Healthcare provider profile · identity verified

James C Couch, M.D.

Family Practice · MT PLEASANT, TN · NPI 1376635052

Profile state: partd only Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

We did not find matching Open Payments records for this doctor in 2025.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

We did not find matching Open Payments records for this doctor in the selected program year.

Separate record types

Research & Ownership

Research Payments (direct recipient): not present in the loaded data

Associated Research Funding (for example, named PI): not present in the loaded data

Ownership / Investment: not present in the loaded data

These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.

Analysis 1 · Payment-linked products

Products named in Open Payments records

No payment-linked product analysis is available because no matching General Payment records were found for the selected year.

Public prescribing for products named in payments

There is no explicit payment-product set available for a Part D comparison.

The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.

Analysis 2 · Same-company prescribing overlap

Drugs reported in other payments from the same company that also appear in Medicare Part D

This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.

There is no payer-company set available for this comparison.

These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.

Public Medicare Part D data

Provider-and-drug rows loaded for 2024

Brand	Generic	Claims	Beneficiaries
Trazodone Hcl	Trazodone Hcl	972	117
Mirtazapine	Mirtazapine	816	124
Atorvastatin Calcium	Atorvastatin Calcium	757	128
Amlodipine Besylate	Amlodipine Besylate	696	127
Levothyroxine Sodium	Levothyroxine Sodium	687	119
Lisinopril	Lisinopril	630	89
Sertraline Hcl	Sertraline Hcl	616	65
Buspirone Hcl	Buspirone Hcl	598	81
Furosemide	Furosemide	583	112
Eliquis	Apixaban	545	67
Clopidogrel	Clopidogrel Bisulfate	497	45
Duloxetine Hcl	Duloxetine Hcl	492	75
Potassium Chloride	Potassium Chloride	486	106
Levetiracetam	Levetiracetam	482	35
Tamsulosin Hcl	Tamsulosin Hcl	461	73
Carvedilol	Carvedilol	442	61
Metoprolol Tartrate	Metoprolol Tartrate	401	71
Divalproex Sodium	Divalproex Sodium	383	50
Gabapentin	Gabapentin	378	71
Quetiapine Fumarate	Quetiapine Fumarate	375	40
Memantine Hcl	Memantine Hcl	343	47
Celecoxib	Celecoxib	312	51
Losartan Potassium	Losartan Potassium	261	44
Escitalopram Oxalate	Escitalopram Oxalate	255	32
Meloxicam	Meloxicam	249	61
Pantoprazole Sodium	Pantoprazole Sodium	247	39
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	234	50
Xarelto	Rivaroxaban	220	21
Baclofen	Baclofen	218	24
Citalopram Hbr	Citalopram Hydrobromide	208	25
Carbidopa-Levodopa	Carbidopa/Levodopa	206	28
Famotidine	Famotidine	205	63
Donepezil Hcl	Donepezil Hcl	201	24
Allopurinol	Allopurinol	190	38
Isosorbide Mononitrate Er	Isosorbide Mononitrate	187	11
Topiramate	Topiramate	184	suppressed
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	179	38
Metoprolol Succinate	Metoprolol Succinate	178	44
Prednisone	Prednisone	172	55
