Gregory Harter, MD
Family Medicine · Waterloo, IANPI 1134157415
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.4% of the total across 895 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 39 manufacturers, the largest accounting for just 13.8% — the pattern of someone who eats at a lot of different presentations. Among family medicine clinicians in IA 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 895 payments — averaging $15.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- Pfizer$2K
- Boehringer Ingelheim$1K
- AbbVie$1K
- Lilly USA, LLC$1K
- Novartis$683
- plus $6K from 33 others
What the payments were for
- Speaking & faculty fees$5404%
- Food & beverage$13,46195%
- Education$1081%
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.
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.
- ADACEL$275
- TOUJEO$185
- FARXIGA$136
- BEVESPI AEROSPHERE$136
- BREZTRI AEROSPHERE$136
How this compares
$14,109 in reported general payments places this provider in the 95th percentile of 1,357 family medicine 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 |
|---|---|---|
| JardianceEmpagliflozin | 176 | $139,083 |
| EliquisApixaban | 163 | $104,660 |
| MounjaroTirzepatide | 69 | $68,723 |
| XareltoRivaroxaban | 64 | $64,624 |
| FarxigaDapagliflozin Propanediol | 84 | $63,842 |
| OzempicSemaglutide | 57 | $63,193 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 70 | $44,999 |
| ActemraTocilizumab | 13 | $35,451 |
| TrulicityDulaglutide | 29 | $35,270 |
| MyrbetriqMirabegron | 39 | $19,910 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 40 | $17,295 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 23 | $17,224 |
| JanuviaSitagliptin Phosphate | 11 | $16,116 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 24 | $15,030 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 24 | $11,274 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimJardiance, Stiolto Respimat, Synjardy Xr, Synjardy | $1,267 | $166,991230 claims |
| PfizerEliquis, Premarin | $1,697 | $108,257181 claims |
| Lilly USA, LLCMounjaro, Trulicity | $1,156 | $103,99498 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Arnuity Ellipta | $448 | $67,806134 claims |
| Johnson & JohnsonXarelto | $332 | $64,62464 claims |
| AstraZenecaFarxiga | $1,946 | $63,84284 claims |
| Novo NordiskOzempic | $465 | $63,19357 claims |
| MerckJanuvia, Belsomra | $362 | $25,08130 claims |
| Astellas Pharma US IncMyrbetriq | $305 | $19,91039 claims |
| AbbVieLumigan | $1,241 | $3,47913 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 1,357 family medicine providers in Iowa.
Other family medicine in Waterloo
- Nicholas GoetschWaterloo$525K
- Matthew SmithWaterloo$25K
- Kirk PetersonHuxley$576K
- Stephen HarrisonClinton$249K
- Thomas RossDes Moines$170K
- Yogesh ShahDes Moines$159K
- Leslie George PaulsenMuscatine$136K
- Dylan LoweDes Moines$105K
- Michael AbouassalyWest Burlington$88K
- Kevin DeregnierWinterset$68K
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.