Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

LESLIE COUCH

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1689663387
CMS profile
525088
Location
TYLER, TX

General Payments · PY2018–2023

$4,265.43

  • Reported across 262 records
  • CMS publication 2026-01-23

Latest program year · PY2023

$258.58

14 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

PY2023 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $258.58 14

By paying entity

PY2023 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $438.07 18
PY2019 $569.16 28
PY2020 $690.72 41
PY2021 $884.07 63
PY2022 $1,424.83 98
PY2023 $258.58 14

Payment records · PY2023 (14)

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

Program year 2023 20182019202020212022 Record-level detail is published for PY2023; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
AbbVie Inc. $19.59 01/19/2023 Food and Beverage Undisputed 01/23/2026 996528141 CMS
AbbVie Inc. $16.77 08/18/2023 Food and Beverage Undisputed 01/23/2026 996528145 CMS
AstraZeneca Pharmaceuticals LP $14.45 02/13/2023 Food and Beverage Undisputed 01/23/2026 1012071939 CMS
Baxter Healthcare $17.42 01/25/2023 Food and Beverage Undisputed 01/23/2026 1000158625 CMS
Electromed, Inc. $17.18 03/01/2023 Food and Beverage Undisputed 01/23/2026 977399677 CMS
GENZYME CORPORATION $20.07 01/26/2023 Food and Beverage Undisputed 01/23/2026 1049753001 CMS
Mylan Specialty L.P. $16.34 01/17/2023 Food and Beverage Undisputed 01/23/2026 1039061547 CMS
Mylan Specialty L.P. $17.21 02/22/2023 Food and Beverage Undisputed 01/23/2026 1039067437 CMS
Mylan Specialty L.P. $17.86 06/14/2023 Food and Beverage Undisputed 01/23/2026 1039094041 CMS
Philips Electronics North America Corporation $15.41 05/18/2023 Food and Beverage Undisputed 01/23/2026 1024022119 CMS
Vertex Pharmaceuticals Incorporated $18.95 01/25/2023 Food and Beverage Undisputed 01/23/2026 1013443069 CMS
Vertex Pharmaceuticals Incorporated $26.62 03/22/2023 Food and Beverage Undisputed 01/23/2026 1013443621 CMS
Vertex Pharmaceuticals Incorporated $18.87 06/15/2023 Food and Beverage Undisputed 01/23/2026 1013444803 CMS
Vertex Pharmaceuticals Incorporated $21.84 08/30/2023 Food and Beverage Undisputed 01/23/2026 1013445105 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
2018, 2019, 2020, 2021, 2022, 2023
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023
Generated from
OP_DTL_GNRL_PGYR2023_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.