Elise Clem
Obstetrics & Gynecology · Madison, ALNPI 1386038214
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (44.9%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 66.3% of it on its own, with 31 other manufacturers making up the rest. 2025 is the largest year on record at $4,794, more than ten times the $377 reported in 2019. Among obstetrics & gynecology clinicians in AL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 133 payments — averaging $50.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- AbbVie$410
- Therapeuticsmd, Inc.$202
- Daiichi Sankyo Inc.$160
- Exeltis, USA Inc.$140
- Hologic Sales And Service, LLC$126
- plus $1K from 26 others
What the payments were for
- Travel & lodging$1,26319%
- Food & beverage$2,46536%
- Education$3,03245%
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 |
|---|---|---|
| Intuitive Surgical | 16 | $4,485 |
| AbbVie | 20 | $410 |
| Therapeuticsmd, Inc. | 8 | $202 |
| Daiichi Sankyo Inc. | 9 | $160 |
| Exeltis, USA Inc. | 8 | $140 |
| Hologic Sales And Service, LLC | 9 | $126 |
| Pfizer | 7 | $117 |
| Shield Therapeutics Inc | 5 | $103 |
| Sanara Medtech Inc. | 1 | $101 |
| Aspira Women's Health Inc | 2 | $91 |
| Scynexis, Inc. | 4 | $74 |
| Sage Therapeutics, LLC | 4 | $68 |
| Evofem Biosciences, Inc. | 2 | $67 |
| Minerva Surgical, Inc | 4 | $63 |
| Mayne Pharma Commercial LLC | 3 | $58 |
| Astellas Pharma US Inc | 3 | $52 |
| Agile Therapeutics, Inc. | 3 | $51 |
| Avion Pharmaceuticals | 3 | $42 |
| Coopersurgical, Inc. | 2 | $40 |
| Myovant Sciences Inc. | 3 | $40 |
| Sumitomo Pharma America, Inc. | 2 | $36 |
| Bayer | 2 | $32 |
| AMAG Pharmaceuticals, Inc. | 2 | $32 |
| Mylan Pharmaceuticals Inc. | 2 | $29 |
| Merck | 2 | $25 |
| Organon | 1 | $22 |
| Supernus Pharmaceuticals, Inc. | 1 | $19 |
| Exact Sciences | 1 | $18 |
| Axonics, Inc. | 1 | $15 |
| Vertex | 1 | $15 |
| Johnson & Johnson | 1 | $14 |
| Lupin Inc. | 1 | $13 |
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.
- DAVINCI XI$3,000
- Da Vinci Surgical System$1,319
- Orilissa$125
- IMVEXXY$108
- CellerateRx$101
How this compares
$6,761 in reported general payments places this provider in the 90th percentile of 537 obstetrics & gynecology providers in Alabama.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| PremarinEstrogens, Conjugated | 17 | $4,114 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 13 | $257 |
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 |
|---|---|---|
| PfizerPremarin | $117 | $4,11417 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 537 obstetrics & gynecology providers in Alabama.
Other obstetrics & gynecology in Madison
- Mark PurvisMadison$11K
- Jeanine LoncarMadison$8K
- James TuckerMadison$7K
- Theodore TsaltasBirmingham$853K
- Richard BrownGulf Shores$429K
- Timothy HughesMobile$149K
- Allison CalhounMobile$132K
- Praful PatelDothan$65K
- Angela McCool-PearsonFairhope$57K
- Tomeka RobertsBirmingham$44K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.