Walter Trombold
Pulmonary Disease · Springfield, MONPI 1023027281
Payments from drug & device makers
Across 177 payments — averaging $16.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$445
- AstraZeneca$382
- United Therapeutics Corporation$315
- Boehringer Ingelheim$179
- Mylan Specialty L.p.$156
- Genentech USA, Inc.$156
- plus $1K from 22 others
What the payments were for
- Food & beverage$2,90199%
- Education$201%
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 |
|---|---|---|
| GSK | 37 | $445 |
| AstraZeneca | 19 | $382 |
| United Therapeutics Corporation | 13 | $315 |
| Boehringer Ingelheim | 14 | $179 |
| Mylan Specialty L.p. | 11 | $156 |
| Genentech USA, Inc. | 10 | $156 |
| Actelion Pharmaceuticals US, Inc. | 8 | $140 |
| Novartis | 7 | $137 |
| Pfizer | 8 | $118 |
| Grifols USA, LLC | 5 | $95 |
| CSL Behring | 5 | $95 |
| AbbVie | 4 | $82 |
| Circassia Inc. | 5 | $80 |
| Merck | 4 | $78 |
| Regeneron Healthcare Solutions, Inc. | 3 | $57 |
| Mallinckrodt Hospital Products Inc. | 3 | $55 |
| ANI Pharmaceuticals, Inc. | 2 | $41 |
| Philips North America LLC | 2 | $40 |
| Amgen | 2 | $38 |
| Johnson & Johnson | 2 | $36 |
| Insmed, Inc. | 2 | $35 |
| Idorsia Pharmaceuticals US Inc | 2 | $34 |
| Astellas Pharma US Inc | 2 | $32 |
| Sunovion Pharmaceuticals Inc. | 2 | $25 |
| Jazz Pharmaceuticals Inc. | 1 | $22 |
| Electromed, Inc. | 2 | $20 |
| Pulmonx Corporation | 1 | $13 |
| Teva Pharmaceuticals USA, Inc. | 1 | $13 |
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.
- FASENRA$123
- BEVESPI AEROSPHERE$123
- SYMBICORT$123
How this compares
$2,921 in reported general payments places this provider in the 55th percentile of 295 pulmonary disease providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OpsumitMacitentan | 46 | $584,450 |
| AdempasRiociguat | 13 | $177,061 |
| Ambrisentan | 31 | $53,877 |
| Tadalafil | 33 | $25,947 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 18 | $16,885 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 23 | $14,263 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 12 | $1,748 |
| Azithromycin | 59 | $899 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 17 | $501 |
| Famotidine | 20 | $169 |
| Pantoprazole Sodium | 11 | $93 |
| Omeprazole | 12 | $78 |
| Furosemide | 13 | $57 |
| Spironolactone | 12 | $27 |
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 |
|---|---|---|
| Actelion Pharmaceuticals US, Inc.Opsumit | $140 | $584,45046 claims |
| GSKTrelegy Ellipta | $445 | $16,88518 claims |
| AstraZenecaBreztri Aerosphere | $382 | $14,26323 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 55th percentile of 295 pulmonary disease providers in Missouri.
Other pulmonary disease in Springfield
- Madhu Kalyan PendurthiSpringfield$470K
- Steven HullLees Summit$10.1M
- Thomas SilerSaint Charles$5.5M
- Neil EttingerChesterfield$3.5M
- Humam FarahHannibal$2.7M
- Murali ChakinalaSaint Louis$2.4M
- Joseph OjileSaint Louis$2.1M
- Jeffrey HarrisSaint Louis$1.1M
- Kaharu SuminoSaint Louis$1.1M
- Tonya RussellSaint Louis$1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.