Andrew Toenniessen, DO
General Practice · Herkimer, NYNPI 1518580612
Payments from drug & device makers
Across 15 payments — averaging $23.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$190
- Medtronic$93
- Neurocrine Biosciences, Inc.$56
- Boston Scientific$18
What the payments were for
- Food & beverage$357100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 10 | $190 |
| Medtronic | 2 | $93 |
| Neurocrine Biosciences, Inc. | 2 | $56 |
| Boston Scientific | 1 | $18 |
How this compares
$357 in reported general payments places this provider in the 60th percentile of 5,764 general practice providers in New York.
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 |
|---|---|---|
| IngrezzaValbenazine Tosylate | 21 | $137,647 |
| EnbrelEtanercept | 12 | $95,240 |
| EliquisApixaban | 196 | $56,600 |
| XareltoRivaroxaban | 119 | $34,008 |
| GemtesaVibegron | 124 | $30,241 |
| TrulicityDulaglutide | 36 | $27,156 |
| JardianceEmpagliflozin | 49 | $15,373 |
| OzempicSemaglutide | 14 | $14,438 |
| VeltassaPatiromer Calcium Sorbitex | 23 | $11,784 |
| AbrysvoRsv Vacc, Pref A And Pref B/Pf | 33 | $10,355 |
| EntrestoSacubitril/Valsartan | 34 | $9,526 |
| LokelmaSodium Zirconium Cyclosilicate | 44 | $9,312 |
| Fenofibrate | 22 | $8,641 |
| JanuviaSitagliptin Phosphate | 32 | $8,601 |
| SantylCollagenase Clostridium Hist. | 17 | $7,769 |
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 |
|---|---|---|
| Neurocrine Biosciences, Inc.Ingrezza | $56 | $137,64721 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $190 | $7,37912 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 60th percentile of 5,764 general practice providers in New York.
Other general practice in Herkimer
- Mark HochmanHicksville$5.1M
- Sarah AtkinsonRochester$4.2M
- Michael MashaalRoslyn$1.9M
- David RiceEast Amherst$1.2M
- Alejandra Gonzalez-DuarteNew York$519K
- Brian JacksonUtica$477K
- Ronnie MyersNew York$464K
- Ira LangsteinWhite Plains$422K
- Benedict MiragliaMount Kisco$378K
- Michael DanielakBuffalo$197K
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.