Lyndsay Duffe, CNM
Advanced Practice Midwife · Saint Louis, MONPI 1073282026
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 29 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Organon at 48.4% of the total. Reporting peaked in 2022 at $486 and has fallen 94.3% since, to $28 in 2025.
Across 29 payments — averaging $30.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organon$427
- Pfizer$86
- AbbVie$85
- Exeltis, USA Inc.$54
- Sumitomo Pharma America, Inc.$51
- Mayne Pharma Commercial LLC$41
- plus $139 from 5 others
What the payments were for
- Food & beverage$883100%
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 |
|---|---|---|
| Organon | 7 | $427 |
| Pfizer | 4 | $86 |
| AbbVie | 4 | $85 |
| Exeltis, USA Inc. | 3 | $54 |
| Sumitomo Pharma America, Inc. | 2 | $51 |
| Mayne Pharma Commercial LLC | 2 | $41 |
| Agile Therapeutics, Inc. | 2 | $40 |
| Myovant Sciences Inc. | 2 | $37 |
| Shield Therapeutics Inc | 1 | $27 |
| Exact Sciences | 1 | $20 |
| Mylan Pharmaceuticals Inc. | 1 | $14 |
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.
- NEXPLANON$275
How this compares
$883 in reported general payments places this provider in the 85th percentile of 76 advanced practice midwife 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 |
|---|---|---|
| Estradiol | 28 | $1,499 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in Saint Louis
- Constance PfingstagSaint Louis$16K
- Tamara YoungSaint Louis$2K
- Shannon Waller DavisSaint Louis$1K
- Heather CrawfordSaint Louis$771
- Diana BuckwalterSaint Louis$582
- Caitlin BleySaint Louis$556
- Molly JobeSaint Louis$511
- Carolyn GallagherSaint Louis$318
- Hali LedetSaint Louis$259
- Lindsay DavidsonSaint Louis$217
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.