Cynthia Griessel, PA
Physician Assistant · Springfield, MONPI 1659510725
Payments from drug & device makers
Across 11 payments — averaging $96.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neurocrine Biosciences, Inc.$307
- Inari Medical, Inc.$137
- Phathom Pharmaceuticals, Inc.$124
- Abbott$121
- Exact Sciences$107
- AstraZeneca$91
- plus $178 from 2 others
What the payments were for
- Food & beverage$1,064100%
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 |
|---|---|---|
| Neurocrine Biosciences, Inc. | 3 | $307 |
| Inari Medical, Inc. | 1 | $137 |
| Phathom Pharmaceuticals, Inc. | 1 | $124 |
| Abbott | 1 | $121 |
| Exact Sciences | 2 | $107 |
| AstraZeneca | 1 | $91 |
| Vertex | 1 | $90 |
| Madrigal Pharmaceuticals | 1 | $88 |
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.
- INGREZZA$231
- FLOWTRIEVER CATHETER, S$137
- CT THROMBECTOMY SYSTEM KIT$137
- VOQUEZNA$124
- FreeStyle Libre$121
How this compares
$1,064 in reported general payments places this provider in the 75th percentile of 1,380 physician assistant 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 |
|---|---|---|
| EliquisApixaban | 30 | $34,653 |
| JardianceEmpagliflozin | 22 | $31,424 |
| OzempicSemaglutide | 17 | $19,346 |
| JanuviaSitagliptin Phosphate | 19 | $18,405 |
| MounjaroTirzepatide | 15 | $17,799 |
| XareltoRivaroxaban | 13 | $11,491 |
| AbrysvoRsv Vacc, Pref A And Pref B/Pf | 32 | $9,800 |
| Incruse ElliptaUmeclidinium Bromide | 20 | $8,230 |
| Breo ElliptaFluticasone/Vilanterol | 11 | $4,762 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 46 | $3,708 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 25 | $3,287 |
| SynthroidLevothyroxine Sodium | 35 | $3,245 |
| PremarinEstrogens, Conjugated | 12 | $2,507 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 90 | $2,307 |
| Gabapentin | 104 | $2,150 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Springfield
- Marc ReitznerSpringfield$24K
- Morgan KuhnSpringfield$16K
- Michael PlastowSpringfield$11K
- James RivesSpringfield$8K
- Jodie TuckerSpringfield$8K
- Lauren CoppSpringfield$8K
- Amanda GoddardSpringfield$7K
- Jennifer DavissonKansas City$343K
- Andrew BergLees Summit$245K
- Sileen DowisKansas City$117K
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.