Jacob Rinker, MD
Surgery · Gillette, WYNPI 1386939569
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (45.3%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Intuitive Surgical at 58.2% of the total. Reporting peaked in 2023 at $11,285 and has fallen 95.8% since, to $474 in 2025. Among surgery 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 116 payments — averaging $182.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$12K
- Medtronic$6K
- Bard Peripheral Vascular, Inc.$1K
- Globus Medical$611
- Enterra Medical, Inc.$112
- Philips North America LLC$66
- plus $393 from 13 others
What the payments were for
- Travel & lodging$8,78442%
- Food & beverage$2,72413%
- Education$9,57045%
- Gifts$530%
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 |
|---|---|---|
| Intuitive Surgical | 20 | $12,306 |
| Medtronic(2 entities) | 67 | $6,406 |
| Bard Peripheral Vascular, Inc. | 8 | $1,238 |
| Globus Medical | 2 | $611 |
| Enterra Medical, Inc. | 2 | $112 |
| Philips North America LLC | 1 | $66 |
| Braintree Laboratories, Inc. | 1 | $53 |
| Elucent Medical | 1 | $51 |
| Pacira Pharmaceuticals Incorporated | 1 | $40 |
| Novo Nordisk | 2 | $36 |
| Lilly USA, LLC | 2 | $35 |
| Biocompatibles, Inc. | 2 | $33 |
| Daiichi Sankyo Inc. | 1 | $26 |
| Inari Medical, Inc. | 1 | $24 |
| Reprise Biomedical, Inc. | 1 | $21 |
| Amgen | 1 | $20 |
| Johnson & Johnson | 1 | $19 |
| Smith+Nephew | 1 | $18 |
| Octapharma USA, Inc. | 1 | $18 |
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.
- DAVINCI XI$9,500
- Abre$3,378
- Da Vinci Surgical System$2,553
- HawkOne$1,346
- VENOVO$1,116
- INDEPENDENCE$599
How this compares
$21,131 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 33 | $2,261 |
| Pantoprazole Sodium | 27 | $298 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $95 |
Paid to pharmacies, not to this prescriber.
Other surgery in Gillette
- Kris CanfieldGillette$12K
- Rodney BiggsGillette$7K
- Paul DearingGillette$406
- Sara HartsawGillette$93
- Jeremy GatesCheyenne$44K
- Rebecca DealCody$18K
- Jonathan GrosdidierDouglas$17K
- Thomas EtterCody$12K
- Samuel SaltzCheyenne$11K
- Lane SmothersCasper$10K
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.