Christy Cobb
Nurse Practitioner · Longview, TXNPI 1013456193
Payments from drug & device makers
Across 168 payments — averaging $23.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$1K
- GSK$675
- Sanofi$259
- Axsome Therapeutics, Inc.$207
- Boehringer Ingelheim$177
- Insmed, Inc.$169
- plus $979 from 20 others
What the payments were for
- Travel & lodging$1,04327%
- Food & beverage$2,83673%
- Education$170%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 17 | $1,430 |
| GSK | 60 | $675 |
| Sanofi | 13 | $259 |
| Axsome Therapeutics, Inc. | 8 | $207 |
| Boehringer Ingelheim | 9 | $177 |
| Insmed, Inc. | 10 | $169 |
| United Therapeutics Corporation | 7 | $160 |
| AstraZeneca | 5 | $93 |
| Grifols USA, LLC | 5 | $91 |
| Electromed, Inc. | 7 | $81 |
| Jazz Pharmaceuticals Inc. | 3 | $75 |
| Regeneron Healthcare Solutions, Inc. | 3 | $68 |
| Harmony Biosciences LLC | 3 | $62 |
| Inogen, Inc. | 3 | $58 |
| Actelion Pharmaceuticals US, Inc. | 2 | $40 |
| Verona Pharma, Inc. | 2 | $36 |
| Lilly USA, LLC | 2 | $33 |
| Inari Medical, Inc. | 1 | $31 |
| 3b Medical, Inc. | 1 | $23 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $21 |
| Merck | 1 | $21 |
| Philips North America LLC | 1 | $20 |
| Mylan Specialty L.p. | 1 | $19 |
| Baxter Healthcare | 1 | $18 |
| Viatris Specialty LLC | 1 | $17 |
| Liquidia Technologies, Inc. | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$3,896 in reported general payments places this provider in the 90th percentile of 5,422 nurse practitioner 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 155 | $109,714 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 69 | $34,080 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 53 | $33,211 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 24 | $19,806 |
| Breo ElliptaFluticasone/Vilanterol | 42 | $18,646 |
| Spiriva RespimatTiotropium Bromide | 13 | $8,544 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 292 | $6,296 |
| Incruse ElliptaUmeclidinium Bromide | 16 | $4,740 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 47 | $3,765 |
| Varenicline Tartrate | 11 | $2,897 |
| BreynaBudesonide/Formoterol Fumarate | 16 | $2,664 |
| SymbicortBudesonide/Formoterol Fumarate | 11 | $2,516 |
| Wixela InhubFluticasone Propion/Salmeterol | 22 | $1,623 |
| Ventolin HfaAlbuterol Sulfate | 23 | $1,235 |
| Levalbuterol Tartrate HfaLevalbuterol Tartrate | 16 | $852 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Incruse Ellipta | $675 | $167,181282 claims |
| Boehringer IngelheimStiolto Respimat, Spiriva Respimat | $177 | $41,75466 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $93 | $22,32235 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 90th percentile of 5,422 nurse practitioner providers in Texas.
Other nurse practitioner in Longview
- Monica WhiteLongview$118K
- Melissa SuttonLongview$18K
- Cecilia DavisAustin$262K
- Melanie MorrisHouston$254K
- Stephanie BrownHarlingen$235K
- Brittney MisercolaKilleen$223K
- Roger ChapmanTyler$211K
- Kelly BrassilHouston$194K
- Corrie BerkSan Antonio$155K
- Samantha OnealDallas$133K
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.