Debra Piehl, MD
Obstetrics & Gynecology · Cedar Rapids, IANPI 1376753715
Payments from drug & device makers
Across 41 payments — averaging $33.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$754
- Astellas Pharma US Inc$278
- Hologic Sales And Service, LLC$65
- Bayer$53
- Pfizer$46
- Coopersurgical, Inc.$35
- plus $130 from 7 others
What the payments were for
- Speaking & faculty fees$62546%
- Food & beverage$61345%
- Education$1239%
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 | 9 | $754 |
| Astellas Pharma US Inc | 11 | $278 |
| Hologic Sales And Service, LLC | 4 | $65 |
| Bayer | 4 | $53 |
| Pfizer | 2 | $46 |
| Coopersurgical, Inc. | 2 | $35 |
| Therapeuticsmd, Inc. | 2 | $26 |
| Organon | 2 | $25 |
| Biogen | 1 | $17 |
| Exeltis, USA Inc. | 1 | $17 |
| Sumitomo Pharma America, Inc. | 1 | $17 |
| Vertex | 1 | $15 |
| Covidien LP | 1 | $14 |
How this compares
$1,361 in reported general payments places this provider in the 75th percentile of 274 obstetrics & gynecology providers in Iowa.
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 |
|---|---|---|
| Estradiol | 35 | $2,174 |
| Metronidazole | 12 | $343 |
| Nystatin | 21 | $196 |
| NyamycNystatin | 12 | $142 |
| Betamethasone Valerate | 11 | $85 |
| Triamcinolone Acetonide | 30 | $78 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Cedar Rapids
- Jason RexrothCedar Rapids$66K
- Jerry RozeboomCedar Rapids$12K
- Alvina DriscollCedar Rapids$6K
- Owen McCarronCedar Rapids$5K
- Arlene ParsonsCedar Rapids$4K
- Amanda LangagerCedar Rapids$2K
- Brandon BourgeousCedar Rapids$2K
- Alvadore OsbornWest Des Moines$953K
- Jack SwansonAmes$691K
- Stephanie MorganAnkeny$186K
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.