Michele Duckett
Gerontology · Independence, MONPI 1427698224
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 86 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 15 manufacturers, the largest accounting for just 21.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,087 and has fallen 98.7% since, to $14 in 2025.
Across 86 payments — averaging $21.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$393
- Irhythm Technologies, Inc.$304
- AstraZeneca$239
- Johnson & Johnson$223
- Amgen$200
- Boehringer Ingelheim$158
- plus $337 from 9 others
What the payments were for
- Food & beverage$1,855100%
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 |
|---|---|---|
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 15 | $393 |
| Irhythm Technologies, Inc. | 12 | $304 |
| AstraZeneca | 4 | $239 |
| Johnson & Johnson | 13 | $223 |
| Amgen | 14 | $200 |
| Boehringer Ingelheim | 6 | $158 |
| Amarin Pharma, Inc. | 6 | $95 |
| Actelion Pharmaceuticals US, Inc. | 5 | $83 |
| Sanofi-aventis U.S. LLC | 3 | $47 |
| Novartis | 2 | $31 |
| Esperion Therapeutics, Inc. | 2 | $26 |
| Teva Pharmaceuticals USA, Inc. | 1 | $17 |
| Philips North America LLC | 1 | $14 |
| Boston Scientific | 1 | $13 |
| Merck | 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
$1,855 in reported general payments places this provider in the 80th percentile of 175 gerontology 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 |
|---|---|---|
| Pantoprazole Sodium | 28 | $349 |
| Memantine Hcl | 16 | $279 |
| Levothyroxine Sodium | 31 | $208 |
| Cefdinir | 17 | $185 |
| Hydralazine Hcl | 12 | $151 |
| Carvedilol | 20 | $142 |
| Cyclobenzaprine Hcl | 15 | $133 |
| Lisinopril | 17 | $88 |
| Atorvastatin Calcium | 14 | $79 |
| Trazodone Hcl | 11 | $64 |
| Furosemide | 15 | $55 |
Paid to pharmacies, not to this prescriber.
Other gerontology in Independence
- Rutendo KamudzanduIndependence$5K
- Peter SamoeiIndependence$4K
- Tonia NeriniBevier$29K
- Melissa DusenberryKansas City$8K
- Kelly DaltonSpringfield$8K
- Laura TullisKansas City$7K
- Marissa SaengsamranSaint Louis$6K
- Matthew RobertsBridgeton$6K
- Amy GuanSaint Louis$5K
- Kayla WeissSaint Louis$5K
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.