Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

COSMO FOWLER

Allopathic & Osteopathic Physicians Internal Medicine Sleep Medicine

NPI
1023661022
CMS profile
6555919
Location
STOCKBRIDGE, GA

General Payments · PY2022–2025

$918.93

  • Reported across 27 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$817.77

26 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $656.78 24
Education $160.99 2

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $101.16 1
PY2025 $817.77 26

Payment records · PY2025 (26)

Sorted by paying entity, then date · as published by CMS

Program year 2025 2022 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
AstraZeneca Pharmaceuticals LP $24.66 09/18/2025 Food and Beverage Undisputed 06/30/2026 1207001136 CMS
AstraZeneca Pharmaceuticals LP $19.51 10/02/2025 Food and Beverage Undisputed 06/30/2026 1206477481 CMS
Baxter Healthcare $28.38 09/30/2025 Food and Beverage Undisputed 06/30/2026 1181545663 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.73 10/16/2025 Food and Beverage Undisputed 06/30/2026 1222827704 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.57 12/09/2025 Food and Beverage Undisputed 06/30/2026 1222827706 CMS
GlaxoSmithKline, LLC. $22.73 09/23/2025 Food and Beverage Undisputed 06/30/2026 1190544329 CMS
GlaxoSmithKline, LLC. $20.19 10/07/2025 Food and Beverage Undisputed 06/30/2026 1190720900 CMS
GlaxoSmithKline, LLC. $26.33 11/04/2025 Food and Beverage Undisputed 06/30/2026 1190369440 CMS
GlaxoSmithKline, LLC. $21.19 11/18/2025 Food and Beverage Undisputed 06/30/2026 1190426884 CMS
GlaxoSmithKline, LLC. $26.33 12/02/2025 Food and Beverage Undisputed 06/30/2026 1190376715 CMS
Grifols USA, LLC $24.16 10/08/2025 Food and Beverage Undisputed 06/30/2026 1249594335 CMS
HARMONY BIOSCIENCES LLC $34.27 09/29/2025 Food and Beverage Undisputed 06/30/2026 1222398164 CMS
HARMONY BIOSCIENCES LLC $99.99 09/30/2025 Education Undisputed 06/30/2026 1222388980 CMS
HARMONY BIOSCIENCES LLC $28.08 12/08/2025 Food and Beverage Undisputed 06/30/2026 1222408391 CMS
Inspire Medical Systems, Inc. $30.17 08/27/2025 Food and Beverage Undisputed 06/30/2026 1251466105 CMS
Inspire Medical Systems, Inc. $63.05 10/07/2025 Food and Beverage Undisputed 06/30/2026 1251466107 CMS
JAZZ PHARMACEUTICALS INC. $38.51 09/15/2025 Food and Beverage Undisputed 06/30/2026 1234315241 CMS
JAZZ PHARMACEUTICALS INC. $37.62 11/03/2025 Food and Beverage Undisputed 06/30/2026 1234315895 CMS
JAZZ PHARMACEUTICALS INC. $61.00 11/05/2025 Education Undisputed 06/30/2026 1234312551 CMS
Lilly USA, LLC $18.72 10/05/2025 Food and Beverage Undisputed 06/30/2026 1186607542 CMS
Merck Sharp & Dohme LLC $22.84 10/23/2025 Food and Beverage Undisputed 06/30/2026 1238075689 CMS
Merck Sharp & Dohme LLC $26.53 11/19/2025 Food and Beverage Undisputed 06/30/2026 1238206052 CMS
Merck Sharp & Dohme LLC $24.41 12/10/2025 Food and Beverage Undisputed 06/30/2026 1238016465 CMS
Regeneron Healthcare Solutions, Inc. $28.51 11/23/2025 Food and Beverage Undisputed 06/30/2026 1212921612 CMS
United Therapeutics Corporation $22.52 12/05/2025 Food and Beverage Undisputed 06/30/2026 1242542452 CMS
Verona Pharma, Inc. $34.77 09/25/2025 Food and Beverage Undisputed 06/30/2026 1233803667 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2022, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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