Donald Kratz, MD
Gynecology · Springfield, MONPI 1225135171
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 25 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 58.1% of the total. Reporting peaked in 2021 at $196 and has fallen 79.1% since, to $41 in 2025. That places this record below the midpoint for gynecology clinicians in MO, where the typical reported total is $923.
Across 25 payments — averaging $16.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$244
- Astellas Pharma US Inc$61
- Avion Pharmaceuticals$30
- Merck$19
- Bayer$19
- Shield Therapeutics Inc$18
- plus $29 from 2 others
What the payments were for
- Food & beverage$420100%
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(2 entities) | 15 | $244 |
| Astellas Pharma US Inc | 3 | $61 |
| Avion Pharmaceuticals | 2 | $30 |
| Merck | 1 | $19 |
| Bayer | 1 | $19 |
| Shield Therapeutics Inc | 1 | $18 |
| Coloplast | 1 | $15 |
| Daiichi Sankyo Inc. | 1 | $14 |
How this compares
$420 in reported general payments places this provider in the 35th percentile of 38 gynecology 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 |
|---|---|---|
| Estradiol | 15 | $867 |
| ProgesteroneProgesterone, Micronized | 11 | $257 |
Paid to pharmacies, not to this prescriber.
Other gynecology in Springfield
- David RedfernSpringfield$48K
- Corey WagnerSaint Louis$272K
- David LevineSaint Louis$201K
- Richard GimpelsonSaint Louis$28K
- Whitney RossSaint Louis$22K
- Jeffrey PeipertSaint Louis$22K
- Jack AdcockJoplin$18K
- David EisenbergSaint Louis$11K
- Robert HusterLiberty$6K
- Kristie LouSaint Louis$6K
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.