Ashley Flattery
Nurse Practitioner · West Des Moines, IANPI 1639462708
Payments from drug & device makers
Across 87 payments — averaging $21.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$439
- Sanofi$362
- Medtronic$140
- Optinose US, Inc.$128
- Intersect ENT, Inc.$112
- Sanofi-aventis U.S. LLC$100
- plus $566 from 12 others
What the payments were for
- Food & beverage$1,74795%
- Education$1005%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 21 | $439 |
| Sanofi | 21 | $362 |
| Medtronic | 2 | $140 |
| Optinose US, Inc. | 7 | $128 |
| Intersect ENT, Inc. | 6 | $112 |
| Sanofi-aventis U.S. LLC | 1 | $100 |
| GSK | 7 | $97 |
| Aerin Medical Inc. | 3 | $85 |
| Kaleo, Inc. | 4 | $70 |
| Alk-abello, Inc | 4 | $61 |
| Paratek Pharmaceuticals, Inc. | 3 | $51 |
| Insulet Corporation | 1 | $45 |
| Stryker | 1 | $40 |
| Neurocrine Biosciences, Inc. | 1 | $32 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $30 |
| AstraZeneca | 1 | $20 |
| Acclarent, Inc | 1 | $18 |
| Novartis | 1 | $16 |
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
$1,847 in reported general payments places this provider in the 90th percentile of 1,346 nurse practitioner 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 |
|---|---|---|
| Epinephrine | 47 | $8,127 |
| Fluticasone Propionate | 330 | $3,557 |
| Azelastine Hcl | 138 | $3,066 |
| Ipratropium Bromide | 106 | $2,467 |
| Omeprazole | 183 | $1,513 |
| Methylprednisolone | 145 | $988 |
| Doxycycline Monohydrate | 25 | $618 |
| Pantoprazole Sodium | 51 | $617 |
| Mometasone Furoate | 41 | $569 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 30 | $358 |
| Ciprofloxacin Hcl | 16 | $279 |
| Nortriptyline Hcl | 12 | $227 |
| Fluconazole | 16 | $197 |
| Clindamycin Hcl | 18 | $192 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $169 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in West Des Moines
- Beth ChiaWest Des Moines$15K
- Amanda WhiteWest Des Moines$5K
- Nicole MorganDes Moines$106K
- Julie CoffeyIowa City$31K
- Mary JohnsonDavenport$30K
- Megan Hart FernandezCedar Rapids$19K
- Carla HuberCedar Rapids$18K
- Margaret KinneyRed Oak$13K
- Abbey ModlinDes Moines$12K
- Jonathon HenningsWaterloo$11K
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.