Medicare Enrolled
Dr. James Combs, M.D.
Surgery · Newnan, GA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Combs from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Combs
Dr. James Combs is a surgery specialist in Newnan, GA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Combs performed 4,276 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Combs received a total of $5,633 from 28 pharmaceutical and/or device companies across 272 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Combs is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years of NPI registration
▲ Top 1% volume in GA
$5,633 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,276
Medicare services
Top 1% in GA for surgery
Not available
Unique patients (not deduplicated)
$33
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
3,165 | $0 | $2 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
163 | $64 | $102 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
143 | $80 | $126 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
113 | $132 | $218 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
101 | $38 | $62 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
63 | $131 | $228 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
61 | $99 | $150 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
52 | $158 | $283 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
49 | $77 | $137 |
| Additional sedation, per 15 minutes Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period. |
46 | $8 | $40 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
43 | $122 | $210 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
34 | $28 | $143 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
32 | $36 | $184 |
| Hemodialysis circuit intervention with balloon dilation A procedure to insert a needle or tube into a hemodialysis circuit and dilate the dialysis segment using a balloon, with radiological review. |
30 | $862 | $4,442 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
30 | $89 | $167 |
| Injection, alteplase recombinant, 1 mg | 30 | $69 | $188 |
| Pre-op ultrasound of artery and vein blood flow for hemodialysis access An ultrasound exam to assess blood flow in the arteries and veins on both sides of the body before surgery for hemodialysis access. |
21 | $182 | $322 |
| Fluoroscopic guidance for central vein access device Use of live X-ray imaging to guide the placement or removal of a central vein access device. |
17 | $72 | $370 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
16 | $112 | $571 |
| Removal of tunneled central venous tube This procedure involves the removal of a catheter that has been surgically placed under the skin and threaded into a large vein. |
15 | $116 | $632 |
| Needle or tube insertion into hemodialysis circuit with radiologist review A procedure involving the insertion of a needle or tube into a hemodialysis circuit, accompanied by a review of the procedure by a radiologist. |
15 | $488 | $2,619 |
| Arm vein relocation with artery connection for hemodialysis A surgical procedure to move a vein in the arm and connect it to an artery to create access for hemodialysis. |
13 | $484 | $825 |
| Arteriovenous graft creation for hemodialysis Surgical procedure to create a connection between an artery and a vein using a synthetic tube graft to provide access for hemodialysis. |
12 | $509 | $731 |
| Ultrasound of blood vessel, initial vessel An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel. |
12 | $679 | $3,508 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
1.0% high complexity
85.1% medium
13.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,633
Total received (2018-2024)
Avg $805/year across 7 years
Top 33% in GA for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
272
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$946
2023
$1,011
2022
$957
2021
$770
2020
$501
2019
$642
2018
$805
Payments by company (2024)
W. L. Gore & Associates, Inc.
$623
Medtronic, Inc.
$147
Boston Scientific Corporation
$103
CARDIVA MEDICAL, INC.
$32
LeMaitre Vascular, Inc.
$26
CashFlow Solutions, LLC
$15
Top 3 companies account for 92.3% of 2024 payments
All-time payments by company (2018-2024) ›
W. L. Gore & Associates, Inc.
$1,909
Philips Electronics North America Corporation
$603
Medtronic, Inc.
$483
Janssen Pharmaceuticals, Inc
$478
Boston Scientific Corporation
$327
CARDIVA MEDICAL, INC.
$296
Cook Medical LLC
$274
Medtronic Vascular, Inc.
$202
LeMaitre Vascular, Inc.
$186
PFIZER INC.
$163
TELA Bio, Inc.
$128
Cardiovascular Systems Inc.
$97
CashFlow Solutions, LLC
$74
KCI USA, Inc
$56
Tactile Systems Technology Inc
$49
Abbott Laboratories
$42
BOSTON SCIENTIFIC CORPORATION
$41
Veryan Medical Incorporated
$32
Integra LifeSciences Corporation
$27
KCI USA, Inc.
$25
BARD PERIPHERAL VASCULAR, INC.
$24
Biom'Up France SAS
$24
Inari Medical, Inc.
$18
Shockwave Medical, Inc
$18
TRIAD LIFE SCIENCES INC.
$16
ShockWave Medical, Inc
$16
E.R. Squibb & Sons, L.L.C.
$15
Bard Peripheral Vascular, Inc.
$11
Top 3 companies account for 53.2% of all-time payments
Associated products mentioned in payments ›
(1658) Clin Educ US · (4067) Tack Endovascular Systems BTK · (6582) Visions 035 · (9281) Turbo Elite · (9520) IGT Devices Und · ABRE · ACUSEAL Vascular Graft · ARTEGRAFT VASCULAR GRAFT · BioMimics · CARDIVA VASCADE 6/7F VCS · CHANTIX · COOK CELECT · COOK MEDICAL CATHETERS · ClosureFast · Cook Medical Angioplasty · Cook Medical Catheters · Cook Medical Zilver PTX · DIAMONDBACK PERIPHERAL · Diamondback Peripheral · ELIQUIS · ELUVIA · ENDURANT IIS · EXCLUDER AAA Endoprosthesis · Endurant · FLEXITOUCH · FlowTriever · GENERAL METALLIC STENTS · GENERAL METALLIC STENTS · GLIDEPATH · GORE ACUSEAL Vascular Graft · GORE PROPATEN Vascular Graft · GORE VIABAHN Endoprosthesis · GORE VIABAHN Endoprosthesis with Heparin · GORE VIABAHN VBX Balloon Expandable Endo · GORE-TEX Vascular Graft · General - Therapies · HELI-FX ENDOANCHOR SYSTEM · Heli-FX EndoAnchor System · HemoBlast Bellows · IGT D Peripheral · IGT_D Peripheral · INNOVA · INNOVAMATRIX AC · Innova Vascular · Integra · LYMPHA PRESS OPTIMAL PLUS(US) BT · Lasers · Lunderquist · Ovitex · Perclose ProGlide suture mediated closure system · Peripheral Orbital Atherectomy System · RESTOREFLO · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SNAP · TIGRIS Stent · TOURGUIDE STEERABLE SHEATH · VALVULOTOM · VARITHENA · VENASEAL · VIABAHN Endoprosthesis · VIABAHN Endoprosthesis with Heparin Bioactive Surface · VIABAHN VBX Balloon Expandable Endoprosthesis · Varithena Administration Pack · Vascular Lithotripsy · VenaSeal · XARELTO · ZILVER VENA · Zilver Vena
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Surgerists in nearby ZIP areas
51
County median income
$94,142
Nearest hospital to ZIP centroid (approximate)
PIEDMONT NEWNAN HOSPITAL, INC
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Combs is a mixed practice specialist, with above-average Medicare volume (top 1% in GA), with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Combs experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Combs performed 3,165 contrast dye for imaging (iodine-based) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Combs receive payments from pharmaceutical companies?
Yes. Dr. Combs received a total of $5,633 from 28 companies across 272 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Combs's costs compare to other surgerists in Newnan?
Dr. Combs's average Medicare payment per service is $33. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Combs) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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