Covered recipient · General Payments record

THOMAS ELDER KOSH

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1881061208
CMS profile: 10516629
Location: ROWLETT, TX

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.

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General Payments · PY2023 · Entire year

$2,386.91

76 records · 0 disputed

Summary and payment records

CMS publication 2026-06-30

Read the payment records

“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.
Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated July 26, 2026. 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 ↗

By nature of payment

PY2023 · entire year · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,033.28	72
Education	$253.93	3
Long term medical supply or device loan	$99.70	1

By paying entity

PY2023 · entire year · sorted by reported total

Paying entity	Amount	Records
Janssen Biotech, Inc.	$380.05	7
AstraZeneca Pharmaceuticals LP	$234.61	8
NOVARTIS PHARMACEUTICALS CORPORATION	$212.47	7
Adaptive Biotechnologies Corporation	$140.33	1
SOBI, INC	$138.61	2
Bayer Healthcare Pharmaceuticals Inc.	$122.26	5
Daiichi Sankyo Inc.	$109.64	5
Takeda Pharmaceuticals U.S.A., Inc.	$99.99	1
PFIZER INC.	$96.52	5
JAZZ PHARMACEUTICALS INC.	$86.76	3
Emmaus Medical, Inc.	$85.65	4
GENZYME CORPORATION	$82.07	2
Pharmacyclics LLC, An AbbVie Company	$68.95	1
Gilead Sciences, Inc.	$53.51	3
Merck Sharp & Dohme LLC	$53.32	2
Amgen Inc.	$46.92	3
EMD Serono, Inc.	$45.85	2
Regeneron Healthcare Solutions, Inc.	$41.61	2
PharmaEssentia USA Corporation	$34.99	1
Stemline Therapeutics Inc.	$32.73	2
Celgene Corporation	$32.71	1
Kite Pharma, Inc.	$28.63	1
ADC Therapeutics America, Inc.	$26.87	1
CTI BioPharma Corp.	$21.72	1
Rigel Pharmaceuticals, Inc.	$21.30	1
Dendreon Pharmaceuticals LLC	$20.85	1
Mirati Therapeutics, Inc.	$19.28	1
SERVIER PHARMACEUTICALS LLC	$18.36	1
Karyopharm Therapeutics Inc.	$15.39	1
MorphoSys, US Inc.	$14.96	1

Page 1 of 2; records 1–50 of 76 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

THOMAS ELDER KOSH

NPI 1881061208 · CMS profile ID 10516629

Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant

ROWLETT, TX

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.

General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 76 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1881061208?year=2023&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain: THOMAS ELDER KOSH, NPI 1881061208, CMS profile ID 10516629. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 76 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1881061208?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
APA 7: IndustryPayments. (2026). THOMAS ELDER KOSH, NPI 1881061208, CMS profile ID 10516629. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 76 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1881061208?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
Bluebook: THOMAS ELDER KOSH, NPI 1881061208, CMS profile ID 10516629, IndustryPayments, General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 76 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9. https://industrypayments.org/provider/npi-1881061208?year=2023&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

General Payments only. Research Payments and Ownership/Investment Interests are separate datasets and are not included.

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

Centers for Medicare & Medicaid Services, Open Payments

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.

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.

IndustryPayments.org is not a consumer reporting agency as defined by the Fair Credit Reporting Act. Do not use this site to determine any person's eligibility for employment, credentialing, insurance, credit, housing, or any other purpose covered by the FCRA.

Methodology: https://industrypayments.org/methodology

Payment records · PY2023

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

Reporting company Nature of payment

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

76 matching records · $2,386.91 reported total · 0 disputed

Nature of payment: All payment types

Records imported here November 5, 2026 (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 76 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 76.

