Jarrett Fowler, PA
Physician Assistant · Rapid City, SDNPI 1023664620
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,217 of the $7,117 with a category attached, or 73.3%. 13 manufacturers reported payments, led by Teleflex LLC at 37.7% of the total. Reporting peaked in 2021 at $4,193 and has fallen 90.6% since, to $393 in 2025. Among physician assistant clinicians in SD 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 135 payments — averaging $52.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teleflex LLC$3K
- Axonics, Inc.$2K
- Olympus America Inc.$975
- Boston Scientific$463
- Coloplast$341
- Astellas Pharma US Inc$202
- plus $622 from 7 others
What the payments were for
- Travel & lodging$1,80025%
- Food & beverage$5,21773%
- Education$1001%
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 |
|---|---|---|
| Teleflex LLC | 40 | $2,685 |
| Axonics, Inc. | 55 | $1,829 |
| Olympus America Inc. | 14 | $975 |
| Boston Scientific | 10 | $463 |
| Coloplast | 4 | $341 |
| Astellas Pharma US Inc | 3 | $202 |
| Baxter Healthcare | 1 | $150 |
| Intuitive Surgical | 2 | $140 |
| AstraZeneca | 1 | $125 |
| Smith+Nephew | 2 | $105 |
| Stryker | 1 | $67 |
| Endo USA, Inc. | 1 | $20 |
| Myovant Sciences Inc. | 1 | $15 |
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.
- UroLift System$1,219
- Axonics r-SNM System$815
- iTIND System$433
- UroLift$394
- Soltive$253
- ALTIS$246
- ADEPT$150
- SEPRAFILM$150
- LYNPARZA$125
- Bovie$100
How this compares
$7,117 in reported general payments places this provider in the 95th percentile of 548 physician assistant providers in South Dakota.
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 |
|---|---|---|
| MyrbetriqMirabegron | 13 | $7,543 |
| Tamsulosin Hcl | 295 | $6,292 |
| Finasteride | 145 | $1,967 |
| Solifenacin Succinate | 18 | $1,343 |
| Oxybutynin Chloride ErOxybutynin Chloride | 40 | $525 |
| Oxybutynin Chloride | 26 | $403 |
| Doxazosin Mesylate | 23 | $363 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 23 | $300 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 18 | $212 |
| Cephalexin | 46 | $161 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $78 |
| Ciprofloxacin Hcl | 17 | $64 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $202 | $7,54313 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 95th percentile of 548 physician assistant providers in South Dakota.
Other physician assistant in Rapid City
- Jordan HeinsRapid City$10K
- Jerome WenningerRapid City$7K
- Kristi BrueningRapid City$5K
- Nicholas AlonzoRapid City$4K
- Kayla TollefsrudRapid City$4K
- Morgan SauvageRapid City$3K
- Paeton MoyleRapid City$3K
- Cassidy PetersonRapid City$3K
- Corey AndersonRapid City$3K
- Katie BadjeRapid City$3K
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.