Has John Misdary, MD received payments from drug or device companies?

Yes. Drug and device makers reported $26,691 in general payments to John Misdary, MD across 28 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean John Misdary, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about John Misdary, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

John Misdary, MD

Emergency Medicine · Rapid City, SDNPI 1669559233

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $26,089 of the $26,691 with a category attached, or 97.7%. Vapotherm Inc accounts for 99.9% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2022 at $15,970 and has fallen 80.8% since, to $3,066 in 2023. Among emergency medicine 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.

$26,691in general payments, 2019–2025

Across 28 payments — averaging $953.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Vapotherm Inc$27K
AstraZeneca$35

What the payments were for

Consulting fees$26,08998%
Travel & lodging$3731%
Food & beverage$2291%

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
Vapotherm Inc	27	$26,656
AstraZeneca	1	$35

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.

VAPOTHERM$26,214

How this compares

$26,691 in reported general payments places this provider in the 95th percentile of 97 emergency medicine providers in South Dakota.

See all emergency medicine providers in South Dakota →

Medicare billing

Part B allowed, 2024

$195,234

Medicare patients

1,043

Services billed

1,844

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
Albuterol Sulfate HfaAlbuterol Sulfate	21	$542
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	29	$289
Prednisone	55	$198
Cephalexin	38	$197
Ondansetron OdtOndansetron	64	$187
Doxycycline Monohydrate	11	$108
Ibuprofen	17	$33
Cyclobenzaprine Hcl	21	$14

Paid to pharmacies, not to this prescriber.

Other emergency medicine in Rapid City

Daniel MontgomeryRapid City$335
Patrick TibblesRapid City$132
Nathan LongRapid City$126
Stephan MillerRapid City$115
Brook EideRapid City$107
Donald NeilsonRapid City$92
Adam NewmanRapid City$92
John HillRapid City$92
Carolyn WaldoRapid City$61
James GilbertRapid City$40

See the full list for South Dakota →

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.

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