Physician profile
Heather A Couch
NPI 1184629156
$1,119.35
in general payments reported to CMS, 2019-2025
25 companies · $393 in 2025
The $393 reported for 2025 was less than what a typical Foot & Ankle Surgery provider received nationally (typical 2025 total: $424).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $150 · 2020: $20.27 · 2021: $111 · 2022: $149 · 2023: $118 · 2024: $178 · 2025: $393.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $689.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $689.22 |
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 |
|---|---|---|---|
| Paratek Pharmaceuticals, INC. | $154.19 | 2021-2025 | Nuzyra |
| Nevro Corp. | $104.58 | 2021-2023 | Senza |
| Smith+Nephew, INC. | $103.26 | 2019-2025 | Grafix Pl |
| Stryker Corporation | $86.43 | 2021-2025 | Ortholoc 2 Lapifuse, Prostep Mica |
| Organogenesis INC. | $63.75 | 2019-2022 | |
| Depuy Synthes Sales INC. | $62.85 | 2025 | Motoband, Minibunion |
| Ortho Dermatologics, A Division of Bausch Health US, LLC | $58.19 | 2023-2024 | Jublia |
| Scilex Pharmaceuticals INC. | $48.23 | 2019 | |
| Nabriva Therapeutics, Plc | $43.24 | 2021-2022 | |
| Orthofix Medical, INC. | $42.49 | 2019-2025 | Physio-Stim |
| Bioventus LLC | $41.10 | 2021-2025 | Exogen Ultrasound Bone Healing System |
| Mimedx Group, INC. | $40.16 | 2024-2025 | |
| Medtronic, INC. | $38.55 | 2022-2024 | Intellis Adaptivestim |
| Averitas Pharma INC. | $31.34 | 2025 | Qutenza |
| Amgen INC. | $29.39 | 2024-2025 | Krystexxa |
Show all 25 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Globus Medical, INC. | $24.79 | 2025 | Senza |
| Advanced Oxygen Therapy INC. | $19.18 | 2024-2025 | Topical Oxygen Chamber For Extremities |
| Abbvie INC. | $18.58 | 2025 | |
| Emergent Biosolutions INC. | $16.91 | 2019 | |
| Impactortho, INC. | $16.88 | 2025 | |
| Polarityte, INC. | $16.10 | 2019 | |
| Innovation Technologies INC | $15.91 | 2025 | Irrisept |
| Biowound Solutions, INC. | $14.91 | 2025 | Bio-Connekt |
| Horizon Therapeutics Plc | $14.33 | 2021 | |
| Orpyx Medical Technologies US INC. | $14.01 | 2023 | Orpyx Si |
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 Heather Couch 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.