Dawn Tingwald
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 48 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 12.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $360 and has fallen 51.2% since, to $176 in 2025.
Across 48 payments — averaging $21.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$129
- AbbVie$99
- Pfizer$96
- Amgen$95
- Johnson & Johnson$77
- Novo Nordisk$66
- plus $452 from 15 others
What the payments were for
- Food & beverage$1,014100%
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.
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.
- ARISTADA$462
- ARISTADA INITIO$115
How this compares
$1,014 in reported general payments places this provider in the 80th percentile of 1,268 family providers in Iowa.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 82 | $85,657 |
| OzempicSemaglutide | 54 | $61,984 |
| EliquisApixaban | 78 | $55,924 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 60 | $43,015 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 20 | $24,772 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 34 | $19,861 |
| XareltoRivaroxaban | 31 | $18,794 |
| Tresiba Flextouch U-200Insulin Degludec | 19 | $13,002 |
| Spiriva RespimatTiotropium Bromide | 16 | $9,289 |
| Breo ElliptaFluticasone/Vilanterol | 19 | $7,671 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 58 | $7,499 |
| DuleraMometasone/Formoterol | 18 | $6,165 |
| SynjardyEmpagliflozin/Metformin Hcl | 12 | $5,725 |
| Tresiba Flextouch U-100Insulin Degludec | 12 | $5,539 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 12 | $5,468 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Stiolto Respimat, Spiriva Respimat, Synjardy | $17 | $120,531144 claims |
| Novo NordiskOzempic | $66 | $61,98454 claims |
| PfizerEliquis | $96 | $55,92478 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus | $43 | $25,52832 claims |
| Johnson & JohnsonXarelto | $77 | $18,79431 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 80th percentile of 1,268 family providers in Iowa.
Other family in Ogden
- Stefanie GaticaAnkeny$354K
- Aubrey MolgaardAmes$238K
- Joan KittenFort Dodge$85K
- Megan FergusonPella$82K
- Rodney ClarkDes Moines$63K
- Jennifer CondonFort Dodge$31K
- Karen HunkeAmes$20K
- Tonia AckermanWest Des Moines$17K
- Chi-Ying SageWaterloo$14K
- Amanda GaldiNorth Liberty$14K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.