Douglas Pugmire, DO
Gynecologic Oncology · Rochester Hills, MINPI 1427003334
Payments from drug & device makers
What this record shows
This record is dominated by education: $8,010 of the $9,445 with a category attached, or 84.8%. Intuitive Surgical accounts for 96.6% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2020 at $8,803 and has fallen 99.2% since, to $67 in 2025. Among gynecologic oncology clinicians in MI 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 18 payments — averaging $524.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$9K
- Seagen Inc.$121
- Intra-sana Laboratories$67
- Coloplast$50
- Medtronic$24
- Coopersurgical, Inc.$19
- plus $40 from 3 others
What the payments were for
- Travel & lodging$3334%
- Food & beverage$1,10212%
- Education$8,01085%
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 |
|---|---|---|
| Intuitive Surgical | 9 | $9,125 |
| Seagen Inc. | 1 | $121 |
| Intra-sana Laboratories | 1 | $67 |
| Coloplast | 2 | $50 |
| Medtronic | 1 | $24 |
| Coopersurgical, Inc. | 1 | $19 |
| Dysis Medical, Inc. | 1 | $16 |
| Conmed Corporation | 1 | $14 |
| Clovis Oncology, Inc. | 1 | $10 |
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.
- Da Vinci Surgical System$9,084
- TIVDAK$121
How this compares
$9,445 in reported general payments places this provider in the 90th percentile of 43 gynecologic oncology providers in Michigan.
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 |
|---|---|---|
| MyrbetriqMirabegron | 14 | $9,713 |
| Mirabegron ErMirabegron | 13 | $5,903 |
| Letrozole | 21 | $798 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 39 | $699 |
| Prochlorperazine Maleate | 21 | $624 |
| Dexamethasone | 23 | $576 |
| Clobetasol Propionate | 21 | $522 |
| Morphine Sulfate ErMorphine Sulfate | 12 | $511 |
| Oxycodone Hcl | 103 | $494 |
| ValacyclovirValacyclovir Hcl | 11 | $483 |
| Gabapentin | 45 | $465 |
| Estradiol | 26 | $449 |
| Ondansetron OdtOndansetron | 27 | $410 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $368 |
| Ibuprofen | 74 | $321 |
Paid to pharmacies, not to this prescriber.
Other gynecologic oncology in Rochester Hills
- Robert MorrisDetroit$807K
- Ira WinerDetroit$25K
- Morgan TaylorDetroit$23K
- Radhika GogoiDetroit$12K
- Zaid Al-WahabGrosse Pointe$9K
- Gregory SuttonSaginaw$8K
- Ahmad AwadaDetroit$5K
- Kevin BraderWyoming$5K
- Mae ZakhourGrand Rapids$5K
- Jill GadzinskiRoyal Oak$5K
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.