Gretchen Fowell
Family · Great Falls, MTNPI 1649209867
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 92 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. AbbVie accounts for 67.2% of it on its own, with 12 other manufacturers making up the rest. 2025 is the largest year on record at $534, 6.9 times the $77 reported in 2021.
Across 92 payments — averaging $19.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Organon$170
- Astellas Pharma US Inc$118
- Sage Therapeutics, LLC$104
- Daiichi Sankyo Inc.$50
- Pfizer$20
- plus $110 from 7 others
Across 10 payments — averaging $181.87 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sanofi Pasteur Inc.$2K
What the payments were for
- Food & beverage$1,748100%
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 | 60 | $1,175 |
| Organon | 11 | $170 |
| Astellas Pharma US Inc | 5 | $118 |
| Sage Therapeutics, LLC | 5 | $104 |
| Daiichi Sankyo Inc. | 3 | $50 |
| Pfizer | 1 | $20 |
| E.r. Squibb & Sons, L.L.C. | 1 | $19 |
| Coopersurgical, Inc. | 1 | $18 |
| Supernus Pharmaceuticals, Inc. | 1 | $17 |
| Octapharma USA, Inc. | 1 | $16 |
| Merck | 1 | $15 |
| Lilly USA, LLC | 1 | $14 |
| Myovant Sciences Inc. | 1 | $12 |
How this compares
$1,748 in reported general payments places this provider in the 85th percentile of 481 family providers in Montana.
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 |
|---|---|---|
| MounjaroTirzepatide | 14 | $15,229 |
| OzempicSemaglutide | 13 | $12,284 |
| Aripiprazole | 20 | $1,266 |
| Levothyroxine Sodium | 99 | $766 |
| Potassium Chloride | 22 | $337 |
| Meloxicam | 43 | $297 |
| Losartan Potassium | 42 | $275 |
| Bupropion XlBupropion Hcl | 24 | $274 |
| Sertraline Hcl | 26 | $266 |
| Atorvastatin Calcium | 49 | $252 |
| Lisinopril | 70 | $244 |
| Omeprazole | 38 | $240 |
| Simvastatin | 46 | $195 |
| Metformin Hcl | 25 | $149 |
| Lorazepam | 30 | $143 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro | $14 | $15,22914 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 85th percentile of 481 family providers in Montana.
Other family in Great Falls
- Amanda MurrayGreat Falls$101K
- Sadra ThomasGreat Falls$7K
- Betsy AkinGreat Falls$6K
- Sydne SkaerGreat Falls$5K
- Sarah PackGreat Falls$4K
- Jennalie GuthmillerGreat Falls$4K
- Casey BarkerGreat Falls$3K
- Courtney FordeGreat Falls$3K
- Kelly TimmerGreat Falls$2K
- April ReynoldsGreat Falls$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.