Alan Cowen, MD
Obstetrics & Gynecology · Grapevine, TXNPI 1649396920
Payments from drug & device makers
Across 69 payments — averaging $20.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$342
- Therapeuticsmd, Inc.$123
- Medtronic$91
- Novo Nordisk$77
- Exeltis, USA Inc.$77
- Organon$66
- plus $609 from 19 others
What the payments were for
- Food & beverage$1,37299%
- Education$131%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AbbVie | 17 | $342 |
| Therapeuticsmd, Inc. | 7 | $123 |
| Medtronic | 1 | $91 |
| Novo Nordisk | 5 | $77 |
| Exeltis, USA Inc. | 4 | $77 |
| Organon | 3 | $66 |
| Agile Therapeutics, Inc. | 4 | $66 |
| Scynexis, Inc. | 4 | $62 |
| Astellas Pharma US Inc | 3 | $56 |
| Mayne Pharma Commercial LLC | 2 | $48 |
| Baxter Healthcare | 3 | $47 |
| Lupin Inc. | 2 | $42 |
| Millicent US Inc | 1 | $33 |
| Avion Pharmaceuticals | 2 | $31 |
| Myovant Sciences Inc. | 1 | $30 |
| Idorsia Pharmaceuticals US Inc | 1 | $25 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $24 |
| Exact Sciences | 1 | $22 |
| Pacira Pharmaceuticals Incorporated | 1 | $21 |
| Evofem Biosciences, Inc. | 1 | $20 |
| Hologic Sales And Service, LLC | 1 | $19 |
| Vertical Pharmaceuticals, LLC | 1 | $19 |
| Merck | 1 | $16 |
| Pfizer | 1 | $15 |
| AMAG Pharmaceuticals, Inc. | 1 | $13 |
How this compares
$1,386 in reported general payments places this provider in the 55th percentile of 3,099 obstetrics & gynecology providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| MyrbetriqMirabegron | 12 | $5,278 |
| Estradiol | 74 | $4,768 |
| PremarinEstrogens, Conjugated | 13 | $4,310 |
| YuvafemEstradiol | 22 | $3,753 |
| Estradiol (Twice Weekly)Estradiol | 36 | $3,293 |
| ProgesteroneProgesterone, Micronized | 48 | $1,759 |
| DottiEstradiol | 17 | $1,253 |
| Ibandronate Sodium | 16 | $1,021 |
| ValacyclovirValacyclovir Hcl | 26 | $658 |
| Clobetasol Propionate | 16 | $477 |
| Escitalopram Oxalate | 22 | $188 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 11 | $92 |
| Sertraline Hcl | 11 | $50 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $56 | $5,27812 claims |
| PfizerPremarin | $15 | $4,31013 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 55th percentile of 3,099 obstetrics & gynecology providers in Texas.
Other obstetrics & gynecology in Grapevine
- Joseph KilianskiGrapevine$1.3M
- Amir JazaeriHouston$19.5M
- Shannon WestinHouston$17.3M
- Monica LopezFort Worth$8.1M
- Cynthia RobbinsFort Worth$7.8M
- John Paul RobertsPlano$4.9M
- Stephen StamatisWeatherford$4.5M
- Parke HedgesSan Antonio$4.2M
- Mary MartinBeaumont$2.8M
- Mark JacobsHouston$2.8M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.