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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

DEBBIE A KOCH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1649430190
CMS profile
10604749
Location
FORT SMITH, AR

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2021–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$507.95

36 records · 0 disputed

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $507.95 36

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Alkermes, Inc. $177.01 10
ABBVIE INC. $155.94 18
Otsuka America Pharmaceutical, Inc. $76.48 3
E.R. Squibb & Sons, L.L.C. $37.46 2
Teva Pharmaceuticals USA, Inc. $28.11 1
Neurocrine BioSciences, Inc. $17.30 1
ITI, Inc. $15.65 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,129.15 39
PY2022 $1,175.86 46
PY2023 $1,081.76 48
PY2024 $580.83 27
PY2025 $507.95 36

Payment records · PY2025 (36)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 2021202220232024 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
ABBVIE INC. $9.34 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1204579321 CMS
ABBVIE INC. $9.66 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1204579317 CMS
ABBVIE INC. $4.90 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1204579314 CMS
Otsuka America Pharmaceutical, Inc. $29.82 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1227795846 CMS
ABBVIE INC. $8.09 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1204579310 CMS
E.R. Squibb & Sons, L.L.C. $20.23 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1184809573 CMS
ABBVIE INC. $6.44 11/03/2025 Food and Beverage No dispute reported 06/30/2026 1204579306 CMS
Alkermes, Inc. $24.53 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1222543877 CMS
Otsuka America Pharmaceutical, Inc. $22.54 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1227795840 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $15.65 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1241572089 CMS
ABBVIE INC. $5.52 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1204579302 CMS
E.R. Squibb & Sons, L.L.C. $17.23 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1184809563 CMS
ABBVIE INC. $7.76 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1204579298 CMS
Alkermes, Inc. $17.46 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1222543875 CMS
Otsuka America Pharmaceutical, Inc. $24.12 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1227795836 CMS
ABBVIE INC. $5.95 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1204579294 CMS
Alkermes, Inc. $15.13 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1222543873 CMS
Teva Pharmaceuticals USA, Inc. $28.11 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1247410013 CMS
ABBVIE INC. $10.19 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1204579289 CMS
ABBVIE INC. $9.27 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1204579285 CMS
Alkermes, Inc. $16.89 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1222543871 CMS
ABBVIE INC. $10.30 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1204579281 CMS
Alkermes, Inc. $14.26 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1222543869 CMS
Alkermes, Inc. $16.38 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1222543867 CMS
ABBVIE INC. $9.50 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1204579279 CMS
ABBVIE INC. $9.85 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1204579276 CMS
Neurocrine BioSciences, Inc. $17.30 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1242904961 CMS
Alkermes, Inc. $15.07 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1222543865 CMS
ABBVIE INC. $6.33 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1204579272 CMS
Alkermes, Inc. $16.33 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1222543863 CMS
ABBVIE INC. $15.49 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1204579267 CMS
Alkermes, Inc. $27.97 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1222543861 CMS
ABBVIE INC. $8.48 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1204579263 CMS
ABBVIE INC. $8.74 03/10/2025 Food and Beverage No dispute reported 06/30/2026 1204579259 CMS
ABBVIE INC. $10.13 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1204579256 CMS
Alkermes, Inc. $12.99 01/08/2025 Food and Beverage No dispute reported 06/30/2026 1222543859 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
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.

Cite this record.

Plain
DEBBIE A KOCH, NPI 1649430190. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1649430190.
APA 7
IndustryPayments. (2026). DEBBIE A KOCH, NPI 1649430190 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1649430190
Bluebook
DEBBIE A KOCH, NPI 1649430190, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1649430190.

Source: Centers for Medicare & Medicaid Services, Open Payments.