Mary Rockers Tyni, NP
Adult Medicine · Durham, NCNPI 1295409035
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 30 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 Novo Nordisk at 32.8% of the total.
Across 30 payments — averaging $18.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$179
- IBSA Pharma Inc.$77
- AbbVie$69
- Exact Sciences$41
- Takeda Pharmaceuticals U.S.A., Inc.$41
- Boehringer Ingelheim$30
- plus $109 from 5 others
What the payments were for
- Food & beverage$545100%
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 |
|---|---|---|
| Novo Nordisk | 10 | $179 |
| IBSA Pharma Inc. | 4 | $77 |
| AbbVie | 4 | $69 |
| Exact Sciences | 2 | $41 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $41 |
| Boehringer Ingelheim | 1 | $30 |
| AstraZeneca | 2 | $29 |
| Sanofi Pasteur Inc. | 1 | $25 |
| Amgen | 2 | $25 |
| Acella Pharmaceuticals, LLC | 1 | $16 |
| Cranial Technologies, Inc | 1 | $15 |
How this compares
$545 in reported general payments places this provider in the 75th percentile of 25 adult medicine providers in North Carolina.
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 |
|---|---|---|
| EliquisApixaban | 32 | $41,341 |
| JardianceEmpagliflozin | 32 | $31,795 |
| TrulicityDulaglutide | 29 | $30,593 |
| OzempicSemaglutide | 16 | $27,238 |
| RybelsusSemaglutide | 12 | $21,365 |
| MounjaroTirzepatide | 16 | $18,944 |
| SymbicortBudesonide/Formoterol Fumarate | 12 | $3,944 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 59 | $2,097 |
| Pregabalin | 28 | $1,352 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 17 | $1,264 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 30 | $1,133 |
| Atorvastatin Calcium | 136 | $1,113 |
| Omeprazole | 56 | $1,065 |
| EndocetOxycodone Hcl/Acetaminophen | 15 | $817 |
| Fluticasone Propionate | 37 | $737 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $179 | $48,60428 claims |
| Boehringer IngelheimJardiance | $30 | $31,79532 claims |
| AstraZenecaSymbicort | $29 | $3,94412 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 75th percentile of 25 adult medicine providers in North Carolina.
Other adult medicine in Durham
- Tawfiq AnsariDurham$55
- Mark BlizzardGoldsboro$6K
- Larry KilbyWinston Salem$4K
- Kathryn LongCharlotte$1K
- John CaplingerSylva$1K
- Christele MartinReidsville$992
- Mary-Emma BeresElkin$676
- Debra OrrRaleigh$542
- Eduvigis CarreraPinehurst$415
- Martha WelchGreenville$359
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.