Douglas Ham, DO
Emergency Medicine · Springfield, MONPI 1013018555
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $312,440 of the $312,816 with a category attached, or 99.9%. Takeda Pharmaceuticals U.S.A., Inc. accounts for 90.7% of it on its own, with 4 other manufacturers making up the rest. Among emergency medicine clinicians in MO 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 158 payments — averaging $1979.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$284K
- Shire North American Group Inc$29K
- Pfizer$181
- E.r. Squibb & Sons, L.L.C.$178
- Masimo Corporation$17
What the payments were for
- Consulting fees$312,440100%
- Food & beverage$3760%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 126 | $283,880 |
| Shire North American Group Inc | 14 | $28,560 |
| Pfizer | 8 | $181 |
| E.r. Squibb & Sons, L.L.C. | 9 | $178 |
| Masimo Corporation | 1 | $17 |
How this compares
$312,816 in reported general payments places this provider in the 95th percentile of 1,073 emergency medicine 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 |
|---|---|---|
| Cephalexin | 16 | $98 |
| Doxycycline Hyclate | 15 | $90 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $80 |
| Naproxen | 11 | $53 |
| Prednisone | 14 | $24 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Springfield
- Martin JonesSpringfield$3K
- Jock PorterSpringfield$2K
- Kyle FinkSpringfield$1K
- Kevin ReinhardSpringfield$598
- Jimmy MorganJoplin$394K
- Bradley HoutsNorth Kansas City$252K
- Jennifer HanesKansas City$164K
- Chrysanthy TsifutisSaint Louis$75K
- Scott SchepkerJefferson City$48K
- Jonathan SchonertSaint Louis$39K
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.