Roy Burch, MD
Obstetrics & Gynecology · Brentwood, TNNPI 1073516225
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $9,400 of the $9,976 with a category attached, or 94.2%. Mimedx Group, Inc. accounts for 94.2% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $6,200, more than ten times the $419 reported in 2019. Among obstetrics & gynecology clinicians in TN 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 49 payments — averaging $203.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mimedx Group, Inc.$9K
- Avanos Medical$121
- AbbVie$108
- Avion Pharmaceuticals$66
- Daiichi Sankyo Inc.$47
- Bayer$43
- plus $191 from 9 others
What the payments were for
- Consulting fees$9,40094%
- Food & beverage$5606%
- Education$160%
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 |
|---|---|---|
| Mimedx Group, Inc. | 20 | $9,400 |
| Avanos Medical | 1 | $121 |
| AbbVie(2 entities) | 7 | $108 |
| Avion Pharmaceuticals | 5 | $66 |
| Daiichi Sankyo Inc. | 3 | $47 |
| Bayer | 2 | $43 |
| Coopersurgical, Inc. | 2 | $35 |
| Duchesnay USA Incorporated | 2 | $31 |
| Astellas Pharma US Inc | 1 | $22 |
| Therapeuticsmd, Inc. | 1 | $19 |
| Hologic Sales And Service, LLC | 1 | $19 |
| Merck | 1 | $18 |
| Organon | 1 | $18 |
| Myovant Sciences Inc. | 1 | $16 |
| Mylan Pharmaceuticals Inc. | 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
$9,976 in reported general payments places this provider in the 95th percentile of 763 obstetrics & gynecology providers in Tennessee.
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 | 11 | $6,789 |
| Estradiol | 114 | $4,356 |
| ProgesteroneProgesterone, Micronized | 18 | $781 |
| Levothyroxine Sodium | 12 | $150 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Brentwood
- Craig MartinBrentwood$14K
- Grover MayJohnson City$916K
- John GreenElizabethton$878K
- Brent LaingElizabethton$480K
- Larry FieldsKnoxville$323K
- Michael SwanNashville$146K
- Clarinda Burton-ShannonLebanon$114K
- Royce AdkinsNashville$95K
- Olga MuldoonNashville$91K
- Kimberly LooneyNashville$84K
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.