Jeffrey Fears, MD
Internal Medicine · Lebanon, MONPI 1598738536
Payments from drug & device makers
Across 325 payments — averaging $16.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$598
- Pfizer$560
- AstraZeneca$551
- Novo Nordisk$523
- Lilly USA, LLC$519
- Abbott$322
- plus $2K from 33 others
What the payments were for
- Food & beverage$5,29799%
- Education$591%
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 | 39 | $598 |
| Pfizer | 43 | $560 |
| AstraZeneca | 27 | $551 |
| Novo Nordisk | 37 | $523 |
| Lilly USA, LLC | 30 | $519 |
| Abbott | 17 | $322 |
| AbbVie | 21 | $312 |
| GSK | 13 | $256 |
| Novartis | 10 | $140 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 7 | $136 |
| Johnson & Johnson(2 entities) | 7 | $115 |
| Teva Pharmaceuticals USA, Inc. | 6 | $103 |
| Otsuka America Pharmaceutical, Inc. | 6 | $102 |
| Bayer | 6 | $99 |
| Merck | 6 | $91 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $91 |
| Shield Therapeutics Inc | 2 | $75 |
| Boehringer Ingelheim | 4 | $74 |
| Neurocrine Biosciences, Inc. | 3 | $73 |
| Dexcom, Inc. | 3 | $69 |
| Lundbeck LLC | 2 | $63 |
| Exact Sciences | 4 | $62 |
| Astellas Pharma US Inc | 3 | $55 |
| Phathom Pharmaceuticals, Inc. | 3 | $52 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $52 |
| Mylan Specialty L.p. | 2 | $41 |
| Sumitomo Pharma America, Inc. | 3 | $36 |
| Axsome Therapeutics, Inc. | 1 | $22 |
| Idorsia Pharmaceuticals US Inc | 1 | $22 |
| UCB, Inc. | 1 | $21 |
| Nestle Healthcare Nutrition Inc. | 1 | $17 |
| Xeris Pharmaceuticals, Inc. | 1 | $17 |
| Eisai Inc. | 1 | $14 |
| Ironshore Pharmaceuticals Inc. | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
| Genentech USA, Inc. | 1 | $13 |
| Regeneron Healthcare Solutions, Inc. | 1 | $13 |
| Sanofi-aventis U.S. LLC | 1 | $12 |
| Corium, LLC | 1 | $11 |
How this compares
$5,356 in reported general payments places this provider in the 90th percentile of 2,097 internal medicine 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 |
|---|---|---|
| MounjaroTirzepatide | 83 | $96,696 |
| OzempicSemaglutide | 84 | $90,851 |
| EliquisApixaban | 73 | $74,717 |
| FarxigaDapagliflozin Propanediol | 53 | $51,315 |
| Invega SustennaPaliperidone Palmitate | 11 | $40,219 |
| JardianceEmpagliflozin | 47 | $38,983 |
| TrulicityDulaglutide | 29 | $32,974 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 39 | $30,908 |
| JanuviaSitagliptin Phosphate | 49 | $29,764 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 43 | $28,818 |
| LinzessLinaclotide | 42 | $24,737 |
| Tresiba Flextouch U-200Insulin Degludec | 15 | $17,842 |
| Repatha SureclickEvolocumab | 24 | $14,145 |
| RybelsusSemaglutide | 11 | $14,110 |
| EntrestoSacubitril/Valsartan | 17 | $13,999 |
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, Trulicity | $519 | $129,670112 claims |
| Novo NordiskOzempic, Rybelsus | $523 | $104,96195 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $551 | $87,707118 claims |
| PfizerEliquis | $560 | $74,71773 claims |
| Boehringer IngelheimJardiance, Combivent Respimat, Spiriva Respimat | $74 | $55,97376 claims |
| Johnson & JohnsonInvega Sustenna, Xarelto | $115 | $52,11926 claims |
| GSKTrelegy Ellipta, Arexvy | $256 | $37,13960 claims |
| MerckJanuvia, Belsomra | $91 | $34,36660 claims |
| AbbVieLinzess | $312 | $24,73742 claims |
| NovartisEntresto | $140 | $13,99917 claims |
| Astellas Pharma US IncMyrbetriq | $55 | $9,84712 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 90th percentile of 2,097 internal medicine providers in Missouri.
Other internal medicine in Lebanon
- Timothy SmithSaint Peters$21.4M
- Craig DietzKansas City$4M
- Michael ReschakSaint Louis$3.1M
- Dima DandachiColumbia$1.2M
- Santosh SharmaKansas City$782K
- Jianbo WangChesterfield$643K
- David PrelutskySaint Louis$575K
- Danish JabbarSaint Louis$510K
- Dubert GuerreroIndependence$369K
- Hany SalamaSaint Louis$279K
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.