Ramon Thomas
Obstetrics & Gynecology · Winchester, KYNPI 1417025479
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (38.4%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 82.9% of it on its own, with 33 other manufacturers making up the rest. Reporting peaked in 2024 at $8,866 and has fallen 63.6% since, to $3,231 in 2025. Among obstetrics & gynecology clinicians in KY 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 143 payments — averaging $100.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$12K
- AbbVie$470
- Johnson & Johnson$296
- Gynesonics, Inc.$243
- Sanara Medtech Inc.$198
- Medtronic$175
- plus $1K from 28 others
What the payments were for
- Travel & lodging$5,45238%
- Food & beverage$3,42224%
- Education$5,53338%
- Gifts$90%
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 | 37 | $11,949 |
| AbbVie(2 entities) | 27 | $470 |
| Johnson & Johnson | 7 | $296 |
| Gynesonics, Inc. | 3 | $243 |
| Sanara Medtech Inc. | 1 | $198 |
| Medtronic | 1 | $175 |
| Avion Pharmaceuticals | 7 | $106 |
| Hologic Sales And Service, LLC | 6 | $103 |
| Medical Device Business Services, Inc. | 1 | $78 |
| Exeltis, USA Inc. | 5 | $77 |
| Bayer | 5 | $76 |
| Myovant Sciences Inc. | 4 | $70 |
| Pfizer | 5 | $66 |
| Therapeuticsmd, Inc. | 5 | $64 |
| Astellas Pharma US Inc | 3 | $54 |
| Evofem Biosciences, Inc. | 3 | $41 |
| Biogen | 2 | $34 |
| AMAG Pharmaceuticals, Inc. | 2 | $33 |
| BD | 1 | $31 |
| Daiichi Sankyo Inc. | 2 | $29 |
| Merck | 2 | $27 |
| Duchesnay USA Incorporated | 2 | $26 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Sage Therapeutics, LLC | 1 | $16 |
| Lupin Inc. | 1 | $16 |
| Aspira Women's Health Inc | 1 | $15 |
| Davol Inc. | 1 | $15 |
| Coopersurgical, Inc. | 1 | $15 |
| Smith+Nephew | 1 | $14 |
| Axonics, Inc. | 1 | $14 |
| Dysis Medical, Inc. | 1 | $13 |
| Minerva Surgical, Inc | 1 | $11 |
| Organon | 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.
How this compares
$14,415 in reported general payments places this provider in the 95th percentile of 474 obstetrics & gynecology providers in Kentucky.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| PremarinEstrogens, Conjugated | 21 | $4,717 |
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 |
|---|---|---|
| PfizerPremarin | $66 | $4,71721 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 95th percentile of 474 obstetrics & gynecology providers in Kentucky.
Other obstetrics & gynecology in Winchester
- Leigh DoaneWinchester$12K
- Nathan SticeBowling Green$199K
- John BrunerSomerset$82K
- Resad PasicLouisville$39K
- Wendy JacksonLexington$37K
- Bradley YoukilisLouisville$29K
- Travis GilbertCorbin$28K
- James GuilerLexington$25K
- Gigi GirardLouisville$23K
- Jonathan AbbottHopkinsville$18K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.