Physician profile

April Winkler

Family · Kirksville, MO

NPI 1104273861

$2,289.31

in general payments reported to CMS, 2019-2025

31 companies · $778 in 2025

The $778 reported for 2025 was more than what 83% of Family providers received nationally (typical 2025 total: $167).

See the full distribution for Family

Payments by year

General payments by program year, as reported to CMS.

What the payments were for

Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.

View as a table
Payment typeAmount (2023-2025)
Food and Beverage$1,502.26
Education$11.56

Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.

Who reported paying

General payments only, as reported to CMS. Product names cover 2023-2025.

CompanyGeneral paymentsYearsTop products
Abbvie INC. $696.37 2021-2025
Astrazeneca Pharmaceuticals LP $375.19 2021-2025 Farxiga, Breztri, Airsupra
Lilly USA, LLC $208.86 2021-2025 Zepbound, Jardiance, Emgality
Amgen INC. $107.50 2022-2025 Repatha, Otezla, Repatha
Janssen Pharmaceuticals, INC $100.97 2021-2024 Spravato
Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) $81.04 2025 Caplyta
Novo Nordisk INC $64.00 2021-2024 Rybelsus, Ozempic
Vertex Pharmaceuticals Incorporated $52.08 2025
Otsuka America Pharmaceutical, INC. $49.93 2024-2025 Rexulti, Abilify Maintena, Abilify Asimtufii
Alkermes, INC. $45.39 2022
Sunovion Pharmaceuticals INC. $37.60 2022
Dexcom, INC. $36.78 2022
Mylan Specialty L.P. $34.37 2023 Yupelri
Lundbeck LLC $33.30 2023 Rexulti
Amarin Pharma, INC. $33.27 2021
Show all 31 companies
CompanyGeneral paymentsYearsTop products
Bayer Healthcare Pharmaceuticals INC. $31.37 2022
Collegium Pharmaceutical, INC. $31.18 2025 Jornay Pm
Boehringer Ingelheim Pharmaceuticals, INC. $30.78 2021-2022
Pfizer INC. $28.27 2025
Merck Sharp & Dohme LLC $28.02 2022-2025 Gardasil 9, Capvaxive
Radius Health, INC. $22.19 2025 Tymlos
Takeda Pharmaceuticals U.S.A., INC. $19.24 2021
Abbott Laboratories $19.14 2025 Freestyle Libre 3
Kowa Pharmaceuticals America, INC. $19.04 2022
Salix Pharmaceuticals, A Division of Bausch Health US, LLC $17.20 2023 Xifaxan, Trulance
Glaxosmithkline, LLC. $15.62 2025 Shingrix, Arexvy, Bexsero
Novartis Pharmaceuticals Corporation $15.44 2025
E.R. Squibb & Sons, L.L.C. $15.06 2022
Verona Pharma, INC. $13.91 2025 Ohtuvayre
Exact Sciences Corporation $13.85 2024 Cologuard Collection Kit
Corium, LLC $12.35 2023 Azstarys

Drugs and devices associated with these payments

CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.

If you want to bring it up

Most clinicians are glad to talk about this. A respectful way in:

These are normal questions. A good clinician will welcome them.

Share this page

Payment summary

April Winkler

$2,289.31

in general payments reported 2019-2025

Years
2021-2025
Top company
Abbvie INC.
Context
The $778 reported for 2025 was more than what 83% of Family providers received nationally (typical 2025 total: $167).

https://glasscript.com/doctor/11149902/april-winkler

Source: CMS Open Payments, program years 2019-2025. Payments are legal and often routine.

Keep an eye on this page

Get an email when the next June refresh changes this page. No account needed.

Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.