Joan Purcell
Adolescent Medicine · The Woodlands, TXNPI 1023045978
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $69,150 of the $86,608 with a category attached, or 79.8%. GSK accounts for 96.6% of it on its own, with 26 other manufacturers making up the rest. Reporting peaked in 2021 at $29,597 and has fallen 94.8% since, to $1,538 in 2025. Among adolescent medicine clinicians in TX 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 204 payments — averaging $424.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$84K
- AstraZeneca$757
- Corium, LLC$417
- Dexcom, Inc.$346
- Cranial Technologies, Inc$165
- Ironshore Pharmaceuticals Inc.$163
- plus $1K from 21 others
What the payments were for
- Consulting fees$8,82210%
- Speaking & faculty fees$69,15080%
- Travel & lodging$3,5214%
- Food & beverage$5,1156%
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 |
|---|---|---|
| GSK | 99 | $83,641 |
| AstraZeneca | 2 | $757 |
| Corium, LLC | 22 | $417 |
| Dexcom, Inc. | 8 | $346 |
| Cranial Technologies, Inc | 10 | $165 |
| Ironshore Pharmaceuticals Inc. | 8 | $163 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $136 |
| Tris Pharma Inc | 6 | $124 |
| QOL Medical, LLC | 1 | $122 |
| Merck | 8 | $118 |
| Pfizer | 5 | $104 |
| Verrica Pharmaceuticals Inc. | 4 | $79 |
| Supernus Pharmaceuticals, Inc. | 4 | $78 |
| Sanofi Pasteur Inc. | 2 | $55 |
| Neos Therapeutics, LP | 4 | $55 |
| Arbor Pharmaceuticals, Inc. | 2 | $40 |
| Genentech USA, Inc. | 2 | $27 |
| Adlon Therapeutics L.p. | 2 | $26 |
| Xeris Pharmaceuticals, Inc. | 1 | $23 |
| Nestle Healthcare Nutrition Inc. | 1 | $21 |
| Alk-abello, Inc | 1 | $21 |
| Sobi, Inc | 1 | $19 |
| Companion Medical, Inc. | 1 | $16 |
| LNHC, Inc | 1 | $15 |
| Tolmar, Inc. | 1 | $14 |
| Ascendis Pharma Endocrinology Inc | 1 | $14 |
| Shire North American Group Inc | 1 | $12 |
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
$86,608 in reported general payments places this provider in the 95th percentile of 68 adolescent medicine providers in Texas.
Other adolescent medicine in The Woodlands
- Amy MiddlemanHouston$70K
- Augustine ElejeEl Paso$37K
- Richard RuppGalveston$20K
- Scott SpearEdinburg$11K
- Marcy BerryPlano$7K
- Marlo BrawnerLivingston$4K
- Dana Rubin-RemerDallas$4K
- Harish DhingraBedford$3K
- Surainder AjmaniHouston$3K
- Sharonda TaylorHouston$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.