Margaret Livingston
Obstetrics & Gynecology · West Des Moines, IANPI 1396874673
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $7,616 of the $8,968 with a category attached, or 84.9%. Organon accounts for 85.5% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2023 at $4,235 and has fallen 52.8% since, to $1,999 in 2025. Among obstetrics & gynecology clinicians in IA 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 81 payments — averaging $110.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organon$8K
- Astellas Pharma US Inc$254
- Bayer$178
- Mayne Pharma Commercial LLC$136
- Hologic Sales And Service, LLC$131
- AbbVie$114
- plus $487 from 9 others
What the payments were for
- Speaking & faculty fees$7,61685%
- Food & beverage$1,25314%
- Education$991%
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 | 13 | $7,668 |
| Astellas Pharma US Inc | 10 | $254 |
| Bayer | 10 | $178 |
| Mayne Pharma Commercial LLC | 12 | $136 |
| Hologic Sales And Service, LLC | 5 | $131 |
| AbbVie | 6 | $114 |
| Biogen | 5 | $105 |
| Pfizer | 5 | $102 |
| Exeltis, USA Inc. | 6 | $101 |
| Merck | 3 | $41 |
| Coopersurgical, Inc. | 2 | $38 |
| BD | 1 | $36 |
| Axonics, Inc. | 1 | $29 |
| Myovant Sciences Inc. | 1 | $21 |
| Exact Sciences | 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.
- NEXPLANON$6,551
How this compares
$8,968 in reported general payments places this provider in the 95th percentile of 274 obstetrics & gynecology providers in Iowa.
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 | $1,914 |
| Estradiol (Twice Weekly)Estradiol | 18 | $812 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in West Des Moines
- Alvadore OsbornWest Des Moines$34K
- Maxwell MageeWest Des Moines$16K
- Shawna FreemanWest Des Moines$4K
- Jennifer BoothWest Des Moines$3K
- Evan OlsonWest Des Moines$2K
- Therese TranWest Des Moines$2K
- Jorge SotolongoCouncil Bluffs$171K
- Laura NealDubuque$157K
- Amy BingamanDes Moines$44K
- Jason RexrothCedar Rapids$16K
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.