Monifa Dukes, CNM
Advanced Practice Midwife · Elizabeth City, NCNPI 1144627704
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 95 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 18 manufacturers, the largest accounting for just 20.3% — the pattern of someone who eats at a lot of different presentations. Among advanced practice midwife clinicians in NC 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 95 payments — averaging $21.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Daiichi Sankyo Inc.$410
- Astellas Pharma US Inc$272
- AbbVie$231
- Organon$228
- Exeltis, USA Inc.$196
- Novo Nordisk$160
- plus $521 from 12 others
What the payments were for
- Food & beverage$2,017100%
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 |
|---|---|---|
| Daiichi Sankyo Inc. | 18 | $410 |
| Astellas Pharma US Inc | 8 | $272 |
| AbbVie | 14 | $231 |
| Organon | 12 | $228 |
| Exeltis, USA Inc. | 10 | $196 |
| Novo Nordisk | 3 | $160 |
| Mayne Pharma Commercial LLC | 4 | $84 |
| Sumitomo Pharma America, Inc. | 4 | $80 |
| Pfizer | 5 | $70 |
| Myovant Sciences Inc. | 3 | $50 |
| Millicent US Inc | 2 | $40 |
| Medtronic | 2 | $37 |
| Shield Therapeutics Inc | 1 | $34 |
| Bayer | 2 | $31 |
| Scynexis, Inc. | 2 | $31 |
| Avion Pharmaceuticals | 2 | $27 |
| Amgen | 2 | $25 |
| Aspira Women's Health Inc | 1 | $11 |
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
$2,017 in reported general payments places this provider in the 95th percentile of 341 advanced practice midwife providers in North Carolina.
See all advanced practice midwife 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 |
|---|---|---|
| Estradiol | 12 | $436 |
| Fluconazole | 12 | $48 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in Elizabeth City
- Ashley WilliamsElizabeth City$1K
- Renee SpainGreenville$22K
- Heather HoganGreensboro$14K
- Amber EnsleyAsheville$7K
- Sharon CarlisleAsheville$3K
- Nicole KillmanWhiteville$3K
- Vernetta SwinneyFayetteville$2K
- Farrah ForneySmithfield$2K
- Daniela PaulGreensboro$2K
- Tina HayesCharlotte$1K
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.