Jeffery Palen, DO
Obstetrics & Gynecology · Great Falls, MTNPI 1114906658
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $364 of the $604 with a category attached, or 60.2%. Intuitive Surgical accounts for 60.2% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2022 at $377 and has fallen 90.4% since, to $36 in 2025. That places this record below the midpoint for obstetrics & gynecology clinicians in MT, where the typical reported total is $424.
Across 19 payments — averaging $31.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$364
- Merck$36
- AbbVie$26
- Astellas Pharma US Inc$24
- Sage Therapeutics, LLC$20
- GSK$20
- plus $115 from 7 others
What the payments were for
- Travel & lodging$36460%
- Food & beverage$24040%
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 | 5 | $364 |
| Merck | 2 | $36 |
| AbbVie | 2 | $26 |
| Astellas Pharma US Inc | 1 | $24 |
| Sage Therapeutics, LLC | 1 | $20 |
| GSK | 1 | $20 |
| Evofem Biosciences, Inc. | 1 | $20 |
| Pfizer | 1 | $18 |
| Daiichi Sankyo Inc. | 1 | $17 |
| Bayer | 1 | $17 |
| Conmed Corporation | 1 | $16 |
| Organon | 1 | $14 |
| Coopersurgical, Inc. | 1 | $13 |
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.
How this compares
$604 in reported general payments places this provider in the 50th percentile of 95 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 17 | $781 |
| Triamcinolone Acetonide | 13 | $68 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Great Falls
- Alyson MiserGreat Falls$4K
- Christopher NiehuesGreat Falls$4K
- Julia MiddletonGreat Falls$3K
- Mark MilesGreat Falls$2K
- Daren BragetGreat Falls$2K
- Amanda HenzelGreat Falls$2K
- Stephanie BryantGreat Falls$2K
- Julie KuykendallGreat Falls$505
- Alexis O'LearyHelena$11K
- Silddy AtilanoBozeman$11K
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.