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

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 · PY2024 · Entire year

$4,109.01

144 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 . 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

PY2024 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,860.58 130
Long term medical supply or device loan $1,065.44 12
Education $182.99 2

By paying entity

PY2024 · entire year · sorted by reported total

Payment records · PY2024

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

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

144 matching records · $4,109.01 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 144 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 144.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Incyte Corporation $83.9912/19/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261141243040 CMS
Janssen Biotech, Inc. $30.0512/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078753916 CMS
Emmaus Medical, Inc. $9.4412/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261073840424 CMS
Incyte Corporation $23.9812/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261141258253 CMS
Daiichi Sankyo Inc. $21.0812/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261089444293 CMS
Novartis Pharmaceuticals Corporation $83.3312/10/2024 Long term medical supply or device loan No dispute reported Delay: No
Change: UNCHANGED
06/30/20261086981310 CMS
E.R. Squibb & Sons, L.L.C. $20.1512/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261101631260 CMS
JAZZ PHARMACEUTICALS INC. $32.7012/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261151317479 CMS
Novartis Pharmaceuticals Corporation $17.2912/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261086981308 CMS
Celgene Corporation $18.4312/02/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261101165268 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.1811/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261086326208 CMS
ABBVIE INC. $25.7511/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261107482565 CMS
Gilead Sciences, Inc. $24.0511/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261133720157 CMS
Astellas Pharma US Inc $26.6311/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261139556759 CMS
Merck Sharp & Dohme LLC $19.4011/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261141653418 CMS
Novartis Pharmaceuticals Corporation $83.3311/14/2024 Long term medical supply or device loan No dispute reported Delay: No
Change: UNCHANGED
06/30/20261086981302 CMS
Emmaus Medical, Inc. $28.1911/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261073840422 CMS
Karyopharm Therapeutics Inc. $27.1811/07/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261145541792 CMS
PFIZER INC. $28.9511/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261131385782 CMS
Merck Sharp & Dohme LLC $28.9211/05/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261141652327 CMS
E.R. Squibb & Sons, L.L.C. $25.3811/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261101631252 CMS
SOBI, INC $23.2710/31/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261141412938 CMS
PharmaEssentia USA Corporation $32.6510/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137304343 CMS
Mirati Therapeutics, Inc. $22.0110/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117173711 CMS
Janssen Biotech, Inc. $13.0710/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078753873 CMS
AstraZeneca Pharmaceuticals LP $28.7510/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261104270025 CMS
SOBI, INC $22.3910/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261141412108 CMS
Daiichi Sankyo Inc. $25.8910/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261089444291 CMS
Novartis Pharmaceuticals Corporation $83.3310/17/2024 Long term medical supply or device loan No dispute reported Delay: No
Change: UNCHANGED
06/30/20261086981304 CMS
Merck Sharp & Dohme LLC $20.3410/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261141853407 CMS
Tempus AI, Inc $21.2910/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261150183328 CMS
AstraZeneca Pharmaceuticals LP $6.0810/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261105478695 CMS
Novartis Pharmaceuticals Corporation $11.9910/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261086981300 CMS
PharmaEssentia USA Corporation $33.2409/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137304331 CMS
Novartis Pharmaceuticals Corporation $83.3309/27/2024 Long term medical supply or device loan No dispute reported Delay: No
Change: UNCHANGED
06/30/20261086981284 CMS
Janssen Biotech, Inc. $23.1509/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078753913 CMS
Gilead Sciences, Inc. $24.5309/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261133720155 CMS
Genentech USA, Inc. $20.3509/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261133192091 CMS
AstraZeneca Pharmaceuticals LP $30.4909/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261105792334 CMS
Karyopharm Therapeutics Inc. $22.2909/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261145541790 CMS
Daiichi Sankyo Inc. $12.5709/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261089444325 CMS
Tempus AI, Inc $23.2809/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261150183326 CMS
E.R. Squibb & Sons, L.L.C. $25.1909/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261101631226 CMS
ABBVIE INC. $21.9809/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261107482563 CMS
ADC Therapeutics America, Inc. $15.8009/05/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261121193537 CMS
PFIZER INC. $16.9609/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261132026705 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.0409/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261086295772 CMS
Novartis Pharmaceuticals Corporation $83.3308/23/2024 Long term medical supply or device loan No dispute reported Delay: No
Change: UNCHANGED
06/30/20261086981282 CMS
Daiichi Sankyo Inc. $9.8008/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261089444319 CMS
Daiichi Sankyo Inc. $10.1508/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261089444321 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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.

Cite this record.

Plain
THOMAS ELDER KOSH, NPI 1881061208. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1881061208.
APA 7
IndustryPayments. (2026). THOMAS ELDER KOSH, NPI 1881061208 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1881061208
Bluebook
THOMAS ELDER KOSH, NPI 1881061208, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1881061208.

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