Cassandra Terfehr, APRN
Nurse Practitioner · Cheyenne, WYNPI 1851818504
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 107 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 30 manufacturers, the largest accounting for just 11.9% — the pattern of someone who eats at a lot of different presentations. Among nurse practitioner clinicians in WY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 107 payments — averaging $20.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vanda Pharmaceuticals Inc.$256
- Lundbeck LLC$230
- Novo Nordisk$197
- AstraZeneca$152
- Lilly USA, LLC$140
- GSK$116
- plus $1K from 24 others
What the payments were for
- Food & beverage$2,145100%
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 |
|---|---|---|
| Vanda Pharmaceuticals Inc. | 10 | $256 |
| Lundbeck LLC | 9 | $230 |
| Novo Nordisk | 10 | $197 |
| AstraZeneca | 8 | $152 |
| Lilly USA, LLC | 7 | $140 |
| GSK | 6 | $116 |
| Merck | 6 | $90 |
| AbbVie | 6 | $86 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $82 |
| Amgen | 4 | $76 |
| Pfizer | 4 | $74 |
| Johnson & Johnson | 4 | $73 |
| Abbott | 3 | $61 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $59 |
| Exact Sciences | 2 | $51 |
| Eisai Inc. | 3 | $44 |
| Alkermes, Inc. | 2 | $40 |
| Novartis | 2 | $40 |
| Daiichi Sankyo Inc. | 2 | $40 |
| Boston Scientific | 1 | $38 |
| Axsome Therapeutics, Inc. | 1 | $36 |
| Inspire Medical Systems, Inc. | 1 | $32 |
| Phadia US Inc. | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $19 |
| Neurocrine Biosciences, Inc. | 1 | $18 |
| Corium, LLC | 1 | $18 |
| Astellas Pharma US Inc | 1 | $17 |
| Organon | 1 | $16 |
| Grifols USA, LLC | 1 | $14 |
| Ultragenyx Pharmaceutical Inc. | 1 | $13 |
How this compares
$2,145 in reported general payments places this provider in the 90th percentile of 150 nurse practitioner providers in Wyoming.
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 |
|---|---|---|
| OzempicSemaglutide | 14 | $13,789 |
| TrulicityDulaglutide | 11 | $9,993 |
| Advair DiskusFluticasone Propion/Salmeterol | 12 | $2,370 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 26 | $1,095 |
| Omeprazole | 47 | $793 |
| Bupropion XlBupropion Hcl | 28 | $740 |
| Levothyroxine Sodium | 76 | $562 |
| Atorvastatin Calcium | 70 | $505 |
| Ropinirole Hcl | 12 | $448 |
| Duloxetine Hcl | 12 | $430 |
| Gabapentin | 34 | $402 |
| Escitalopram Oxalate | 16 | $400 |
| Hydroxyzine Hcl | 19 | $378 |
| Losartan Potassium | 28 | $375 |
| Metoprolol Succinate | 17 | $328 |
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 |
|---|---|---|
| Novo NordiskOzempic | $197 | $13,78914 claims |
| Lilly USA, LLCTrulicity | $140 | $9,99311 claims |
| AbbVieSynthroid | $86 | $11514 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 90th percentile of 150 nurse practitioner providers in Wyoming.
Other nurse practitioner in Cheyenne
- Tamara MasonCheyenne$2K
- Heather RothCheyenne$708
- Daniel WestCheyenne$560
- Sheena PachecoCheyenne$369
- Liya RodovskayaCheyenne$364
- Kanti DevkotaCheyenne$250
- Rachel McKinneyCheyenne$240
- Paula ThorntonCheyenne$154
- James WilloxCheyenne$104
- Shujun ChenCheyenne$82
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.