel and Lodging | In-kind items and services | $98.12 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 01/28/2022 | Globus Medical, Inc. | Excelsius Spine 1.1 (Device) | Food and Beverage | In-kind items and services | $46.51 | General |
| Category: Spine | ||||||
| 01/28/2022 | Medtronic, Inc. | INTELLIS ADAPTIVESTIM (Device) | Food and Beverage | In-kind items and services | $15.57 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 01/22/2022 | Globus Medical, Inc. | Excelsius Robotics System (Device) | Food and Beverage | In-kind items and services | $48.51 | General |
| Category: Robotics | ||||||
| 10/22/2021 | Medtronic, Inc. | INTELLIS (Device) | Food and Beverage | In-kind items and services | $17.17 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 09/22/2021 | SI-BONE, INC. | IFUSE IMPLANT (Device) | Food and Beverage | Cash or cash equivalent | $42.54 | General |
| Category: SACROILIAC JOINT DYSFUNCTION | ||||||
| 09/21/2021 | SI-BONE, INC. | IFUSE IMPLANT (Device) | Food and Beverage | Cash or cash equivalent | $97.55 | General |
| Category: SACROILIAC JOINT DYSFUNCTION | ||||||
| 09/21/2021 | SI-BONE, INC. | IFUSE IMPLANT (Device) | Food and Beverage | Cash or cash equivalent | $32.75 | General |
| Category: SACROILIAC JOINT DYSFUNCTION | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 17 | 479 | 632 | $577,634 | $177,967 |
| 2022 | 13 | 369 | 520 | $375,487 | $131,402 |
| 2021 | 15 | 455 | 614 | $539,240 | $183,638 |
| 2020 | 17 | 501 | 644 | $548,216 | $190,602 |
Total Patients
1,804
Total Services
2,410
Medicare Billing
$683,610
Procedure Codes
62
All Medicare Procedures & Services
62 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | Facility | 2023 | 21 | 21 | $102,478 | $29,206 | 28.5% |
| 22614 | Fusion of additional segment of spine | Facility | 2023 | 35 | 95 | $88,577 | $27,966 | 31.6% |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | Facility | 2023 | 39 | 39 | $72,799 | $22,481 | 30.9% |
| 22612 | Fusion of spine in lower back | Facility | 2023 | 12 | 12 | $49,417 | $14,729 | 29.8% |
| 22600 | Fusion of spine in neck by posterior approach | Facility | 2023 | 14 | 14 | $37,372 | $13,656 | 36.5% |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | Facility | 2023 | 18 | 18 | $48,332 | $11,174 | 23.1% |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | Facility | 2023 | 30 | 67 | $34,437 | $10,623 | 30.8% |
| 22634 | Fusion of additional segment of spine with partial removal of spine bone and disc | Facility | 2023 | 16 | 26 | $25,016 | $9,633 | 38.5% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2023 | 23 | 47 | $29,656 | $9,279 | 31.3% |
| 63045 | Partial removal of spine bone with release of upper spinal cord and/or nerves, 1 segment | Facility | 2023 | 16 | 16 | $44,206 | $9,042 | 20.5% |
| 63053 | Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | Facility | 2023 | 15 | 25 | $11,348 | $4,378 | 38.6% |
| 63052 | Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | Facility | 2023 | 20 | 20 | $12,112 | $3,953 | 32.6% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 63 | 63 | $7,120 | $3,833 | 53.8% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 25 | 25 | $4,352 | $2,368 | 54.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 32 | 34 | $3,164 | $2,098 | 66.3% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 47 | 49 | $3,144 | $2,087 | 66.4% |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | Office | 2023 | 53 | 61 | $4,104 | $1,463 | 35.7% |
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | Facility | 2022 | 21 | 21 | $99,498 | $30,759 | 30.9% |
| 22614 | Fusion of additional segment of spine | Facility | 2022 | 26 | 87 | $77,082 | $26,962 | 35.0% |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | Facility | 2022 | 29 | 31 | $53,599 | $18,724 | 34.9% |
| 22634 | Fusion of additional segment of spine with partial removal of spine bone and disc | Facility | 2022 | 16 | 31 | $25,885 | $12,142 | 46.9% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2022 | 24 | 56 | $33,600 | $11,408 | 34.0% |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | Facility | 2022 | 15 | 15 | $32,985 | $8,387 | 25.4% |
| 63053 | Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | Facility | 2022 | 16 | 31 | $12,644 | $4,613 | 36.5% |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | Facility | 2022 | 16 | 27 | $12,069 | $4,498 | 37.3% |
About Dr. Gregory Howes, MD
Dr. Gregory Howes, MD is a Neurological Surgery healthcare provider based in Roanoke, Virginia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/04/2008. The National Provider Identifier (NPI) number assigned to this provider is 1801074661.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Gregory Howes, MD has received a total of $19,848 in payments from pharmaceutical and medical device companies, with $85.87 received in 2024. These payments were reported across 109 transactions from 14 companies. The most common payment nature is "Consulting Fee" ($8,295).
As a Medicare-enrolled provider, Howes has provided services to 1,804 Medicare beneficiaries, totaling 2,410 services with total Medicare billing of $683,610. Data is available for 4 years (2020–2023), covering 62 distinct procedure/service records.
Ad
Practice Information
- Specialty Neurological Surgery
- Location Roanoke, VA
- Active Since 02/04/2008
- Last Updated 01/28/2026
- Taxonomy Code 207T00000X
- Entity Type Individual
- NPI Number 1801074661
Products in Payments
- EXPEDIUM (Device) $8,559
- SKYLINE (Device) $2,446
- INTELLIS (Device) $1,786
- i-FACTOR Putty (Device) $1,500
- Allograft (Device) $1,072
- VANTA ADAPTIVESTIM (Device) $525.09
- XLIF (Device) $463.02
- KYPHON Balloon Kyphoplasty (Device) $441.99
- OSTEOCOOL RF ABLATION (Device) $333.34
- IFUSE IMPLANT (Device) $262.81
- VIPER (Device) $229.34
- OSTEOCOOL RF ABLATION SYSTEM (Device) $206.06
- EVEREST SPINAL SYSTEM (Device) $173.94
- PISCES (Device) $148.27
- TRUMATCH (Device) $141.56
- SYNAPSE (Device) $101.09
- NSE - CORE CONSOLE (Device) $91.66
- Teligen (Device) $91.04
- ADAPTIVESTIM (Device) $87.82
- ViviGen (Device) $81.07
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
Neurological Surgery Doctors in Roanoke
Dr. Sandeep Mittal, Md Frcsc Facs, MD FRCSC FACS
Neurological Surgery — Payments: $29,559
Neurological Surgery $29,559
Dr. Gary Simonds, M.d, M.D
Neurological Surgery — Payments: $26,364
Neurological Surgery $26,364
Eric Marvin, D.o, D.O
Neurological Surgery — Payments: $21,986
Neurological Surgery $21,986
Dr. John Entwistle, D.o, D.O
Neurological Surgery — Payments: $16,850
Neurological Surgery $16,850
Dr. Jonathan Mcneal, Do, DO
Neurological Surgery — Payments: $16,198
Neurological Surgery $16,198
Dr. Mark Witcher, M.d, M.D
Neurological Surgery — Payments: $4,331
Neurological Surgery $4,331