Covered recipient · General Payments record

HEATHER ELISE COMBS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1093297210
CMS profile: 5371691
Location: FORT PAYNE, AL

General Payments · PY2021–2024

$4,446.98

Reported across 212 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,043.79

82 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

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,671.66	80
Travel and Lodging	$372.13	2

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Medtronic, Inc.	$747.01	8
GlaxoSmithKline, LLC.	$238.53	14
ABBVIE INC.	$147.50	11
Acerta Pharma LLC	$132.12	6
Takeda Pharmaceuticals U.S.A., Inc.	$100.77	5
Amgen Inc.	$94.55	6
Novo Nordisk AS	$82.30	4
Bayer HealthCare Pharmaceuticals Inc.	$70.04	4
Lilly USA, LLC	$67.93	4
Axsome Therapeutics, Inc.	$58.03	3
Otsuka America Pharmaceutical, Inc.	$40.43	2
Astellas Pharma US Inc	$37.27	2
Galderma Laboratories, L.P.	$34.25	2
PFIZER INC.	$21.52	1
IRONWOOD PHARMACEUTICALS, INC	$20.61	1
Teva Pharmaceuticals USA, Inc.	$19.71	1
DEXCOM, INC.	$19.54	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.68	1
Exact Sciences Corporation	$18.67	1
Janssen Biotech, Inc.	$16.71	1
Corcept Therapeutics	$15.75	1
NOVARTIS PHARMACEUTICALS CORPORATION	$14.25	1
E.R. Squibb & Sons, L.L.C.	$14.06	1
Abbott Laboratories	$13.56	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$1,038.63	58
PY2022	$866.84	46
PY2023	$497.72	26
PY2024	$2,043.79	82

Payment records · PY2024 (82)

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

Program year 2024 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Abbott Laboratories	$13.56	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1124838529	CMS
ABBVIE INC.	$11.71	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1106941159	CMS
ABBVIE INC.	$19.24	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1106941161	CMS
ABBVIE INC.	$2.85	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1106941163	CMS
ABBVIE INC.	$6.54	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1106941165	CMS
ABBVIE INC.	$11.13	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1106941167	CMS
ABBVIE INC.	$9.77	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1106941169	CMS
ABBVIE INC.	$30.34	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1106941171	CMS
ABBVIE INC.	$10.71	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1106941173	CMS
ABBVIE INC.	$19.44	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1106941175	CMS
ABBVIE INC.	$6.53	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1106941177	CMS
ABBVIE INC.	$19.24	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1106941179	CMS
Amgen Inc.	$16.21	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1117530350	CMS
Amgen Inc.	$14.04	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1117530352	CMS
Amgen Inc.	$14.67	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1117530354	CMS
Amgen Inc.	$15.26	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1117530356	CMS
Amgen Inc.	$17.03	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1117530358	CMS
Amgen Inc.	$17.34	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1117530360	CMS
Astellas Pharma US Inc	$20.67	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1139488340	CMS
Astellas Pharma US Inc	$16.60	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1139481010	CMS
AstraZeneca Pharmaceuticals LP	$15.52	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1105652870	CMS
AstraZeneca Pharmaceuticals LP	$19.94	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1105278514	CMS
AstraZeneca Pharmaceuticals LP	$15.52	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1104295628	CMS
AstraZeneca Pharmaceuticals LP	$15.78	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1104308370	CMS
AstraZeneca Pharmaceuticals LP	$44.58	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1104287358	CMS
AstraZeneca Pharmaceuticals LP	$20.78	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1104580194	CMS
Axsome Therapeutics, Inc.	$13.63	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1148362442	CMS
Axsome Therapeutics, Inc.	$25.02	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1148362444	CMS
Axsome Therapeutics, Inc.	$19.38	08/10/2024	Food and Beverage	Undisputed	01/23/2026	1148362446	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.73	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1086279510	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.32	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1086314719	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.18	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1086280070	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.81	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1086280054	CMS
Corcept Therapeutics	$15.75	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1117779181	CMS
Dexcom, Inc.	$19.54	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1153362714	CMS
E.R. Squibb & Sons, L.L.C.	$14.06	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1101326870	CMS
Exact Sciences Corporation	$18.67	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1114451992	CMS
Galderma Laboratories, L.P.	$17.46	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1145350813	CMS
Galderma Laboratories, L.P.	$16.79	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1145350815	CMS
GlaxoSmithKline, LLC.	$17.91	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1116479657	CMS
GlaxoSmithKline, LLC.	$12.47	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1116399716	CMS
GlaxoSmithKline, LLC.	$17.31	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1116712673	CMS
GlaxoSmithKline, LLC.	$18.39	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1116314469	CMS
GlaxoSmithKline, LLC.	$4.22	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1116674472	CMS
GlaxoSmithKline, LLC.	$9.50	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1116351832	CMS
GlaxoSmithKline, LLC.	$19.34	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1115976125	CMS
GlaxoSmithKline, LLC.	$18.87	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1116278078	CMS
GlaxoSmithKline, LLC.	$21.94	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1116441187	CMS
GlaxoSmithKline, LLC.	$18.39	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1115980593	CMS
GlaxoSmithKline, LLC.	$21.94	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1116212565	CMS
GlaxoSmithKline, LLC.	$13.58	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1116391974	CMS
GlaxoSmithKline, LLC.	$23.41	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1116493878	CMS
GlaxoSmithKline, LLC.	$21.26	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1116486689	CMS
IRONWOOD PHARMACEUTICALS, INC	$20.61	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1153770532	CMS
Janssen Biotech, Inc.	$16.71	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1078256357	CMS
Lilly USA, LLC	$19.35	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1135664663	CMS
Lilly USA, LLC	$14.80	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1135677651	CMS
Lilly USA, LLC	$19.69	05/18/2024	Food and Beverage	Undisputed	01/23/2026	1135679195	CMS
Lilly USA, LLC	$14.09	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1135677649	CMS
Medtronic, Inc.	$15.17	09/30/2024	Travel and Lodging	Undisputed	01/23/2026	1116903812	CMS
Medtronic, Inc.	$356.96	09/30/2024	Travel and Lodging	Undisputed	01/23/2026	1116903814	CMS
Medtronic, Inc.	$138.20	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1116903816	CMS
Medtronic, Inc.	$55.97	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1116903820	CMS
Medtronic, Inc.	$2.65	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1116903822	CMS
Medtronic, Inc.	$61.03	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1116903824	CMS
Medtronic, Inc.	$60.35	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1116903826	CMS
Medtronic, Inc.	$56.68	11/16/2024	Food and Beverage	Undisputed	01/23/2026	1116903818	CMS
Novartis Pharmaceuticals Corporation	$14.25	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1086652037	CMS
Novo Nordisk Inc	$18.71	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1100364289	CMS
Novo Nordisk Inc	$20.41	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1100479043	CMS
Novo Nordisk Inc	$23.07	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1100257702	CMS
Novo Nordisk Inc	$20.11	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1100460674	CMS
Otsuka America Pharmaceutical, Inc.	$26.00	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1119048246	CMS
Otsuka America Pharmaceutical, Inc.	$14.43	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1119048248	CMS
PFIZER INC.	$21.52	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1131539988	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.68	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1153560269	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$14.00	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1137727932	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.84	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1137727934	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$26.46	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1137727936	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.82	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1137727938	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.65	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1137727940	CMS
Teva Pharmaceuticals USA, Inc.	$19.71	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1151579592	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.