Hydrochlorothiazide	Hydrochlorothiazide	168	32
Olanzapine	Olanzapine	165	27
Finasteride	Finasteride	162	23
Nifedipine Er	Nifedipine	159	suppressed
Bupropion Hcl Sr	Bupropion Hcl	158	19
Doxepin Hcl	Doxepin Hcl	154	suppressed
Risperidone	Risperidone	148	14
Fluoxetine Hcl	Fluoxetine Hcl	146	15
Basaglar Kwikpen U-100	Insulin Glargine,hum.Rec.Anlog	142	18
Sucralfate	Sucralfate	142	18
Benztropine Mesylate	Benztropine Mesylate	139	suppressed
Aripiprazole	Aripiprazole	128	suppressed
Bupropion Xl	Bupropion Hcl	126	19
Lamotrigine	Lamotrigine	126	14
Tramadol Hcl	Tramadol Hcl	125	36
Montelukast Sodium	Montelukast Sodium	122	22
Metformin Hcl	Metformin Hcl	119	25
Ondansetron Hcl	Ondansetron Hcl	116	55
Oxybutynin Chloride Er	Oxybutynin Chloride	115	22
Hydralazine Hcl	Hydralazine Hcl	110	21
Omeprazole	Omeprazole	109	42
Ipratropium-Albuterol	Ipratropium/Albuterol Sulfate	108	60
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	102	25
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	100	70
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	94	21
Bupropion Hcl	Bupropion Hcl	93	suppressed
Clonidine Hcl	Clonidine Hcl	93	24
Lorazepam	Lorazepam	93	25
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	93	19
Paroxetine Hcl	Paroxetine Hcl	91	15
Alprazolam	Alprazolam	90	15
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	88	23
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	83	17
Tizanidine Hcl	Tizanidine Hcl	82	14
Spironolactone	Spironolactone	81	24
Oxycodone Hcl	Oxycodone Hcl	79	19
Oxcarbazepine	Oxcarbazepine	78	suppressed
Azithromycin	Azithromycin	73	52
Lactulose	Lactulose	73	suppressed
Phenytoin Sodium Extended	Phenytoin Sodium Extended	73	suppressed
Carbidopa-Levodopa-Entacapone	Carbidopa/Levodopa/Entacapone	71	suppressed
Rosuvastatin Calcium	Rosuvastatin Calcium	68	24
Atenolol	Atenolol	67	suppressed
Metformin Hcl Er	Metformin Hcl	64	16
Methimazole	Methimazole	63	suppressed
Calcitriol	Calcitriol	62	suppressed
Mounjaro	Tirzepatide	60	suppressed
Cephalexin	Cephalexin	59	41
Warfarin Sodium	Warfarin Sodium	59	11
Latanoprost	Latanoprost	58	18
Lantus	Insulin Glargine,hum.Rec.Anlog	57	suppressed
Metoclopramide Hcl	Metoclopramide Hcl	56	14
Pravastatin Sodium	Pravastatin Sodium	56	12
Ranolazine Er	Ranolazine	55	suppressed
Simvastatin	Simvastatin	55	21
Ziprasidone Hcl	Ziprasidone Hcl	55	suppressed
Carbamazepine	Carbamazepine	53	suppressed
Lokelma	Sodium Zirconium Cyclosilicate	53	suppressed
Nuedexta	Dextromethorphan Hbr/Quinidine	53	suppressed
Venlafaxine Hcl Er	Venlafaxine Hcl	53	suppressed
Metolazone	Metolazone	52	23
Pentoxifylline	Pentoxifylline	52	suppressed
Topiramate Er	Topiramate	52	suppressed
Rytary	Carbidopa/Levodopa	50	suppressed
Midodrine Hcl	Midodrine Hcl	47	17
Colchicine	Colchicine	46	suppressed
Primidone	Primidone	46	suppressed
Digoxin	Digoxin	44	11
Albuterol Sulfate Hfa	Albuterol Sulfate	42	25
Diltiazem Hcl	Diltiazem Hcl	41	suppressed
Alendronate Sodium	Alendronate Sodium	40	12
Amitriptyline Hcl	Amitriptyline Hcl	40	11
Fenofibrate	Fenofibrate,micronized	40	suppressed
Sulindac	Sulindac	40	14
Zolpidem Tartrate	Zolpidem Tartrate	40	suppressed
