Kevin Sheppard
Family Medicine · Council Bluffs, IANPI 1538219530
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $18,186 of the $20,313 with a category attached, or 89.5%. It is spread thinly across 54 manufacturers, the largest accounting for just 17.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $6,594 and has fallen 99.8% since, to $13 in 2024. Among family medicine clinicians in IA 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 670 payments — averaging $30.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- AstraZeneca$2K
- Novo Nordisk$1K
- Amgen$1K
- Medtronic$1K
- Sanofi-aventis U.S. LLC$1K
- plus $10K from 48 others
What the payments were for
- Speaking & faculty fees$2,00010%
- Food & beverage$18,18690%
- Education$1271%
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.
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
$20,313 in reported general payments places this provider in the 95th percentile of 1,357 family medicine providers in Iowa.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 72 | $47,605 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 32 | $25,968 |
| FarxigaDapagliflozin Propanediol | 15 | $14,916 |
| JardianceEmpagliflozin | 22 | $14,324 |
| MyrbetriqMirabegron | 11 | $11,147 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 15 | $10,760 |
| XareltoRivaroxaban | 27 | $9,725 |
| Omeprazole | 122 | $2,021 |
| Atorvastatin Calcium | 223 | $1,509 |
| Pyridostigmine Bromide | 14 | $1,096 |
| Gabapentin | 50 | $941 |
| SynthroidLevothyroxine Sodium | 12 | $892 |
| Pantoprazole Sodium | 68 | $752 |
| Metoprolol Succinate | 47 | $735 |
| Tamsulosin Hcl | 46 | $706 |
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 | $400 | $47,60572 claims |
| GSKTrelegy Ellipta | $820 | $25,96832 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $2,101 | $25,67530 claims |
| Boehringer IngelheimJardiance | $349 | $14,32422 claims |
| Astellas Pharma US IncMyrbetriq | $239 | $11,14711 claims |
| Johnson & JohnsonXarelto | $685 | $9,72527 claims |
| AbbVieSynthroid | $3,478 | $89212 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 1,357 family medicine providers in Iowa.
Other family medicine in Council Bluffs
- Kavish RohatgiCouncil Bluffs$14K
- Mel RocaCouncil Bluffs$13K
- Joseph WanzekCouncil Bluffs$13K
- James WhalenCouncil Bluffs$11K
- Barclay MonasterCouncil Bluffs$10K
- Krista HillCouncil Bluffs$8K
- Jamie ArmbrusterCouncil Bluffs$7K
- Thomas McElderryCouncil Bluffs$7K
- Pranith SurabhiCouncil Bluffs$7K
- Christian JonesCouncil Bluffs$6K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.