Paul Dudley, MD
Family Medicine · Onawa, IANPI 1194721332
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.2% of the total across 569 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 50 manufacturers, the largest accounting for just 13.0% — the pattern of someone who eats at a lot of different presentations. Among family medicine clinicians in IA 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 569 payments — averaging $15.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AbbVie$1K
- Amgen$828
- Astellas Pharma US Inc$657
- AstraZeneca$455
- E.r. Squibb & Sons, L.L.C.$400
- plus $4K from 44 others
What the payments were for
- Food & beverage$8,41798%
- Education$1502%
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.
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
$8,567 in reported general payments places this provider in the 95th percentile of 1,357 family medicine 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 | 420 | $226,149 |
| OzempicSemaglutide | 88 | $83,943 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 107 | $81,750 |
| JardianceEmpagliflozin | 82 | $53,088 |
| XareltoRivaroxaban | 90 | $51,341 |
| Tresiba Flextouch U-100Insulin Degludec | 92 | $49,901 |
| RexultiBrexpiprazole | 43 | $47,883 |
| MyrbetriqMirabegron | 69 | $28,579 |
| TrulicityDulaglutide | 20 | $22,825 |
| TradjentaLinagliptin | 33 | $21,799 |
| Tresiba Flextouch U-200Insulin Degludec | 18 | $21,047 |
| MounjaroTirzepatide | 23 | $20,546 |
| Breo ElliptaFluticasone/Vilanterol | 43 | $16,741 |
| Repatha SureclickEvolocumab | 31 | $16,472 |
| EntrestoSacubitril/Valsartan | 15 | $13,758 |
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, Premarin | $341 | $229,796434 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Arexvy, Shingrix | $265 | $113,056205 claims |
| Novo NordiskOzempic | $1,116 | $83,94388 claims |
| Boehringer IngelheimJardiance, Tradjenta | $217 | $74,888115 claims |
| Johnson & JohnsonXarelto | $168 | $51,34190 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $226 | $47,88343 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $248 | $43,37143 claims |
| Astellas Pharma US IncMyrbetriq | $657 | $28,57969 claims |
| AbbVieCreon, Linzess, Restasis | $1,017 | $28,13547 claims |
| NovartisEntresto | $117 | $13,75815 claims |
| AstraZenecaFarxiga | $455 | $9,79316 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $100 | $7,89123 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 95th percentile of 1,357 family medicine providers in Iowa.
Other family medicine in Onawa
- Tracy KahlOnawa$9K
- Shannon KennedyOnawa$8K
- Brandon KovarOnawa$7K
- Allison KovarOnawa$7K
- Kirk PetersonHuxley$576K
- Nicholas GoetschWaterloo$525K
- Stephen HarrisonClinton$249K
- Thomas RossDes Moines$170K
- Yogesh ShahDes Moines$159K
- Leslie George PaulsenMuscatine$136K
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.