Lance Guyett
Nurse Practitioner · Williamsville, NYNPI 1598748774
Payments from drug & device makers
Across 249 payments — averaging $21.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$3K
- Johnson & Johnson$1K
- Abbott$227
- Pfizer$190
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$148
- Medtronic$135
- plus $129 from 4 others
What the payments were for
- Travel & lodging$1,11221%
- Food & beverage$4,17479%
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 |
|---|---|---|
| Boston Scientific | 48 | $3,422 |
| Johnson & Johnson | 164 | $1,034 |
| Abbott | 8 | $227 |
| Pfizer | 10 | $190 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 8 | $148 |
| Medtronic | 6 | $135 |
| Impulse Dynamics (USA) Inc. | 2 | $65 |
| Kestra Medical Technology Services, Inc. | 1 | $31 |
| Actelion Pharmaceuticals US, Inc. | 1 | $20 |
| E.r. Squibb & Sons, L.L.C. | 1 | $13 |
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.
- GENERAL - THERAPIES$2,025
- RESONATE EL ICD VR$135
- ACCOLADE SR$129
How this compares
$5,286 in reported general payments places this provider in the 95th percentile of 4,112 nurse practitioner providers in New York.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Dofetilide | 18 | $2,559 |
| Amiodarone Hcl | 21 | $363 |
| Flecainide Acetate | 15 | $268 |
| SotalolSotalol Hcl | 13 | $72 |
| Metoprolol Succinate | 12 | $49 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Williamsville
- Susan KreppelWilliamsville$67K
- Julia GajewskiWilliamsville$16K
- Kyle Horton-MaserWilliamsville$12K
- Patricia McGoldrickNew York$202K
- Michelle DartSyracuse$95K
- Kerry AhernEast Syracuse$55K
- Valerie StanleyAlbany$55K
- Jodi LogerfoNew York$48K
- Grace WlasowiczRochester$41K
- Melissa LevinElmhurst$34K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.