GlassScriptPhysician profile
German H Costa
NPI 1639254634
$9,074.84
in general payments reported to CMS, 2019-2025
14 companies · $1,454 in 2025
The $1,454 reported for 2025 was more than what 77% of Surgery providers received nationally (typical 2025 total: $281).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $54.52 · 2020: $31.31 · 2022: $20.00 · 2023: $576 · 2024: $6,939 · 2025: $1,454.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Education: $4,000 · Travel and Lodging: $2,995 · Food and Beverage: $1,974.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Education | $4,000.00 |
| Travel and Lodging | $2,995.07 |
| Food and Beverage | $1,973.94 |
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 |
|---|---|---|---|
| Intuitive Surgical, INC. | $6,097.97 | 2023-2025 | Da Vinci Surgical System |
| W. L. Gore & Associates, INC. | $2,356.11 | 2023-2025 | Gore Enform Preperitoneal Biomaterial, Gore Bio-A Tissue Reinforcement, Gore Synecor Biomaterial |
| Tela Bio, INC. | $224.46 | 2022-2023 | Ovitex Reinforced Bioscaffold With Permanent Polymer (Ovitex) |
| Medtronic, INC. | $149.40 | 2023-2024 | Signia |
| Ethicon US, LLC | $63.20 | 2019-2023 | Enseal, Echelon Flex |
| Davol INC. | $37.75 | 2023 | Phasix Mesh |
| Boston Scientific Corporation | $29.58 | 2023 | Spyglass Discover |
| Kowa Pharmaceuticals America, INC. | $29.10 | 2023 | Seglentis |
| Avanos Medical | $18.10 | 2020 | |
| Cumberland Pharmaceuticals, INC. | $15.23 | 2024 | Caldolor |
| Merck Sharp & Dohme LLC | $15.00 | 2019 | |
| Pacira Pharmaceuticals Incorporated | $14.75 | 2025 | Exparel |
| Mallinckrodt Hospital Products INC. | $13.21 | 2020 | |
| Mallinckrodt Enterprises LLC | $10.98 | 2019 |
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 German Costa 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.