Paying entity	Amount	Date	Nature of payment	Dispute status	Publication flags	Published	Record ID	Source
Janssen Biotech, Inc.	$13.52	12/18/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	988752383	CMS
Emmaus Medical, Inc.	$27.75	12/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1014087269	CMS
Janssen Biotech, Inc.	$121.82	12/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	988752381	CMS
PFIZER INC.	$16.83	12/06/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1050449027	CMS
EMD Serono, Inc.	$26.73	12/04/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1032380001	CMS
Daiichi Sankyo Inc.	$17.03	11/30/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1006568935	CMS
Amgen Inc.	$17.98	11/01/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1020809563	CMS
GENZYME CORPORATION	$43.76	10/24/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1050405207	CMS
PFIZER INC.	$20.11	10/19/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1050703183	CMS
Merck Sharp & Dohme LLC	$32.39	10/18/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1048257141	CMS
AstraZeneca Pharmaceuticals LP	$29.39	10/13/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1012072915	CMS
Regeneron Healthcare Solutions, Inc.	$23.09	09/21/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999748647	CMS
JAZZ PHARMACEUTICALS INC.	$32.48	09/19/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1058462249	CMS
Janssen Biotech, Inc.	$17.41	09/18/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	988752385	CMS
Gilead Sciences, Inc.	$18.04	09/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1025892167	CMS
Bayer Healthcare Pharmaceuticals Inc.	$25.52	09/13/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1005415741	CMS
PharmaEssentia USA Corporation	$34.99	08/17/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1059304051	CMS
Celgene Corporation	$32.71	08/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1016025637	CMS
Novartis Pharmaceuticals Corporation	$25.25	08/07/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	992039843	CMS
Amgen Inc.	$13.69	08/02/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1020809561	CMS
AstraZeneca Pharmaceuticals LP	$24.77	07/28/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1016268711	CMS
AstraZeneca Pharmaceuticals LP	$15.60	07/24/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1014583057	CMS
AstraZeneca Pharmaceuticals LP	$13.61	07/24/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1016202749	CMS
Bayer Healthcare Pharmaceuticals Inc.	$26.80	07/20/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1005417093	CMS
AstraZeneca Pharmaceuticals LP	$13.77	07/18/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1015911445	CMS
SERVIER PHARMACEUTICALS LLC	$18.36	07/17/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1055103949	CMS
Stemline Therapeutics Inc.	$18.49	07/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1040055395	CMS
Novartis Pharmaceuticals Corporation	$25.48	07/10/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	992039847	CMS
Emmaus Medical, Inc.	$22.27	07/05/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1014087265	CMS
Merck Sharp & Dohme LLC	$20.93	06/26/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1048257139	CMS
Daiichi Sankyo Inc.	$17.70	06/21/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1006448829	CMS
Janssen Biotech, Inc.	$110.04	06/20/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	988752389	CMS
Gilead Sciences, Inc.	$13.49	06/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1026035337	CMS
MorphoSys, US Inc.	$14.96	06/07/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1060329237	CMS
CTI BioPharma Corp.	$21.72	06/06/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1039703675	CMS
Pharmacyclics LLC, An AbbVie Company	$68.95	06/06/2023	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	998304887	CMS
GENZYME CORPORATION	$38.31	06/01/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1050405103	CMS
NOVARTIS PHARMACEUTICALS CORPORATION	$99.70	05/31/2023	Long term medical supply or device loan	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	993428469	CMS
PFIZER INC.	$15.42	05/31/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1050564881	CMS
ADC Therapeutics America, Inc.	$26.87	05/24/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1053798534	CMS
AstraZeneca Pharmaceuticals LP	$102.79	05/18/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1011291724	CMS
AstraZeneca Pharmaceuticals LP	$20.52	05/16/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1014486171	CMS
Regeneron Healthcare Solutions, Inc.	$18.52	05/11/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999748640	CMS
Daiichi Sankyo Inc.	$29.92	05/08/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1006419841	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.01	04/26/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1005407251	CMS
Novartis Pharmaceuticals Corporation	$18.28	04/17/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	992039835	CMS
SOBI, INC	$19.56	04/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1038091647	CMS
EMD Serono, Inc.	$19.12	04/13/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1032335663	CMS
JAZZ PHARMACEUTICALS INC.	$30.24	04/13/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1058446433	CMS
Bayer Healthcare Pharmaceuticals Inc.	$25.32	04/10/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1005415417	CMS

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$250.88	3
PY2022	$1,242.89	40
PY2023	$2,386.91	76
PY2024	$4,109.01	144
PY2025	$3,032.87	86

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 and profile matching

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.