Nicole Dupree
Acute Care · Waterloo, IANPI 1952974925
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.2% of the total across 164 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. E.r. Squibb & Sons, L.L.C. accounts for 85.1% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2023 at $918 and has fallen 64.2% since, to $328 in 2025. Among acute care clinicians in IA 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 164 payments — averaging $17.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$2K
- Pfizer$166
- Astellas Pharma US Inc$102
- Boehringer Ingelheim$88
- Novartis$55
- Merck$13
What the payments were for
- Food & beverage$2,77697%
- Education$803%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 144 | $2,431 |
| Pfizer | 8 | $166 |
| Astellas Pharma US Inc | 2 | $102 |
| Boehringer Ingelheim | 6 | $88 |
| Novartis | 3 | $55 |
| Merck | 1 | $13 |
How this compares
$2,856 in reported general payments places this provider in the 90th percentile of 104 acute care 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 |
|---|---|---|
| EliquisApixaban | 121 | $35,244 |
| XareltoRivaroxaban | 47 | $16,369 |
| JardianceEmpagliflozin | 17 | $6,159 |
| MyrbetriqMirabegron | 11 | $4,621 |
| Memantine Hcl | 40 | $1,591 |
| Pantoprazole Sodium | 116 | $1,559 |
| Atorvastatin Calcium | 105 | $1,444 |
| Potassium Chloride | 113 | $1,422 |
| Duloxetine Hcl | 78 | $1,418 |
| PrevaliteCholestyramine | 18 | $1,391 |
| Rosuvastatin Calcium | 22 | $1,371 |
| Levothyroxine Sodium | 118 | $1,269 |
| Metoprolol Succinate | 81 | $1,106 |
| Tamsulosin Hcl | 53 | $900 |
| Levetiracetam | 19 | $842 |
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 |
|---|---|---|
| PfizerEliquis | $166 | $35,244121 claims |
| Boehringer IngelheimJardiance | $88 | $6,15917 claims |
| Astellas Pharma US IncMyrbetriq | $102 | $4,62111 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 104 acute care providers in Iowa.
Other acute care in Waterloo
- Tabetha GehrkeWaterloo$3K
- Angela SchmitzWaterloo$2K
- Kathy Bell-MahlerWaterloo$399
- Sue BruchWaterloo$295
- Whitney HankenCedar Rapids$73K
- Jessica WitterDavenport$5K
- Michele RenzeDes Moines$5K
- Samantha BoninDes Moines$4K
- Teri DevineDavenport$4K
- Nicole BanasikCedar Rapids$4K
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.