Brandi Nichols, MD
Obstetrics & Gynecology · Jefferson City, MONPI 1578656674
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (52.4%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 40 manufacturers reported payments, led by Amgen at 47.7% of the total. Reporting peaked in 2023 at $2,890 and has fallen 80.9% since, to $551 in 2025. Among obstetrics & gynecology clinicians in MO 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 252 payments — averaging $32.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$4K
- AbbVie$647
- Pfizer$576
- Organon$313
- Coopersurgical, Inc.$289
- Evofem Biosciences, Inc.$239
- plus $2K from 34 others
What the payments were for
- Speaking & faculty fees$3,80047%
- Travel & lodging$451%
- Food & beverage$4,23552%
- Education$70%
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 |
|---|---|---|
| Amgen(2 entities) | 4 | $3,857 |
| AbbVie(2 entities) | 41 | $647 |
| Pfizer | 36 | $576 |
| Organon | 18 | $313 |
| Coopersurgical, Inc. | 10 | $289 |
| Evofem Biosciences, Inc. | 15 | $239 |
| Astellas Pharma US Inc | 14 | $239 |
| Bayer | 14 | $202 |
| Mayne Pharma Commercial LLC | 11 | $197 |
| Therapeuticsmd, Inc. | 11 | $164 |
| Daiichi Sankyo Inc. | 11 | $157 |
| Exeltis, USA Inc. | 8 | $136 |
| Dexcom, Inc. | 5 | $122 |
| Hologic Sales And Service, LLC | 6 | $106 |
| Sumitomo Pharma America, Inc. | 5 | $91 |
| Avion Pharmaceuticals | 5 | $78 |
| Pharmacosmos Therapeutics Inc. | 3 | $62 |
| Millicent US Inc | 3 | $57 |
| Myovant Sciences Inc. | 3 | $50 |
| LSI Solutions Inc | 1 | $50 |
| Sage Therapeutics, LLC | 3 | $49 |
| Exact Sciences | 2 | $40 |
| Merck | 3 | $37 |
| Meditrina | 2 | $28 |
| Medtronic | 2 | $28 |
| Agile Therapeutics, Inc. | 2 | $26 |
| Davol Inc. | 1 | $25 |
| Monaghan Medical Corporation | 1 | $22 |
| Axonics, Inc. | 1 | $22 |
| Roche Diagnostics Corporation | 1 | $21 |
| Duchesnay USA Incorporated | 1 | $19 |
| Supernus Pharmaceuticals, Inc. | 1 | $18 |
| Radius Health, Inc. | 1 | $18 |
| Boston Scientific | 1 | $18 |
| Minerva Surgical, Inc | 1 | $16 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $16 |
| Aesculap, Inc. | 1 | $16 |
| KCI USA, Inc. | 1 | $14 |
| Lupin Inc. | 1 | $13 |
| Dysis Medical, Inc. | 1 | $12 |
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.
- RAVICTI$3,800
How this compares
$8,087 in reported general payments places this provider in the 95th percentile of 750 obstetrics & gynecology providers in Missouri.
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 |
|---|---|---|
| Clobetasol Propionate | 29 | $569 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Jefferson City
- Thomas ShultzSpringfield$1.1M
- Becky LynnSaint Louis$231K
- Timothy HallIndependence$172K
- Craig McCoyMoberly$101K
- Richard GutknechtIndependence$65K
- Amanda CarrollFestus$55K
- Amy CarterKansas City$49K
- Megan SneedLees Summit$44K
- Kimberly LemoineSaint Louis$30K
- Carrie CardaPoplar Bluff$22K
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.