Patrick Duncan, MD
Pulmonary Disease · Saint Louis, MONPI 1326577172
Payments from drug & device makers
Across 193 payments — averaging $48.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$5K
- AstraZeneca$902
- GSK$814
- Boehringer Ingelheim$267
- Insmed, Inc.$257
- Regeneron Healthcare Solutions, Inc.$209
- plus $2K from 24 others
What the payments were for
- Travel & lodging$1,20313%
- Food & beverage$4,23845%
- Education$4,00042%
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 |
|---|---|---|
| Intuitive Surgical | 11 | $5,371 |
| AstraZeneca | 43 | $902 |
| GSK | 48 | $814 |
| Boehringer Ingelheim | 9 | $267 |
| Insmed, Inc. | 11 | $257 |
| Regeneron Healthcare Solutions, Inc. | 6 | $209 |
| Philips North America LLC | 9 | $192 |
| Sanofi | 7 | $158 |
| Merck | 6 | $143 |
| Amgen | 8 | $140 |
| Pulmonx Corporation | 1 | $138 |
| Tactile Systems Technology Inc | 3 | $102 |
| Baxter Healthcare | 2 | $86 |
| Stryker | 2 | $83 |
| United Therapeutics Corporation | 3 | $78 |
| Actelion Pharmaceuticals US, Inc. | 2 | $67 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $48 |
| Mylan Specialty L.p. | 2 | $42 |
| Harmony Biosciences LLC | 1 | $40 |
| Axsome Therapeutics, Inc. | 2 | $40 |
| Viatris Specialty LLC | 2 | $38 |
| Electromed, Inc. | 4 | $33 |
| 3b Medical, Inc. | 1 | $32 |
| ANI Pharmaceuticals, Inc. | 1 | $32 |
| Fisher & Paykel Healthcare Inc | 2 | $32 |
| AbbVie | 1 | $25 |
| Grifols USA, LLC | 1 | $21 |
| Ambu Inc. | 1 | $19 |
| Cumberland Pharmaceuticals, Inc. | 1 | $18 |
| Azurity Pharmaceuticals, Inc. | 1 | $18 |
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
$9,441 in reported general payments places this provider in the 70th percentile of 295 pulmonary disease 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 271 | $236,954 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 133 | $124,470 |
| Aralast NpAlpha-1-Proteinase Inhibitor | 12 | $119,960 |
| Breo ElliptaFluticasone/Vilanterol | 85 | $48,446 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 60 | $36,069 |
| SymbicortBudesonide/Formoterol Fumarate | 99 | $35,496 |
| EliquisApixaban | 25 | $31,750 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 118 | $28,408 |
| Spiriva RespimatTiotropium Bromide | 20 | $19,490 |
| DuleraMometasone/Formoterol | 24 | $12,393 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 27 | $6,714 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 238 | $6,501 |
| Qvar RedihalerBeclomethasone Dipropionate | 22 | $5,831 |
| Advair HfaFluticasone Propion/Salmeterol | 11 | $5,544 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 22 | $3,049 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Arexvy | $814 | $328,182443 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $902 | $159,966232 claims |
| Boehringer IngelheimSpiriva Respimat | $267 | $19,49020 claims |
| MerckDulera | $143 | $12,39324 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 70th percentile of 295 pulmonary disease providers in Missouri.
Other pulmonary disease in Saint Louis
- Murali ChakinalaSaint Louis$2.4M
- Joseph OjileSaint Louis$2.1M
- Jeffrey HarrisSaint Louis$1.1M
- Kaharu SuminoSaint Louis$1.1M
- Tonya RussellSaint Louis$1M
- Alexander ChenSaint Louis$951K
- Daniel RosenbluthSaint Louis$903K
- Derek ByersSaint Louis$835K
- Jeffrey AtkinsonSaint Louis$604K
- James KringsSaint Louis$505K
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.