Mia Cowan, MD
Obstetrics & Gynecology · Birmingham, ALNPI 1831127083
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,256 of the $7,586 with a category attached, or 69.3%. It is spread thinly across 28 manufacturers, the largest accounting for just 18.5%. Reporting peaked in 2022 at $3,236 and has fallen 84.0% since, to $518 in 2025. Among obstetrics & gynecology clinicians in AL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 283 payments — averaging $26.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acessa Health Inc.$1K
- Novo Nordisk$1K
- Scynexis, Inc.$1K
- AbbVie$1K
- Millicent US Inc$316
- Therapeuticsmd, Inc.$289
- plus $2K from 22 others
What the payments were for
- Speaking & faculty fees$1,03814%
- Travel & lodging$1,26417%
- Food & beverage$5,25669%
- Education$280%
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 |
|---|---|---|
| Acessa Health Inc. | 4 | $1,404 |
| Novo Nordisk | 76 | $1,403 |
| Scynexis, Inc. | 11 | $1,226 |
| AbbVie(2 entities) | 49 | $1,154 |
| Millicent US Inc | 16 | $316 |
| Therapeuticsmd, Inc. | 19 | $289 |
| Hologic Sales And Service, LLC | 18 | $284 |
| Lupin Inc. | 17 | $213 |
| Pfizer | 10 | $177 |
| Mayne Pharma Commercial LLC | 11 | $175 |
| Lilly USA, LLC | 4 | $165 |
| Sumitomo Pharma America, Inc. | 8 | $135 |
| Exeltis, USA Inc. | 5 | $112 |
| Coopersurgical, Inc. | 3 | $78 |
| Avion Pharmaceuticals | 5 | $65 |
| Mylan Pharmaceuticals Inc. | 5 | $64 |
| Eisai Inc. | 4 | $51 |
| Myovant Sciences Inc. | 3 | $45 |
| Endo Pharmaceuticals Inc. | 3 | $39 |
| Shield Therapeutics Inc | 2 | $38 |
| Acella Pharmaceuticals, LLC | 2 | $38 |
| AMAG Pharmaceuticals, Inc. | 2 | $28 |
| Gynesonics, Inc. | 1 | $20 |
| Kvk-tech, Inc. | 1 | $16 |
| Currax Pharmaceuticals LLC | 1 | $14 |
| Boston Scientific | 1 | $14 |
| Bayer | 1 | $13 |
| Agile Therapeutics, 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.
- ACESSA PROVU SYSTEM$1,404
- Orilissa$417
- Saxenda$246
- Wegovy$124
- ZEPBOUND$122
How this compares
$7,586 in reported general payments places this provider in the 90th percentile of 537 obstetrics & gynecology providers in Alabama.
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 |
|---|---|---|
| ProgesteroneProgesterone, Micronized | 56 | $3,928 |
| ImvexxyEstradiol | 11 | $2,563 |
| Np ThyroidThyroid,pork | 11 | $449 |
| Spironolactone | 18 | $409 |
| Anastrozole | 14 | $100 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Therapeuticsmd, Inc.Imvexxy | $289 | $2,56311 claims |
| Acella Pharmaceuticals, LLCNp Thyroid | $38 | $44911 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 537 obstetrics & gynecology providers in Alabama.
Other obstetrics & gynecology in Birmingham
- Theodore TsaltasBirmingham$853K
- Tomeka RobertsBirmingham$44K
- Percy HudsonBirmingham$29K
- Heidi StraughnBirmingham$29K
- William HudsonBirmingham$13K
- William JohnsonBirmingham$10K
- Cynthia BrownBirmingham$10K
- Loretta PrestonBirmingham$10K
- Laura Lee JoinerBirmingham$9K
- Victoria WheelerBirmingham$8K
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.