Heather Rupe, DO
Obstetrics & Gynecology · Franklin, TNNPI 1548252984
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (51.9%), education and travel and lodging — rather than concentrated in one kind of arrangement. 29 manufacturers reported payments, led by Intuitive Surgical at 49.9% of the total. Reporting peaked in 2021 at $4,618 and has fallen 81.7% since, to $843 in 2025. Among obstetrics & gynecology clinicians in TN 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 229 payments — averaging $36.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- AbbVie$743
- Astellas Pharma US Inc$564
- Bayer$395
- Mayne Pharma Commercial LLC$373
- Coopersurgical, Inc.$238
- plus $2K from 23 others
What the payments were for
- Travel & lodging$5927%
- Food & beverage$4,29952%
- Education$3,30340%
- Gifts$831%
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 |
|---|---|---|
| Intuitive Surgical | 15 | $4,129 |
| AbbVie(2 entities) | 42 | $743 |
| Astellas Pharma US Inc | 22 | $564 |
| Bayer | 20 | $395 |
| Mayne Pharma Commercial LLC | 21 | $373 |
| Coopersurgical, Inc. | 13 | $238 |
| Amgen | 4 | $223 |
| Biogen | 7 | $189 |
| Exeltis, USA Inc. | 12 | $175 |
| Channel Medsystems, Inc. | 3 | $141 |
| Millicent US Inc | 8 | $138 |
| Agile Therapeutics, Inc. | 7 | $117 |
| Pfizer | 8 | $115 |
| Organon | 5 | $106 |
| Mylan Pharmaceuticals Inc. | 7 | $95 |
| Avion Pharmaceuticals | 5 | $69 |
| Hologic Sales And Service, LLC | 4 | $69 |
| Evofem Biosciences, Inc. | 5 | $67 |
| Exact Sciences | 3 | $58 |
| Minerva Surgical, Inc | 3 | $43 |
| Merck | 3 | $40 |
| Duchesnay USA Incorporated | 2 | $32 |
| Lupin Inc. | 2 | $28 |
| Sumitomo Pharma America, Inc. | 2 | $28 |
| Meditrina | 2 | $27 |
| Medtronic | 1 | $24 |
| Gynesonics, Inc. | 1 | $23 |
| Therapeuticsmd, Inc. | 1 | $14 |
| Olympus America Inc. | 1 | $12 |
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$3,761
- Prolia$175
How this compares
$8,276 in reported general payments places this provider in the 90th percentile of 763 obstetrics & gynecology providers in Tennessee.
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.
Other obstetrics & gynecology in Franklin
- Grover MayJohnson City$916K
- John GreenElizabethton$878K
- Brent LaingElizabethton$480K
- Larry FieldsKnoxville$323K
- Michael SwanNashville$146K
- Clarinda Burton-ShannonLebanon$114K
- Royce AdkinsNashville$95K
- Olga MuldoonNashville$91K
- Kimberly LooneyNashville$84K
- Bert GeerCookeville$83K
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.