Elias Kfoury, MD
Surgery · Cheyenne, WYNPI 1841422094
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $7,000 of the $8,866 with a category attached, or 79.0%. Penumbra, Inc. accounts for 79.0% of it on its own, with 19 other manufacturers making up the rest. 2025 is the largest year on record at $8,113, more than ten times the $129 reported in 2019.
Across 42 payments — averaging $211.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$7K
- W. L. Gore & Associates, Inc.$1K
- Boston Scientific$127
- Endologix LLC$45
- Novo Nordisk$42
- Cook Medical LLC$35
- plus $256 from 14 others
What the payments were for
- Speaking & faculty fees$7,00079%
- Travel & lodging$1,09612%
- Food & beverage$7699%
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 |
|---|---|---|
| Penumbra, Inc. | 4 | $7,000 |
| W. L. Gore & Associates, Inc. | 13 | $1,361 |
| Boston Scientific | 6 | $127 |
| Endologix LLC | 1 | $45 |
| Novo Nordisk | 2 | $42 |
| Cook Medical LLC | 1 | $35 |
| Tactile Systems Technology Inc | 2 | $31 |
| Cardiovascular Systems Inc. | 1 | $23 |
| Silk Road Medical, Inc. | 1 | $21 |
| Smith+Nephew | 1 | $21 |
| Alnylam Pharmaceuticals Inc. | 1 | $21 |
| Terumo Medical Corporation | 1 | $19 |
| Inspire Medical Systems, Inc. | 1 | $17 |
| Philips North America LLC | 1 | $17 |
| Bolton Medical Inc | 1 | $17 |
| Johnson & Johnson | 1 | $16 |
| Medtronic | 1 | $16 |
| E.r. Squibb & Sons, L.L.C. | 1 | $13 |
| Teleflex LLC | 1 | $13 |
| Pfizer | 1 | $12 |
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
$8,866 in reported general payments places this provider in the 75th percentile of 49 surgery 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 |
|---|---|---|
| EliquisApixaban | 23 | $30,515 |
| BrilintaTicagrelor | 13 | $10,135 |
| ClopidogrelClopidogrel Bisulfate | 184 | $1,642 |
| Atorvastatin Calcium | 62 | $573 |
| Cilostazol | 21 | $341 |
| Rosuvastatin Calcium | 14 | $277 |
| Warfarin Sodium | 18 | $80 |
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 | $12 | $30,51523 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 75th percentile of 49 surgery providers in Wyoming.
Other surgery in Cheyenne
- Jeremy GatesCheyenne$44K
- Samuel SaltzCheyenne$11K
- Nathaniel KaanCheyenne$10K
- Take PullosCheyenne$4K
- Gary SchmitzCheyenne$33
- Lisa BurtonCheyenne$16
- Jacob RinkerGillette$21K
- Rebecca DealCody$18K
- Jonathan GrosdidierDouglas$17K
- Thomas EtterCody$12K
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.