Cary Bybee, MD
Family Medicine · Shelby, MTNPI 1265852586
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.3% of the total across 108 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 20.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,265 and has fallen 97.3% since, to $35 in 2025. Among family medicine clinicians in MT with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 108 payments — averaging $18.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$407
- AstraZeneca$347
- Pfizer$218
- Takeda Pharmaceuticals U.S.A., Inc.$113
- Astellas Pharma US Inc$109
- Boehringer Ingelheim$96
- plus $735 from 18 others
What the payments were for
- Food & beverage$1,95196%
- Education$754%
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 | 20 | $407 |
| AstraZeneca | 17 | $347 |
| Pfizer | 18 | $218 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $113 |
| Astellas Pharma US Inc | 3 | $109 |
| Boehringer Ingelheim | 5 | $96 |
| GSK | 4 | $74 |
| Daiichi Sankyo Inc. | 3 | $66 |
| Amarin Pharma, Inc. | 3 | $63 |
| Lilly USA, LLC | 4 | $62 |
| Amgen | 3 | $61 |
| Mannkind Corporation | 2 | $47 |
| Johnson & Johnson | 3 | $45 |
| Boston Scientific | 2 | $43 |
| Sanofi-aventis U.S. LLC | 2 | $40 |
| Kowa Pharmaceuticals America, Inc. | 2 | $39 |
| Otsuka America Pharmaceutical, Inc. | 2 | $37 |
| Eisai Inc. | 2 | $30 |
| Bayer | 2 | $29 |
| E.r. Squibb & Sons, L.L.C. | 2 | $28 |
| Neurocrine Biosciences, Inc. | 1 | $21 |
| Exact Sciences | 1 | $21 |
| Biohaven Pharmaceuticals, Inc. | 1 | $16 |
| Nestle Healthcare Nutrition Inc. | 1 | $12 |
How this compares
$2,026 in reported general payments places this provider in the 95th percentile of 426 family medicine providers in Montana.
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 |
|---|---|---|
| EliquisApixaban | 43 | $31,378 |
| JardianceEmpagliflozin | 14 | $13,587 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 13 | $374 |
| Atorvastatin Calcium | 39 | $258 |
| Levothyroxine Sodium | 39 | $250 |
| Omeprazole | 23 | $246 |
| Gabapentin | 23 | $239 |
| Lisinopril | 36 | $201 |
| Fluticasone Propionate | 13 | $166 |
| Losartan Potassium | 19 | $159 |
| Tamsulosin Hcl | 19 | $138 |
| Cephalexin | 30 | $133 |
| Pantoprazole Sodium | 26 | $114 |
| Hydrochlorothiazide | 19 | $108 |
| Amlodipine Besylate | 19 | $102 |
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 |
|---|---|---|
| PfizerEliquis | $218 | $31,37843 claims |
| Boehringer IngelheimJardiance | $96 | $13,58714 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 95th percentile of 426 family medicine providers in Montana.
Other family medicine in Shelby
- Kimberly BlakesleeMissoula$186K
- Kathleen Harder-BrouwerHamilton$28K
- Joey BanksMissoula$21K
- Julie ReilBillings$9K
- Jeanne Pereles OrtizBillings$7K
- Aubrey RemmersMissoula$5K
- Lyle OnstadGreat Falls$5K
- Carey WelshGreat Falls$5K
- Christina HoBillings$4K
- Libby LakeGreat Falls$4K
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.