Lael Beachler, DPM
Foot & Ankle Surgery · Powell, WYNPI 1922241181
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $435 of the $453 with a category attached, or 95.9%. Every reported general payment came from a single manufacturer, Gemini Mountain Medical, LLC.
Across 2 payments — averaging $226.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gemini Mountain Medical, LLC$453
What the payments were for
- Travel & lodging$43596%
- Food & beverage$194%
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 |
|---|---|---|
| Gemini Mountain Medical, LLC | 2 | $453 |
How this compares
Too few foot & ankle surgery providers in Wyomingto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Cephalexin | 125 | $1,201 |
| Gabapentin | 89 | $1,020 |
| Clindamycin Hcl | 20 | $263 |
| Dexamethasone | 15 | $140 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $125 |
| Diclofenac Sodium | 19 | $88 |
| Allopurinol | 19 | $35 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Powell
- Brandon ShelleyRock Springs$5K
- Brian FriisCheyenne$4K
- Craig CapronDouglas$3K
- Daniel JonesCasper$3K
- Steve RabonSheridan$2K
- Jason KaneSheridan$235
- Greg PoundGillette$114
- Rick RoperCheyenne$37
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.