Payment overview · 2025
General Payments
$4,098.29
42 reported records · 13 companies
Healthcare provider profile · identity verified
Nicholas John Costable, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology · VALHALLA, NY · NPI 1790289197
Verified facts
What the public records show
CMS Open Payments records show Nicholas John Costable, MD received $4,098.29 in general payments during 2025 across 42 reported records.
Boston Scientific Corporation accounted for 59.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 23 associated products.
These records do not establish that a payment influenced prescribing or medical care.
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.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $2,449.98 | 59.8% | 21 | 2025 |
| Ovesco Endoscopy USA, Inc. | Unresolved — no canonical attribution shown | $931.69 | 22.7% | 1 | 2025 |
| Olympus America Inc. | Unresolved — no canonical attribution shown | $413.32 | 10.1% | 8 | 2025 |
| CONMED Corporation | Unresolved — no canonical attribution shown | $98.08 | 2.4% | 1 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $45.12 | 1.1% | 2 | 2025 |
| Ipsen Biopharmaceuticals, Inc | Unresolved — no canonical attribution shown | $31.68 | 0.8% | 2 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $27.28 | 0.7% | 1 | 2025 |
| Intercept Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $20.34 | 0.5% | 1 | 2025 |
| Aimmune Therapeutics, Inc. | Unresolved — no canonical attribution shown | $19.39 | 0.5% | 1 | 2025 |
| Fujifilm Healthcare Americas Corporation | Unresolved — no canonical attribution shown | $16.60 | 0.4% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $15.61 | 0.4% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $14.81 | 0.4% | 1 | 2025 |
| Micro-tech Endoscopy USA, Inc. | Unresolved — no canonical attribution shown | $14.39 | 0.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,161.23 | 37 |
| Travel and Lodging | $1,937.06 | 5 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| OverStitch Endoscopic Suturing System Normalized: overstitch endoscopic suturing system |
Device | Boston Scientific Corporation | $1,597.61 | 10 | 2025 |
Source payment records
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| EXALT Model D Normalized: exalt model d |
Device | Boston Scientific Corporation | $384.58 | 4 | 2025 |
Source payment records
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| Axios Normalized: axios |
Device | Boston Scientific Corporation | $281.55 | 3 | 2025 |
Source payment records
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| Single Use Repositionable Clip Normalized: single use repositionable clip |
Device | Olympus America Inc. | $242.92 | 2 | 2025 |
Source payment records
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| General - Biliary Devices Normalized: general biliary devices |
Device | Boston Scientific Corporation | $147.09 | 1 | 2025 |
Source payment records
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| VISIGLIDE Normalized: visiglide |
Device | Olympus America Inc. | $116.94 | 1 | 2025 |
Source payment records
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| CONMED BILIARY Normalized: conmed biliary |
Device | CONMED Corporation | $98.08 | 1 | 2025 |
Source payment records
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| IQIRVO Normalized: iqirvo |
Drug | Ipsen Biopharmaceuticals, Inc | $31.68 | 2 | 2025 |
Source payment records
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| WallFlex Duodenal Normalized: wallflex duodenal |
Device | Boston Scientific Corporation | $29.33 | 1 | 2025 |
Source payment records
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| RINVOQ Normalized: rinvoq |
Biological | ABBVIE INC. | $27.28 | 1 | 2025 |
Source payment records
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| SKYRIZI Normalized: skyrizi |
Biological | ABBVIE INC. | $27.28 | 1 | 2025 |
Source payment records
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| LIVTENCITY Normalized: livtencity |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $24.71 | 1 | 2025 |
Source payment records
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| HANAROSTENT Esophagus TTS(CCC) Normalized: hanarostent esophagus tts ccc |
Device | Olympus America Inc. | $23.77 | 2 | 2025 |
Source payment records
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| Single Use Aspiration Needle NA-U200H Normalized: single use aspiration needle na u200h |
Device | Olympus America Inc. | $21.37 | 2 | 2025 |
Source payment records
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| ENTYVIO Normalized: entyvio |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $20.41 | 1 | 2025 |
Source payment records
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| OCALIVA Normalized: ocaliva |
Drug | Intercept Pharmaceuticals, Inc. | $20.34 | 1 | 2025 |
Source payment records
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| ZENPEP Normalized: zenpep |
Drug | Aimmune Therapeutics, Inc. | $19.39 | 1 | 2025 |
Source payment records
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| FUJIFILM Normalized: fujifilm |
Device | Fujifilm Healthcare Americas Corporation | $16.60 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $15.61 | 1 | 2025 |
Source payment records
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| OMVOH Normalized: omvoh |
Drug | Lilly USA, LLC | $14.81 | 1 | 2025 |
Source payment records
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| eyeMAX Normalized: eyemax |
Device | Micro-tech Endoscopy USA, Inc. | $14.39 | 1 | 2025 |
Source payment records
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| Acquire Normalized: acquire |
Device | Boston Scientific Corporation | $9.82 | 2 | 2025 |
Source payment records
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| DISPOSABLE BIOPSY FORCEPS Normalized: disposable biopsy forceps |
Device | Olympus America Inc. | $8.32 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 |
|---|---|---|---|
| Omeprazole | Omeprazole | 50 | 15 |
| Gavilyte-G | Peg3350/Sod Sulf,bicarb,cl/Kcl | 38 | 37 |
| Pantoprazole Sodium | Pantoprazole Sodium | 16 | suppressed |
| Famotidine | Famotidine | 15 | suppressed |
| Sucralfate | Sucralfate | 13 | suppressed |
| Peg-3350 And Electrolytes | Peg3350/Sod Sulf,bicarb,cl/Kcl | 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 | $4,098.29 · 42 records | Boston Scientific Corporation | Acquire, Axios, CONMED BILIARY, DISPOSABLE BIOPSY FORCEPS, ENTYVIO, EXALT Model D, FUJIFILM, General - Biliary Devices, HANAROSTENT Esophagus TTS(CCC), IQIRVO, LIVTENCITY, OCALIVA, OMVOH, OverStitch Endoscopic Suturing System, RINVOQ, SKYRIZI, Single Use Aspiration Needle NA-U200H, Single Use Repositionable Clip, VISIGLIDE, WallFlex Duodenal, Wegovy, ZENPEP, eyeMAX | — | — |
| 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 |
Full methodology · Questions & answers · Report a possible error