Daniel Rust, CRNA
Nurse Anesthetist, Certified Registered · Casper, WYNPI 1841844172
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 91 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Takeda Pharmaceuticals U.S.A., Inc. at 48.6% of the total. 2025 is the largest year on record at $747, 2.6 times the $284 reported in 2022. Among nurse anesthetist, certified registered clinicians in WY 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 91 payments — averaging $21.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$953
- AbbVie$448
- Regeneron Healthcare Solutions, Inc.$197
- Madrigal Pharmaceuticals$89
- Aimmune Therapeutics, Inc.$87
- Globus Medical$66
- plus $122 from 5 others
What the payments were for
- Food & beverage$1,962100%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 35 | $953 |
| AbbVie | 29 | $448 |
| Regeneron Healthcare Solutions, Inc. | 8 | $197 |
| Madrigal Pharmaceuticals | 5 | $89 |
| Aimmune Therapeutics, Inc. | 5 | $87 |
| Globus Medical | 2 | $66 |
| Intercept Pharmaceuticals, Inc. | 3 | $45 |
| Boehringer Ingelheim | 1 | $22 |
| Bristol Myers Squibb | 1 | $21 |
| QOL Medical, LLC | 1 | $18 |
| Pfizer | 1 | $16 |
How this compares
$1,962 in reported general payments places this provider in the 95th percentile of 34 nurse anesthetist, certified registered providers in Wyoming.
See all nurse anesthetist, certified registered 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.
Other nurse anesthetist, certified registered in Casper
- Antonia TurnerCasper$52
- Adam CrawfordPowell$648
- Adam FieberPowell$633
- Tracy RichardTorrington$627
- Andrew BakerPowell$615
- Ryan SheddPowell$230
- Dana HalbrooksGillette$179
- Nancy RuschGillette$167
- Parry DavisonKemmerer$162
- Byron PetersonGillette$133
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.