James Sosnowski, MD
Obstetrics & Gynecology · Cincinnati, OHNPI 1649231986
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $30,634 of the $31,281 with a category attached, or 97.9%. Organon accounts for 85.1% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2023 at $8,530 and has fallen 82.2% since, to $1,521 in 2025. Among obstetrics & gynecology clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 54 payments — averaging $579.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organon$27K
- Merck$4K
- Gynesonics, Inc.$245
- Hologic Sales And Service, LLC$122
- Astellas Pharma US Inc$37
- AbbVie$18
- plus $13 from 1 others
Across 31 payments — averaging $2965.08 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Organon$92K
What the payments were for
- Speaking & faculty fees$30,63498%
- Travel & lodging$410%
- Food & beverage$6062%
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 |
|---|---|---|
| Organon | 37 | $26,626 |
| Merck | 8 | $4,218 |
| Gynesonics, Inc. | 3 | $245 |
| Hologic Sales And Service, LLC | 2 | $122 |
| Astellas Pharma US Inc | 2 | $37 |
| AbbVie | 1 | $18 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 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.
How this compares
$31,281 in reported general payments places this provider in the 95th percentile of 1,376 obstetrics & gynecology providers in Ohio.
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 |
|---|---|---|
| PremarinEstrogens, Conjugated | 15 | $3,602 |
| Estradiol | 20 | $1,406 |
| Metronidazole | 11 | $445 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Cincinnati
- David SchwartzCincinnati$169K
- Gerard ReillyCincinnati$74K
- Michael KarramCincinnati$47K
- Sunbal JavaidCincinnati$32K
- Gretchen FermannCincinnati$31K
- Rocco RossiCincinnati$18K
- Meredith PensakCincinnati$14K
- David DhanrajCincinnati$12K
- David SheynCincinnati$10K
- Samir AhujaMentor$430K
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.