Donna McDonald, CNM
Advanced Practice Midwife · Kingsport, TNNPI 1053483644
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.5% of the total across 61 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Merck at 30.2% of the total. 2025 is the largest year on record at $806, more than ten times the $55 reported in 2022. Among advanced practice midwife clinicians in TN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 61 payments — averaging $23.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$434
- Eisai Inc.$260
- AbbVie$133
- Astellas Pharma US Inc$102
- GSK$65
- Seagen Inc.$65
- plus $379 from 12 others
What the payments were for
- Food & beverage$1,37395%
- Education$655%
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 |
|---|---|---|
| Merck | 15 | $434 |
| Eisai Inc. | 11 | $260 |
| AbbVie | 6 | $133 |
| Astellas Pharma US Inc | 5 | $102 |
| GSK | 4 | $65 |
| Seagen Inc. | 1 | $65 |
| AstraZeneca | 3 | $64 |
| Tactile Systems Technology Inc | 1 | $57 |
| Caris MPI, Inc. | 2 | $43 |
| Organon | 2 | $37 |
| Myriad Genetic Laboratories, Inc. | 2 | $35 |
| Shield Therapeutics Inc | 2 | $33 |
| Novo Nordisk | 2 | $33 |
| Exeltis, USA Inc. | 1 | $17 |
| Hologic Sales And Service, LLC | 1 | $17 |
| Avion Pharmaceuticals | 1 | $16 |
| Genmab U.S., Inc. | 1 | $16 |
| Mayne Pharma Commercial LLC | 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.
- KEYTRUDA$125
How this compares
$1,438 in reported general payments places this provider in the 90th percentile of 207 advanced practice midwife providers in Tennessee.
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 | $3,065 |
| Metronidazole | 23 | $676 |
| ValacyclovirValacyclovir Hcl | 11 | $343 |
| Fluconazole | 22 | $93 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in Kingsport
- Shannon RameyKingsport$1K
- Patricia WilsonKingsport$604
- Sarah SmithChattanooga$32K
- Jennifer MercerChattanooga$20K
- Deborah DittoCordova$7K
- Nikia GraysonBartlett$5K
- Sabyl FarmerNashville$4K
- Kathleen GarrettChattanooga$3K
- Amy Miller-AndersonChattanooga$2K
- Alicia FoxChattanooga$2K
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.