Jennifer Roberts-Merriman, DO
Obstetrics & Gynecology · Hannibal, MONPI 1740669142
Payments from drug & device makers
What this record shows
This record is dominated by education: $7,000 of the $9,769 with a category attached, or 71.7%. Intuitive Surgical accounts for 86.9% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2019 at $7,183 and has fallen 97.5% since, to $176 in 2025. Among obstetrics & gynecology clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 79 payments — averaging $123.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$8K
- Astellas Pharma US Inc$209
- Mayne Pharma Commercial LLC$193
- Amgen$162
- Organon$138
- Caldera Medical, Inc$95
- plus $485 from 12 others
What the payments were for
- Travel & lodging$1,31613%
- Food & beverage$1,45315%
- Education$7,00072%
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 | 17 | $8,487 |
| Astellas Pharma US Inc | 9 | $209 |
| Mayne Pharma Commercial LLC | 11 | $193 |
| Amgen | 9 | $162 |
| Organon | 5 | $138 |
| Caldera Medical, Inc | 1 | $95 |
| AbbVie | 5 | $80 |
| Hologic Sales And Service, LLC | 4 | $75 |
| Exeltis, USA Inc. | 3 | $54 |
| Roche Diagnostics Corporation | 2 | $50 |
| Daiichi Sankyo Inc. | 3 | $47 |
| Sumitomo Pharma America, Inc. | 2 | $40 |
| Smith+Nephew | 2 | $38 |
| Myovant Sciences Inc. | 2 | $32 |
| Bayer | 1 | $21 |
| Minerva Surgical, Inc | 1 | $17 |
| Evofem Biosciences, Inc. | 1 | $17 |
| Sage Therapeutics, LLC | 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.
- Da Vinci Surgical System$7,203
- DAVINCI XI$1,000
How this compares
$9,769 in reported general payments places this provider in the 95th percentile of 750 obstetrics & gynecology 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 |
|---|---|---|
| MyrbetriqMirabegron | 11 | $11,436 |
| ValacyclovirValacyclovir Hcl | 17 | $137 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $209 | $11,43611 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 95th percentile of 750 obstetrics & gynecology providers in Missouri.
Other obstetrics & gynecology in Hannibal
- Thomas ShultzSpringfield$1.1M
- Becky LynnSaint Louis$231K
- Timothy HallIndependence$172K
- Craig McCoyMoberly$101K
- Richard GutknechtIndependence$65K
- Amanda CarrollFestus$55K
- Amy CarterKansas City$49K
- Megan SneedLees Summit$44K
- Kimberly LemoineSaint Louis$30K
- Carrie CardaPoplar Bluff$22K
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.