David Debyle, MD
Anesthesiology · Joplin, MONPI 1487838439
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 60 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 8 manufacturers reported payments, led by AbbVie at 51.7% of the total. Reporting peaked in 2019 at $805 and has fallen 62.7% since, to $300 in 2025. Among anesthesiology 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 60 payments — averaging $44.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$791
- Ardelyx, Inc.$151
- E.r. Squibb & Sons, L.L.C.$119
- Gilead$99
- Genentech USA, Inc.$95
- plus $37 from 2 others
What the payments were for
- Food & beverage$2,673100%
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 | 30 | $1,381 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 23 | $791 |
| Ardelyx, Inc. | 2 | $151 |
| E.r. Squibb & Sons, L.L.C. | 1 | $119 |
| Gilead | 1 | $99 |
| Genentech USA, Inc. | 1 | $95 |
| Merck | 1 | $24 |
| Braintree Laboratories, Inc. | 1 | $13 |
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.
How this compares
$2,673 in reported general payments places this provider in the 95th percentile of 891 anesthesiology 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.
Other anesthesiology in Joplin
- Brandon FordhamJoplin$1K
- Christopher BeuerSaint Louis$905K
- Bradford CardonellColumbia$440K
- Mitchell FingermanSaint Louis$229K
- Evan KharaschSaint Louis$57K
- Terri MonkSaint Louis$42K
- Quoc DangSaint Louis$29K
- Peter NageleSaint Louis$25K
- Brian MeekO Fallon$14K
- Gary HaynesSaint Louis$13K
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.