Karen Fish, MD
Obstetrics & Gynecology · Newport News, VANPI 1972530285
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (47.1%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Intuitive Surgical at 52.1% of the total. Reporting peaked in 2020 at $9,909 and has fallen 98.4% since, to $162 in 2025. Among obstetrics & gynecology clinicians in VA 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 53 payments — averaging $362.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$10K
- Pacira Pharmaceuticals Incorporated$8K
- Boston Scientific$700
- Medtronic$146
- Cytyc Surgical Products, LLC$144
- Medical Device Business Services, Inc.$123
- plus $366 from 9 others
What the payments were for
- Consulting fees$6,30033%
- Travel & lodging$2,61314%
- Food & beverage$1,2476%
- Education$9,04147%
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 | 12 | $9,996 |
| Pacira Pharmaceuticals Incorporated | 15 | $7,724 |
| Boston Scientific | 3 | $700 |
| Medtronic | 2 | $146 |
| Cytyc Surgical Products, LLC | 1 | $144 |
| Medical Device Business Services, Inc. | 1 | $123 |
| Organon | 7 | $102 |
| Hologic Sales And Service, LLC | 3 | $58 |
| Applied Medical Resources Corporation | 1 | $55 |
| Baxter Healthcare | 2 | $45 |
| Coloplast | 2 | $41 |
| Optumhealth Care Solutions, LLC | 1 | $28 |
| Covidien LP | 1 | $16 |
| Olympus America Inc. | 1 | $11 |
| Meditrina | 1 | $10 |
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.
- Da Vinci Surgical System$9,896
- EXPAREL$7,272
- SOLYX$700
- ACESSA PROVU SYSTEM$144
- Harmonic$123
- LigaSure$115
How this compares
$19,201 in reported general payments places this provider in the 95th percentile of 992 obstetrics & gynecology providers in Virginia.
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 | 17 | $7,707 |
| ValacyclovirValacyclovir Hcl | 14 | $423 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Newport News
- Jeffrey MorrisonNewport News$27K
- Laura CordesNewport News$16K
- Norma Jones-IvesNewport News$10K
- Branden DeyerleNewport News$10K
- Katherine HilsingerNewport News$10K
- Jawwad KhanNewport News$8K
- Thomas KimbleNorfolk$286K
- Jack AyoubLeesburg$279K
- Kurian ThottStafford$216K
- Nina SmithHarrisonburg$199K
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.