Clint Dunkle, DO
Internal Medicine · Joplin, MONPI 1962842104
Payments from drug & device makers
Across 228 payments — averaging $15.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$456
- AstraZeneca$361
- Novo Nordisk$345
- Amgen$338
- Lilly USA, LLC$327
- Pfizer$205
- plus $2K from 32 others
What the payments were for
- Food & beverage$3,588100%
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 |
|---|---|---|
| AbbVie(2 entities) | 28 | $456 |
| AstraZeneca | 22 | $361 |
| Novo Nordisk | 31 | $345 |
| Amgen | 19 | $338 |
| Lilly USA, LLC | 20 | $327 |
| Pfizer | 12 | $205 |
| GSK | 10 | $148 |
| Dexcom, Inc. | 7 | $124 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $122 |
| Boehringer Ingelheim | 6 | $94 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $90 |
| Abbott | 5 | $88 |
| Kowa Pharmaceuticals America, Inc. | 5 | $83 |
| Novartis | 5 | $79 |
| Otsuka America Pharmaceutical, Inc. | 4 | $68 |
| Bayer | 4 | $60 |
| Idorsia Pharmaceuticals US Inc | 3 | $50 |
| Exact Sciences | 3 | $50 |
| Astellas Pharma US Inc | 3 | $46 |
| Merck | 3 | $42 |
| Eisai Inc. | 2 | $39 |
| Teva Pharmaceuticals USA, Inc. | 3 | $38 |
| Biohaven Pharmaceuticals, Inc. | 2 | $36 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $33 |
| Ironwood Pharmaceuticals, Inc | 2 | $32 |
| Sumitomo Pharma America, Inc. | 2 | $31 |
| Sanofi-aventis U.S. LLC | 2 | $30 |
| Xeris Pharmaceuticals, Inc. | 1 | $22 |
| Johnson & Johnson | 1 | $21 |
| Amarin Pharma, Inc. | 1 | $18 |
| Supernus Pharmaceuticals, Inc. | 1 | $17 |
| Vertex | 1 | $16 |
| Phathom Pharmaceuticals, Inc. | 1 | $15 |
| Impel Pharmaceuticals Inc. | 1 | $15 |
| Currax Pharmaceuticals LLC | 1 | $13 |
| E.r. Squibb & Sons, L.L.C. | 1 | $12 |
| Medtronic | 1 | $12 |
| Fujifilm Sonosite, Inc. | 1 | $12 |
How this compares
$3,588 in reported general payments places this provider in the 85th percentile of 2,097 internal medicine 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 |
|---|---|---|
| MounjaroTirzepatide | 73 | $80,899 |
| EliquisApixaban | 122 | $74,904 |
| OzempicSemaglutide | 54 | $65,948 |
| JardianceEmpagliflozin | 45 | $45,207 |
| FarxigaDapagliflozin Propanediol | 67 | $43,562 |
| LinzessLinaclotide | 38 | $30,440 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 46 | $29,825 |
| VraylarCariprazine Hcl | 20 | $28,714 |
| TrulicityDulaglutide | 21 | $26,402 |
| XareltoRivaroxaban | 15 | $25,420 |
| Innopran XlPropranolol Hcl | 11 | $24,031 |
| CreonLipase/Protease/Amylase | 16 | $19,039 |
| VascepaIcosapent Ethyl | 47 | $19,021 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 26 | $12,061 |
| Tresiba Flextouch U-100Insulin Degludec | 20 | $11,131 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $327 | $107,30194 claims |
| AbbVieLinzess, Vraylar, Creon, Synthroid | $456 | $79,860116 claims |
| PfizerEliquis | $205 | $74,904122 claims |
| Novo NordiskOzempic | $345 | $65,94854 claims |
| Boehringer IngelheimJardiance, Tradjenta | $94 | $52,69860 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $148 | $52,03798 claims |
| AstraZenecaFarxiga, Symbicort | $361 | $50,07489 claims |
| Johnson & JohnsonXarelto | $21 | $25,42015 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 85th percentile of 2,097 internal medicine providers in Missouri.
Other internal medicine in Joplin
- Timothy SmithSaint Peters$21.4M
- Craig DietzKansas City$4M
- Michael ReschakSaint Louis$3.1M
- Dima DandachiColumbia$1.2M
- Santosh SharmaKansas City$782K
- Jianbo WangChesterfield$643K
- David PrelutskySaint Louis$575K
- Danish JabbarSaint Louis$510K
- Dubert GuerreroIndependence$369K
- Hany SalamaSaint Louis$279K
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.