Erin Showalter, DO
Obstetrics · Birmingham, ALNPI 1417484676
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,531 of the $5,481 with a category attached, or 64.4%. 33 manufacturers reported payments, led by Intuitive Surgical at 44.5% of the total. Reporting peaked in 2024 at $2,931 and has fallen 83.6% since, to $480 in 2025.
Across 160 payments — averaging $34.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- AbbVie$461
- Astellas Pharma US Inc$332
- Johnson & Johnson$226
- Mayne Pharma Commercial LLC$214
- Exeltis, USA Inc.$164
- plus $2K from 27 others
What the payments were for
- Travel & lodging$4508%
- Food & beverage$3,53164%
- Education$1,50027%
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 |
|---|---|---|
| Intuitive Surgical | 21 | $2,438 |
| AbbVie | 21 | $461 |
| Astellas Pharma US Inc | 11 | $332 |
| Johnson & Johnson | 8 | $226 |
| Mayne Pharma Commercial LLC | 13 | $214 |
| Exeltis, USA Inc. | 8 | $164 |
| Hologic Sales And Service, LLC | 8 | $155 |
| Coopersurgical, Inc. | 2 | $147 |
| Myriad Women's Health, Inc. | 3 | $140 |
| Scynexis, Inc. | 8 | $135 |
| Sage Therapeutics, LLC | 7 | $116 |
| Boston Scientific | 2 | $108 |
| Shield Therapeutics Inc | 5 | $99 |
| Millicent US Inc | 5 | $96 |
| Mylan Pharmaceuticals Inc. | 4 | $68 |
| Organon | 3 | $67 |
| Bayer | 4 | $63 |
| Sumitomo Pharma America, Inc. | 4 | $62 |
| Aspira Women's Health Inc | 1 | $47 |
| Pfizer | 3 | $46 |
| Evofem Biosciences, Inc. | 3 | $44 |
| Agile Therapeutics, Inc. | 3 | $41 |
| Therapeuticsmd, Inc. | 2 | $31 |
| Myovant Sciences Inc. | 2 | $27 |
| Conmed Corporation | 1 | $25 |
| Lundbeck LLC | 1 | $19 |
| Monaghan Medical Corporation | 1 | $18 |
| Supernus Pharmaceuticals, Inc. | 1 | $17 |
| Urovant Sciences Inc | 1 | $16 |
| Lilly USA, LLC | 1 | $16 |
| Exact Sciences | 1 | $15 |
| Minerva Surgical, Inc | 1 | $15 |
| AstraZeneca | 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$1,500
- Da Vinci Surgical System$554
- Veozah$127
- Other Gyn Products$125
- Orilissa$122
How this compares
Too few obstetrics providers in Alabamato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Estradiol | 27 | $2,290 |
Paid to pharmacies, not to this prescriber.
Other obstetrics in Birmingham
- Jack FreemanBirmingham$6K
- John MorganBirmingham$4K
- Kathyrn SantoroBirmingham$2K
- Zachary GentryBirmingham$109
- Felicia Beth StellaMobile$8K
- Valerie WaddellMontgomery$6K
- Kenneth FarmerDothan$3K
- Melvin ThornburyAlbertville$2K
- Alison HollisFairhope$1K
- Lisa ChristianSheffield$610
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.