Nancy Stepanek
Adult Health · Kansas City, MONPI 1861624843
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.2% of the total across 170 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 33 manufacturers, the largest accounting for just 10.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $2,421 and has fallen 54.7% since, to $1,096 in 2025. Among adult health clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 170 payments — averaging $44.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teva Pharmaceuticals USA, Inc.$805
- Abbott$791
- Otsuka America Pharmaceutical, Inc.$660
- AbbVie$623
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$566
- AstraZeneca$565
- plus $4K from 27 others
What the payments were for
- Food & beverage$7,52399%
- Education$571%
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | 16 | $805 |
| Abbott | 10 | $791 |
| Otsuka America Pharmaceutical, Inc. | 17 | $660 |
| AbbVie | 21 | $623 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 16 | $566 |
| AstraZeneca | 5 | $565 |
| Lundbeck LLC | 16 | $385 |
| Takeda Pharmaceuticals U.S.A., Inc. | 14 | $297 |
| Edwards Lifesciences | 2 | $261 |
| Medtronic | 2 | $242 |
| Neurocrine Biosciences, Inc. | 6 | $224 |
| GSK | 2 | $209 |
| Novo Nordisk | 2 | $208 |
| Alkermes, Inc. | 6 | $200 |
| Johnson & Johnson | 4 | $177 |
| Averitas Pharma Inc. | 2 | $177 |
| Amgen | 2 | $143 |
| E.r. Squibb & Sons, L.L.C. | 1 | $135 |
| Novartis | 2 | $133 |
| Tempus AI, Inc | 1 | $124 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $124 |
| Coloplast | 2 | $111 |
| Idorsia Pharmaceuticals US Inc | 1 | $97 |
| Bausch Health US, LLC | 4 | $73 |
| Indivior Inc. | 3 | $49 |
| Corium, LLC | 2 | $47 |
| Boehringer Ingelheim | 3 | $47 |
| Dexcom, Inc. | 2 | $34 |
| Vanda Pharmaceuticals Inc. | 1 | $21 |
| Avanir Pharmaceuticals, Inc. | 1 | $15 |
| Merck | 1 | $14 |
| Eisai Inc. | 1 | $13 |
| Ironshore Pharmaceuticals Inc. | 1 | $13 |
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.
- FREESTYLE LIBRE 3$620
- LYBALVI$498
- REXULTI$438
- Austedo XR$351
- FASENRA$250
- Edwards SAPIEN 3 Transcatheter Heart Valve$153
- CAMZYOS$135
- NA$133
- TEZSPIRE$129
- INGREZZA$127
- Qutenza$125
- UZEDY$125
- LINZESS$125
- NURTEC ODT$124
- Mavyret$121
- AIRSUPRA$120
- INVEGA SUSTENNA$119
- CAPLYTA$117
- LEQVIO$117
- Ozempic$112
How this compares
$7,580 in reported general payments places this provider in the 90th percentile of 555 adult health 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 |
|---|---|---|
| IngrezzaValbenazine Tosylate | 12 | $108,073 |
| CaplytaLumateperone Tosylate | 18 | $35,549 |
| VraylarCariprazine Hcl | 20 | $31,091 |
| MounjaroTirzepatide | 15 | $22,082 |
| MyrbetriqMirabegron | 16 | $15,784 |
| Lurasidone Hcl | 85 | $11,300 |
| BelsomraSuvorexant | 14 | $6,841 |
| Vilazodone Hcl | 38 | $5,986 |
| Duloxetine Hcl | 189 | $4,986 |
| Memantine Hcl | 27 | $3,169 |
| Mirtazapine | 128 | $2,980 |
| Bupropion XlBupropion Hcl | 125 | $2,442 |
| Hydroxyzine Hcl | 86 | $2,413 |
| Buspirone Hcl | 134 | $2,162 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 30 | $2,059 |
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 |
|---|---|---|
| Neurocrine Biosciences, Inc.Ingrezza | $224 | $108,07312 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $566 | $35,54918 claims |
| AbbVieVraylar | $623 | $31,09120 claims |
| MerckBelsomra | $14 | $6,84114 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 90th percentile of 555 adult health providers in Missouri.
Other adult health in Kansas City
- Yolanda Thompson MartinKansas City$32K
- Margaret CostelloKansas City$11K
- Christine LightfootKansas City$6K
- Tabitha StithChesterfield$300K
- Stephanie VogelSaint Louis$115K
- Racquel FrisellaChesterfield$110K
- Shannon TuckerSaint Louis$93K
- Laurencia KlipfelSaint Louis$79K
- Maria WallsSaint Louis$69K
- Patrick BehnkeChesterfield$54K
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.