Chance Dingler, MD
Family Medicine · Nocona, TXNPI 1780743898
Payments from drug & device makers
Across 155 payments — averaging $19.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$626
- Sanofi-aventis U.S. LLC$492
- AbbVie$335
- Exact Sciences$234
- Sunovion Pharmaceuticals Inc.$177
- Corcept Therapeutics$160
- plus $931 from 22 others
What the payments were for
- Food & beverage$2,953100%
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 |
|---|---|---|
| Johnson & Johnson | 38 | $626 |
| Sanofi-aventis U.S. LLC | 22 | $492 |
| AbbVie(2 entities) | 11 | $335 |
| Exact Sciences | 12 | $234 |
| Sunovion Pharmaceuticals Inc. | 10 | $177 |
| Corcept Therapeutics | 6 | $160 |
| Astellas Pharma US Inc | 7 | $137 |
| Novo Nordisk | 7 | $121 |
| Halozyme Inc | 5 | $103 |
| Antares Pharma, Inc. | 5 | $75 |
| Novartis | 4 | $64 |
| Phathom Pharmaceuticals, Inc. | 3 | $53 |
| Philips North America LLC | 3 | $43 |
| Avanir Pharmaceuticals, Inc. | 3 | $42 |
| Pfizer | 3 | $39 |
| Amgen(2 entities) | 2 | $35 |
| Idorsia Pharmaceuticals US Inc | 2 | $33 |
| Abbott | 2 | $26 |
| AstraZeneca | 1 | $24 |
| Dexcom, Inc. | 1 | $22 |
| Baxter Healthcare | 1 | $19 |
| Mylan Specialty L.p. | 1 | $16 |
| Merck | 1 | $15 |
| Otsuka America Pharmaceutical, Inc. | 1 | $14 |
| Teva Pharmaceuticals USA, Inc. | 1 | $14 |
| IBSA Pharma Inc. | 1 | $13 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $12 |
| Biomerieux 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.
- SOLIQUA 100/33$121
- BOTOX$111
How this compares
$2,953 in reported general payments places this provider in the 75th percentile of 8,760 family medicine providers in Texas.
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 |
|---|---|---|
| EliquisApixaban | 163 | $95,227 |
| OzempicSemaglutide | 55 | $58,691 |
| JardianceEmpagliflozin | 49 | $36,144 |
| JanumetSitagliptin Phos/Metformin Hcl | 21 | $22,288 |
| XareltoRivaroxaban | 25 | $22,040 |
| OxycontinOxycodone Hcl | 12 | $16,352 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 17 | $14,857 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 519 | $14,812 |
| TrulicityDulaglutide | 13 | $12,792 |
| Tresiba Flextouch U-100Insulin Degludec | 25 | $11,901 |
| MounjaroTirzepatide | 12 | $11,469 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 28 | $11,370 |
| JanuviaSitagliptin Phosphate | 13 | $11,164 |
| FarxigaDapagliflozin Propanediol | 14 | $10,300 |
| MyrbetriqMirabegron | 40 | $9,522 |
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 |
|---|---|---|
| PfizerEliquis | $39 | $95,227163 claims |
| Novo NordiskOzempic | $121 | $58,69155 claims |
| MerckJanumet, Januvia | $15 | $33,45234 claims |
| Johnson & JohnsonXarelto, Invega Sustenna | $626 | $29,50037 claims |
| AstraZenecaFarxiga | $24 | $10,30014 claims |
| Astellas Pharma US IncMyrbetriq | $137 | $9,52240 claims |
| AbbVieLinzess | $335 | $9,20218 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 75th percentile of 8,760 family medicine providers in Texas.
Other family medicine in Nocona
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
- Veronica FragosoHouston$24.5M
- Joel SolisMcAllen$21.1M
- George AtieeSan Antonio$19.9M
- Bonnie ColvilleHouston$19.6M
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.