Tonia Ackerman
Family · West Des Moines, IANPI 1932142692
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (47.4%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by AbbVie at 54.3% of the total. 2025 is the largest year on record at $10,902, 7.4 times the $1,470 reported in 2021. Among family 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 412 payments — averaging $42.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$9K
- Johnson & Johnson$1K
- Sanofi$962
- UCB, Inc.$700
- E.r. Squibb & Sons, L.L.C.$694
- Sun Pharmaceutical Industries Inc.$538
- plus $4K from 20 others
What the payments were for
- Consulting fees$7004%
- Speaking & faculty fees$6,05035%
- Travel & lodging$1,70710%
- Food & beverage$8,21747%
- Education$6594%
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 |
|---|---|---|
| AbbVie | 83 | $9,411 |
| Johnson & Johnson | 67 | $1,310 |
| Sanofi | 32 | $962 |
| UCB, Inc. | 22 | $700 |
| E.r. Squibb & Sons, L.L.C. | 9 | $694 |
| Sun Pharmaceutical Industries Inc. | 22 | $538 |
| Novartis | 25 | $527 |
| Galderma Laboratories, L.p. | 14 | $453 |
| Incyte Corporation | 10 | $418 |
| Dermavant Sciences, Inc. | 41 | $368 |
| Lilly USA, LLC | 17 | $354 |
| Pfizer | 14 | $257 |
| Amgen | 11 | $245 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 11 | $209 |
| LEO Pharma Inc. | 4 | $192 |
| Sanofi-aventis U.S. LLC | 4 | $144 |
| Regeneron Healthcare Solutions, Inc. | 6 | $144 |
| Arcutis Biotherapeutics, Inc. | 5 | $140 |
| Organon | 5 | $51 |
| VYNE Pharmaceuticals Inc. | 2 | $44 |
| Biofrontera Inc. | 2 | $41 |
| Boehringer Ingelheim | 2 | $33 |
| Janssen Scientific Affairs, LLC | 1 | $32 |
| Organogenesis Inc. | 1 | $28 |
| Dermira, Inc. | 1 | $21 |
| Botanix SB Inc | 1 | $19 |
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
$17,333 in reported general payments places this provider in the 95th percentile of 1,268 family 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 |
|---|---|---|
| Clobetasol Propionate | 128 | $7,131 |
| Metronidazole | 40 | $2,169 |
| Triamcinolone Acetonide | 114 | $1,440 |
| Ketoconazole | 106 | $1,340 |
| Betamethasone Dipropionate | 22 | $1,231 |
| Fluocinonide | 27 | $1,217 |
| Clindamycin Phosphate | 20 | $759 |
| CiclopiroxCiclopirox Olamine | 33 | $623 |
| Doxycycline Hyclate | 27 | $541 |
| Doxycycline Monohydrate | 20 | $487 |
| Hydrocortisone | 67 | $320 |
| Minocycline Hcl | 12 | $288 |
| ValacyclovirValacyclovir Hcl | 16 | $277 |
| Mupirocin | 29 | $270 |
| Spironolactone | 24 | $178 |
Paid to pharmacies, not to this prescriber.
Other family in West Des Moines
- Patrick ThompsonWest Des Moines$6K
- Jason OstranderWest Des Moines$5K
- Christina WarrenWest Des Moines$4K
- Paiton CalvertWest Des Moines$4K
- Stefanie GaticaAnkeny$354K
- Aubrey MolgaardAmes$238K
- Joan KittenFort Dodge$85K
- Megan FergusonPella$82K
- Rodney ClarkDes Moines$63K
- Jennifer CondonFort Dodge$31K
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.