James Nobles, MD
Obstetrics & Gynecology · McComb, MSNPI 1245340587
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,094 of the $4,960 with a category attached, or 62.4%. Intuitive Surgical accounts for 82.3% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2023 at $4,299 and has fallen 97.0% since, to $130 in 2025.
Across 47 payments — averaging $105.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- AbbVie$178
- Astellas Pharma US Inc$154
- Lundbeck LLC$112
- Amgen$81
- Aspira Women's Health Inc$50
- plus $303 from 11 others
What the payments were for
- Travel & lodging$1,02121%
- Food & beverage$84517%
- Education$3,09462%
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 | 10 | $4,081 |
| AbbVie(2 entities) | 12 | $178 |
| Astellas Pharma US Inc | 5 | $154 |
| Lundbeck LLC | 1 | $112 |
| Amgen | 5 | $81 |
| Aspira Women's Health Inc | 1 | $50 |
| Shield Therapeutics Inc | 2 | $45 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $40 |
| Innovation Technologies Inc | 1 | $31 |
| Convatec Inc. | 1 | $31 |
| Biotissue Holdings Inc. | 1 | $28 |
| Sage Therapeutics, LLC | 1 | $27 |
| Organon | 1 | $26 |
| Smith+Nephew | 1 | $22 |
| Agile Therapeutics, Inc. | 1 | $19 |
| Pfizer | 1 | $17 |
| Hologic Sales And Service, LLC | 1 | $16 |
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$996
- VYEPTI$112
How this compares
$4,960 in reported general payments places this provider in the 85th percentile of 318 obstetrics & gynecology providers in Mississippi.
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 | 102 | $3,456 |
| NitrofurantoinNitrofurantoin Macrocrystal | 12 | $363 |
| Clobetasol Propionate | 14 | $309 |
| Alendronate Sodium | 29 | $73 |
| Fluconazole | 12 | $34 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $31 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in McComb
- Deborah SumrallMcComb$3K
- Patrick DaigleMcComb$3K
- Robert DesantisEllisville$212K
- Lori FultonJackson$102K
- Sheila BouldinJackson$56K
- Melissa BarnettTupelo$50K
- Ahmet BedestaniFlowood$41K
- Stacey KreherBay St. Louis$40K
- Joseph McGeheeTupelo$35K
- Elizabeth TarsiTupelo$21K
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.