Tristan Fowler
Obstetrics & Gynecology · Sikeston, MONPI 1881044006
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 158 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 24 manufacturers reported payments, led by AbbVie at 35.4% of the total. Reporting peaked in 2022 at $862 and has fallen 98.4% since, to $14 in 2025.
Across 158 payments — averaging $18.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Daiichi Sankyo Inc.$238
- Mayne Pharma Commercial LLC$226
- Agile Therapeutics, Inc.$190
- Astellas Pharma US Inc$167
- Avion Pharmaceuticals$160
- plus $895 from 18 others
What the payments were for
- Food & beverage$2,902100%
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 |
|---|---|---|
| AbbVie | 57 | $1,026 |
| Daiichi Sankyo Inc. | 7 | $238 |
| Mayne Pharma Commercial LLC | 20 | $226 |
| Agile Therapeutics, Inc. | 10 | $190 |
| Astellas Pharma US Inc | 3 | $167 |
| Avion Pharmaceuticals | 17 | $160 |
| Exeltis, USA Inc. | 9 | $141 |
| Coopersurgical, Inc. | 3 | $133 |
| Novo Nordisk | 1 | $102 |
| Evofem Biosciences, Inc. | 5 | $73 |
| Bayer | 3 | $66 |
| Myovant Sciences Inc. | 3 | $57 |
| Minerva Surgical, Inc | 2 | $57 |
| Therapeuticsmd, Inc. | 4 | $52 |
| Currax Pharmaceuticals LLC | 3 | $40 |
| Organon | 2 | $33 |
| Lilly USA, LLC | 2 | $31 |
| Scynexis, Inc. | 1 | $22 |
| Hologic Sales And Service, LLC | 1 | $19 |
| Hologic Inc | 1 | $17 |
| Pfizer | 1 | $15 |
| Johnson & Johnson | 1 | $13 |
| Merck | 1 | $13 |
| AstraZeneca | 1 | $12 |
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.
- Veozah$125
- INJECTAFER$111
- Wegovy$102
How this compares
$2,902 in reported general payments places this provider in the 80th percentile of 750 obstetrics & gynecology providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol | 11 | $504 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Sikeston
- Jennifer NickellSikeston$9K
- Thomas ShultzSpringfield$1.1M
- Becky LynnSaint Louis$231K
- Timothy HallIndependence$172K
- Craig McCoyMoberly$101K
- Richard GutknechtIndependence$65K
- Amanda CarrollFestus$55K
- Amy CarterKansas City$49K
- Megan SneedLees Summit$44K
- Kimberly LemoineSaint Louis$30K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.