Christopher Darst, PA
Surgical · Lincoln, NENPI 1275731531
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $7,020 of the $11,328 with a category attached, or 62.0%. Terumo Cardiovascular Systems Corporation accounts for 81.6% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2021 at $7,947 and has fallen 83.7% since, to $1,298 in 2025. Among surgical clinicians in NE 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 51 payments — averaging $222.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Terumo Cardiovascular Systems Corporation$9K
- Conetic Solutions, Inc.$737
- Boston Scientific$446
- Arthrex$244
- Zimmer Biomet$176
- BD$123
- plus $353 from 12 others
What the payments were for
- Consulting fees$7,02062%
- Travel & lodging$2,93926%
- Food & beverage$1,36912%
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 |
|---|---|---|
| Terumo Cardiovascular Systems Corporation | 10 | $9,249 |
| Conetic Solutions, Inc. | 6 | $737 |
| Boston Scientific | 9 | $446 |
| Arthrex | 1 | $244 |
| Zimmer Biomet | 3 | $176 |
| BD | 3 | $123 |
| Medtronic | 2 | $61 |
| Smith+Nephew | 2 | $57 |
| Abiomed | 2 | $46 |
| Abbott | 2 | $34 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 4 | $27 |
| Davol Inc. | 1 | $23 |
| Edwards Lifesciences | 1 | $23 |
| Alnylam Pharmaceuticals Inc. | 1 | $21 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $17 |
| Merck | 1 | $14 |
| Atricure, Inc. | 1 | $14 |
| Cvrx, Inc. | 1 | $14 |
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.
- Virtuosaph Plus with Radial Indication$7,211
- Harvest$1,430
How this compares
$11,328 in reported general payments places this provider in the 95th percentile of 101 surgical providers in Nebraska.
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 |
|---|---|---|
| Amiodarone Hcl | 31 | $199 |
| ClopidogrelClopidogrel Bisulfate | 20 | $137 |
| Metoprolol Tartrate | 44 | $128 |
| Atorvastatin Calcium | 25 | $122 |
| Potassium Chloride | 22 | $77 |
| Tramadol Hcl | 17 | $67 |
| Furosemide | 24 | $37 |
Paid to pharmacies, not to this prescriber.
Other surgical in Lincoln
- John McPhailLincoln$7K
- Jessica ZarubaLincoln$4K
- Spencer HamnerLincoln$4K
- Elleree GuyLincoln$3K
- Michael KoebernickLincoln$3K
- Eric SpragueLincoln$2K
- Amanda YoungLincoln$1K
- Andre OrdunaLincoln$1K
- Parker HoffmanLincoln$1K
- Taylor VitoshLincoln$1K
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.