Tresiba Flextouch U-100	Insulin Degludec	39	suppressed
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	38	23
Xifaxan	Rifaximin	38	suppressed
Amiodarone Hcl	Amiodarone Hcl	37	22
Fluconazole	Fluconazole	37	24
Carbinoxamine Maleate	Carbinoxamine Maleate	36	21
Fluticasone Propionate	Fluticasone Propionate	36	20
Humalog Kwikpen U-100	Insulin Lispro	34	13
Folic Acid	Folic Acid	33	suppressed
Januvia	Sitagliptin Phosphate	33	suppressed
Sildenafil Citrate	Sildenafil Citrate	32	suppressed
Tolterodine Tartrate Er	Tolterodine Tartrate	32	suppressed
Brimonidine Tartrate	Brimonidine Tartrate	30	11
Fenofibrate	Fenofibrate Nanocrystallized	30	suppressed
Prazosin Hcl	Prazosin Hcl	30	suppressed
Ropinirole Hcl	Ropinirole Hcl	30	12
Doxycycline Hyclate	Doxycycline Hyclate	29	18
Insulin Glargine-Yfgn	Insulin Glargine-Yfgn	29	13
Terazosin Hcl	Terazosin Hcl	29	suppressed
Hydroxyzine Hcl	Hydroxyzine Hcl	28	12
Linzess	Linaclotide	28	suppressed
Isosorbide Mononitrate	Isosorbide Mononitrate	27	suppressed
Ondansetron Odt	Ondansetron	27	17
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	26	suppressed
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	26	suppressed
Pregabalin	Pregabalin	26	suppressed
Hydroxyzine Pamoate	Hydroxyzine Pamoate	25	suppressed
Insulin Lispro Kwikpen U-100	Insulin Lispro	25	13
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	25	suppressed
Butalbital-Acetaminophen-Caffe	Butalb/Acetaminophen/Caffeine	24	suppressed
Ceftriaxone	Ceftriaxone Sodium	24	18
Levofloxacin	Levofloxacin	24	17
Morphine Sulfate Er	Morphine Sulfate	24	suppressed
Testosterone Cypionate	Testosterone Cypionate	24	suppressed
Verapamil Er	Verapamil Hcl	24	suppressed
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	23	suppressed
Ozempic	Semaglutide	23	suppressed
Synthroid	Levothyroxine Sodium	22	suppressed
Torsemide	Torsemide	22	suppressed
Ciprofloxacin Hcl	Ciprofloxacin Hcl	21	17
Diclofenac Sodium	Diclofenac Sodium	21	11
Doxazosin Mesylate	Doxazosin Mesylate	21	suppressed
Doxycycline Monohydrate	Doxycycline Monohydrate	21	suppressed
Entacapone	Entacapone	21	suppressed
Novolog Flexpen	Insulin Aspart	21	11
Nystatin	Nystatin	21	16
Propranolol Hcl	Propranolol Hcl	21	suppressed
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	21	suppressed
Vitamin D2	Ergocalciferol (Vitamin D2)	21	suppressed
Desvenlafaxine Succinate Er	Desvenlafaxine Succinate	20	suppressed
Ezetimibe	Ezetimibe	20	suppressed
Meclizine Hcl	Meclizine Hcl	20	14
Neomycin-Bacitracin-Polymyxin	Neomycin/Bacitracin/Polymyxinb	20	suppressed
Prednisolone Acetate	Prednisolone Acetate	20	suppressed
Promethazine Hcl	Promethazine Hcl	20	suppressed
Silodosin	Silodosin	20	suppressed
Toujeo Solostar	Insulin Glargine,hum.Rec.Anlog	20	suppressed
Clonidine	Clonidine	19	suppressed
Gentamicin Sulfate	Gentamicin Sulfate	19	12
Phenobarbital	Phenobarbital	19	suppressed
Budesonide	Budesonide	18	12
Combigan	Brimonidine Tartrate/Timolol	18	suppressed
Humulin R	Insulin Regular, Human	18	suppressed
Pioglitazone Hcl	Pioglitazone Hcl	18	suppressed
Autoshield Duo Pen Needle	Pen Needle,dual Safety,diabetc	17	16
