Gwenyth Nel, APRN
Family · Branson, MONPI 1659087310
Payments from drug & device makers
Across 196 payments — averaging $18.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$901
- Dexcom, Inc.$426
- Novo Nordisk$422
- Lilly USA, LLC$195
- Novartis$181
- Sanofi-aventis U.S. LLC$173
- plus $1K from 24 others
What the payments were for
- Food & beverage$3,577100%
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 |
|---|---|---|
| Amgen | 47 | $901 |
| Dexcom, Inc. | 26 | $426 |
| Novo Nordisk | 27 | $422 |
| Lilly USA, LLC | 12 | $195 |
| Novartis | 11 | $181 |
| Sanofi-aventis U.S. LLC | 10 | $173 |
| Globus Medical | 6 | $166 |
| Radius Health, Inc. | 7 | $142 |
| Bayer | 8 | $124 |
| Ascendis Pharma Endocrinology Inc | 6 | $112 |
| Xeris Pharmaceuticals, Inc. | 5 | $87 |
| Insulet Corporation | 2 | $79 |
| Corcept Therapeutics | 5 | $78 |
| Boehringer Ingelheim | 3 | $62 |
| Antares Pharma, Inc. | 3 | $57 |
| Sequel Med Tech, LLC | 2 | $44 |
| Eisai Inc. | 2 | $41 |
| Tandem Diabetes Care, Inc. | 2 | $31 |
| Madrigal Pharmaceuticals | 1 | $29 |
| AbbVie | 1 | $25 |
| Intuity Medical Inc | 1 | $24 |
| BETA Bionics, Inc. | 1 | $23 |
| Averitas Pharma Inc. | 1 | $23 |
| Alvogen Inc | 1 | $23 |
| Recordati_rare_diseases_inc. | 1 | $23 |
| Halozyme Inc | 1 | $20 |
| IBSA Pharma Inc. | 1 | $19 |
| Pfizer | 1 | $16 |
| Amryt Pharma Holdings Ltd | 1 | $16 |
| Medtronic | 1 | $15 |
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.
- TEPEZZA$123
How this compares
$3,577 in reported general payments places this provider in the 85th percentile of 3,812 family 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 |
|---|---|---|
| OzempicSemaglutide | 191 | $269,534 |
| TrulicityDulaglutide | 74 | $111,313 |
| JardianceEmpagliflozin | 66 | $93,787 |
| MounjaroTirzepatide | 64 | $78,479 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 39 | $38,220 |
| Teriparatide | 13 | $31,625 |
| Xultophy 100-3.6Insulin Degludec/Liraglutide | 17 | $31,124 |
| FarxigaDapagliflozin Propanediol | 31 | $30,624 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 16 | $23,062 |
| RybelsusSemaglutide | 15 | $20,833 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 152 | $19,360 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 13 | $15,080 |
| Novolog FlexpenInsulin Aspart | 49 | $11,890 |
| Tresiba Flextouch U-100Insulin Degludec | 24 | $11,376 |
| Humalog Kwikpen U-100Insulin Lispro | 40 | $10,481 |
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 |
|---|---|---|
| Novo NordiskOzempic, Xultophy 100-3.6, Rybelsus, Novolog | $422 | $323,348234 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $195 | $189,793138 claims |
| Boehringer IngelheimJardiance | $62 | $93,78766 claims |
| Alvogen IncTeriparatide | $23 | $31,62513 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 3,812 family providers in Missouri.
Other family in Branson
- Hollie HolderfieldBranson$13K
- Connie SpencerSaint Joseph$320K
- Shayla SandersKansas City$306K
- Tamera WolfLees Summit$215K
- Tiffany ArnoldFestus$177K
- Tiffany NelsonSedalia$164K
- Chelsey BeckerSaint Peters$104K
- Carey PattonDes Peres$94K
- Marcy MarkesColumbia$92K
- Laura HedigerSpringfield$71K
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.