Jon Fackler, MD
Gynecology · Cincinnati, OHNPI 1497784722
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.4% of the total across 74 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by Gynesonics, Inc. at 32.9% of the total. Reporting peaked in 2022 at $702 and has fallen 72.0% since, to $197 in 2025.
Across 74 payments — averaging $22.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gynesonics, Inc.$542
- Astellas Pharma US Inc$328
- AbbVie$217
- Optumhealth Care Solutions, LLC$97
- Sage Therapeutics, LLC$48
- Shield Therapeutics Inc$45
- plus $373 from 17 others
What the payments were for
- Food & beverage$1,60797%
- Education$443%
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 |
|---|---|---|
| Gynesonics, Inc. | 8 | $542 |
| Astellas Pharma US Inc | 17 | $328 |
| AbbVie(2 entities) | 18 | $217 |
| Optumhealth Care Solutions, LLC | 5 | $97 |
| Sage Therapeutics, LLC | 2 | $48 |
| Shield Therapeutics Inc | 3 | $45 |
| AMAG Pharmaceuticals, Inc. | 3 | $44 |
| Sumitomo Pharma America, Inc. | 2 | $36 |
| Axonics, Inc. | 2 | $27 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $27 |
| Mayne Pharma Commercial LLC | 1 | $25 |
| Lupin Inc. | 1 | $24 |
| Myovant Sciences Inc. | 1 | $24 |
| Hologic Sales And Service, LLC | 1 | $21 |
| Coopersurgical, Inc. | 1 | $20 |
| Therapeuticsmd, Inc. | 1 | $20 |
| Radius Health, Inc. | 1 | $19 |
| Merck | 1 | $17 |
| Exact Sciences | 1 | $17 |
| Pfizer | 1 | $15 |
| Avion Pharmaceuticals | 1 | $13 |
| Meditrina | 1 | $13 |
| Minerva Surgical, 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.
How this compares
$1,650 in reported general payments places this provider in the 65th percentile of 77 gynecology providers in Ohio.
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 | 100 | $3,334 |
| ProgesteroneProgesterone, Micronized | 41 | $1,425 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 49 | $981 |
| Raloxifene Hcl | 16 | $893 |
| Calcitonin-SalmonCalcitonin,salmon,synthetic | 11 | $871 |
| ValacyclovirValacyclovir Hcl | 12 | $559 |
| Terconazole | 29 | $509 |
| Ibandronate Sodium | 12 | $359 |
| Zolpidem Tartrate ErZolpidem Tartrate | 13 | $277 |
| Zolpidem Tartrate | 20 | $241 |
| Fluconazole | 27 | $154 |
Paid to pharmacies, not to this prescriber.
Other gynecology in Cincinnati
- Derek VanamerongenCincinnati$316K
- Joseph FranzeseCincinnati$18K
- Marianna VardakaCincinnati$8K
- John SullivanCincinnati$4K
- Sarah BartlettCincinnati$2K
- Linda EvansCincinnati$1K
- Jennifer ThieCincinnati$1K
- Scott FiresteinCincinnati$1K
- Molly KatzCincinnati$569
- Kenneth PalmerCincinnati$439
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.