Physician profile
Julia C Combs
NPI 1558548164
$773.60
in general payments reported to CMS, 2019-2025
19 companies · $267 in 2025
The $267 reported for 2025 was more than what a typical Obstetrics & Gynecology provider received nationally (typical 2025 total: $158).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $123 · 2020: $62.64 · 2021: $63.29 · 2022: $100 · 2023: $124 · 2024: $33.40 · 2025: $267.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $425.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $424.98 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Astellas Pharma US INC | $161.70 | 2023-2025 | Veozah, Myrbetriq |
| Abbvie INC. | $53.10 | 2019-2021 | |
| Exeltis, USA INC. | $50.83 | 2021-2025 | Slynd, Twirla |
| Bayer Healthcare Pharmaceuticals INC. | $50.46 | 2019-2023 | |
| Meditrina | $50.43 | 2019-2025 | |
| Millicent US INC | $40.41 | 2019-2020 | |
| Smith+Nephew, INC. | $39.69 | 2022-2025 | Pico 14 |
| Optumhealth Care Solutions, LLC | $39.58 | 2025 | Vivify Health Care Team Portal 001, Eitan Medical |
| Pfizer INC. | $37.83 | 2022 | |
| Becton, Dickinson and Company | $36.23 | 2019-2025 | Arista |
| Coopersurgical, INC. | $34.54 | 2021-2025 | Endosee |
| Merck Sharp & Dohme LLC | $30.97 | 2019-2024 | Gardasil, Gardasil 9 |
| Organon LLC | $30.14 | 2022-2023 | Nexplanon |
| Medtronic, INC. | $26.58 | 2022 | |
| Abbott Laboratories | $21.01 | 2023 | Freestyle Libre 3 |
Show all 19 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Kci USA, INC. | $19.54 | 2020 | |
| Daiichi Sankyo INC. | $17.45 | 2019 | |
| Therapeuticsmd, INC. | $17.39 | 2019 | |
| Mayne Pharma Commercial LLC | $15.72 | 2023 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Julia Combs listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.