Physician profile

Gemma A Ciesemier

Family Medicine · Kirksville, MO

NPI 1093790966

$2,764.15

in general payments reported to CMS, 2019-2025

29 companies · $166 in 2025

The $166 reported for 2025 was more than what a typical Family Medicine provider received nationally (typical 2025 total: $153).

See the full distribution for Family Medicine

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$612.26

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
Takeda Pharmaceuticals U.S.A., INC. $573.73 2021-2025 Cuvitru, Hyqvia, Takhzyro
Abbvie INC. $341.21 2021-2022
Horizon Therapeutics Plc $227.27 2020-2023 Actimmune
Grifols USA, LLC $191.35 2019-2023 Prolastin-C Liquid
Glaxosmithkline, LLC. $189.71 2020-2022
Csl Behring $136.71 2021-2023 Haegarda, Hizentra
Novo Nordisk INC $133.79 2021
Astrazeneca Pharmaceuticals LP $108.47 2019-2023 Fasenra
Amgen INC. $91.65 2019-2022
Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) $90.34 2021-2022
Mylan Specialty L.P. $78.78 2019-2022
Regeneron Healthcare Solutions, INC. $70.98 2019-2022
Genzyme Corporation $67.92 2022-2023
Mallinckrodt Hospital Products INC. $65.56 2021
Novartis Pharmaceuticals Corporation $46.42 2022-2025
Show all 29 companies
CompanyGeneral paymentsYearsTop products
Radius Health, INC. $44.84 2021-2022
Pfizer INC. $39.98 2020-2021
Genentech, INC. $38.45 2021
Teva Pharmaceuticals USA, INC. $32.67 2020-2021
Collegium Pharmaceutical, INC. $29.10 2021
Boehringer Ingelheim Pharmaceuticals, INC. $26.44 2021
Lilly USA, LLC $24.94 2019-2021
Bayer Healthcare Pharmaceuticals INC. $24.03 2022
Genentech USA, INC. $20.91 2023 Xolair
Sunovion Pharmaceuticals INC. $14.79 2019
Organogenesis INC. $14.41 2021
Optos, INC. $13.87 2021
Astellas Pharma US INC $12.98 2019
Amarin Pharma, INC. $12.85 2022

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

Gemma A Ciesemier

$2,764.15

in general payments reported 2019-2025

Years
2019-2025
Top company
Takeda Pharmaceuticals U.S.A., INC.
Context
The $166 reported for 2025 was more than what a typical Family Medicine provider received nationally (typical 2025 total: $153).

https://glasscript.com/doctor/322138/gemma-a-ciesemier

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.