David Duchene, MD
Urology · Kansas City, KSNPI 1548261860
Payments from drug & device makers
What this record shows
This record is dominated by education: $24,750 of the $33,065 with a category attached, or 74.9%. Intuitive Surgical accounts for 94.4% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2019 at $10,334 and has fallen 96.0% since, to $409 in 2025. Among urology clinicians in KS 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 77 payments — averaging $429.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$31K
- Boston Scientific$461
- Medtronic$279
- Cook Incorporated$250
- Johnson & Johnson$242
- KARL Storz Endoscopy-america$193
- plus $432 from 11 others
What the payments were for
- Speaking & faculty fees$7502%
- Travel & lodging$4,36013%
- Food & beverage$3,20510%
- Education$24,75075%
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 |
|---|---|---|
| Intuitive Surgical | 50 | $31,209 |
| Boston Scientific | 6 | $461 |
| Medtronic | 2 | $279 |
| Cook Incorporated | 1 | $250 |
| Johnson & Johnson(2 entities) | 4 | $242 |
| KARL Storz Endoscopy-america | 3 | $193 |
| Histosonics, Inc. | 1 | $127 |
| Merck | 1 | $87 |
| Bayer | 1 | $83 |
| AbbVie | 1 | $22 |
| Rochester Medical Corporation | 1 | $21 |
| Tolmar Pharmaceuticals, Inc. | 1 | $20 |
| Baxter Healthcare | 1 | $16 |
| Astellas Pharma US Inc | 1 | $16 |
| Tolmar, Inc. | 1 | $15 |
| Cook Medical LLC | 1 | $14 |
| Travere Therapeutics, Inc. | 1 | $10 |
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.
- Da Vinci Surgical System$26,162
- DA VINCI SP$4,500
- INTERSTIM$279
- ECHELON ENDOPATH$139
- GENERAL ERECTILE DYSFUNCTION$134
- AMS$123
- AMS 700$119
How this compares
$33,065 in reported general payments places this provider in the 95th percentile of 111 urology providers in Kansas.
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 |
|---|---|---|
| Tamsulosin Hcl | 180 | $2,880 |
| Potassium Citrate ErPotassium Citrate | 22 | $2,568 |
| Finasteride | 112 | $1,395 |
| Oxybutynin Chloride ErOxybutynin Chloride | 58 | $857 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 15 | $311 |
| Hydrochlorothiazide | 16 | $192 |
| Testosterone Cypionate | 12 | $126 |
| Cephalexin | 12 | $116 |
| Levofloxacin | 14 | $76 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $66 |
| Ciprofloxacin Hcl | 16 | $58 |
| Sodium ChlorideSodium Chloride Irrig Solution | 11 | $42 |
Paid to pharmacies, not to this prescriber.
Other urology in Kansas City
- Wilson MolinaKansas City$239K
- Bristol WhilesKansas City$163K
- Jeffrey HolzbeierleinKansas City$78K
- Ahmad El-ArabiKansas City$55K
- Joshua BroghammerKansas City$24K
- William ParkerKansas City$20K
- John TaylorKansas City$9K
- Casey KowalikKansas City$8K
- Richard FantusKansas City$7K
- Andrew ArtherKansas City$4K
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.