Chlorpromazine Hcl	Chlorpromazine Hcl	17	suppressed
Diazepam	Diazepam	17	suppressed
Lidocaine Hcl	Lidocaine Hcl/Pf	17	13
Mupirocin	Mupirocin	17	11
Nicardipine Hcl	Nicardipine Hcl	17	suppressed
Valacyclovir	Valacyclovir Hcl	17	suppressed
Isosorbide Dinitrate	Isosorbide Dinitrate	16	suppressed
Medroxyprogesterone Acetate	Medroxyprogesterone Acetate	16	suppressed
Nebivolol Hcl	Nebivolol Hcl	16	suppressed
Phenytoin	Phenytoin	16	suppressed
Entresto	Sacubitril/Valsartan	15	suppressed
Febuxostat	Febuxostat	15	suppressed
Fiasp Flextouch	Insulin Aspart (Niacinamide)	15	suppressed
Methocarbamol	Methocarbamol	15	12
Oxybutynin Chloride	Oxybutynin Chloride	15	suppressed
Telmisartan	Telmisartan	15	suppressed
Terbinafine Hcl	Terbinafine Hcl	15	suppressed
Amantadine	Amantadine Hcl	14	suppressed
Carbamazepine Er	Carbamazepine	14	suppressed
Eszopiclone	Eszopiclone	14	suppressed
Lyumjev Kwikpen U-100	Insulin Lispro-Aabc	14	suppressed
Pradaxa	Dabigatran Etexilate Mesylate	14	suppressed
Budesonide Dr	Budesonide	13	suppressed
Clonazepam	Clonazepam	13	suppressed
Glatopa	Glatiramer Acetate	13	suppressed
Glimepiride	Glimepiride	13	suppressed
Glipizide	Glipizide	13	suppressed
Indapamide	Indapamide	13	suppressed
Ketoconazole	Ketoconazole	13	suppressed
Lovastatin	Lovastatin	13	suppressed
Methotrexate	Methotrexate Sodium	13	suppressed
Oxycontin	Oxycodone Hcl	13	suppressed
Rebif	Interferon Beta-1a/Albumin	13	suppressed
Sodium Chloride	0.9 % Sodium Chloride	13	suppressed
Triamcinolone Acetonide	Triamcinolone Acetonide	13	suppressed
Valproic Acid	Valproic Acid (As Sodium Salt)	13	suppressed
Valsartan	Valsartan	13	suppressed
Calcitonin-Salmon	Calcitonin,salmon,synthetic	12	suppressed
Dorzolamide Hcl	Dorzolamide Hcl	12	suppressed
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	12	suppressed
Hydroxychloroquine Sulfate	Hydroxychloroquine Sulfate	12	suppressed
Zonisamide	Zonisamide	12	suppressed
Cefdinir	Cefdinir	11	suppressed
Clotrimazole-Betamethasone	Clotrimazole/Betamethasone Dip	11	suppressed
Levocetirizine Dihydrochloride	Levocetirizine Dihydrochloride	11	suppressed
Metronidazole	Metronidazole	11	suppressed
Myrbetriq	Mirabegron	11	suppressed
Solifenacin Succinate	Solifenacin Succinate	11	suppressed

Timeline

Payment and prescribing data by year

Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.

Year	General Payments	Main payer	Explicit products	Company overlaps	Part D coverage
2025	—	—	—	—	—
2024	—	—	—	—	Complete

Questions to ask

Questions you could discuss with your doctor

Are there reasonable alternatives I should understand when we discuss treatment options?
How should I interpret the industry-payment records shown here in the context of my care?

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.

Loaded source releases

Dataset	Year	Publication	Source
CMS Open Payments — General Payments	2025	2026-06-30	Original source
Medicare Part D Prescribers by Provider and Drug	2024	2026-05-06	Original source
NPPES Data Dissemination V2	current / reference data	2026-08-10	Original source

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error