Megan O'Neal
Nurse Practitioner · Waterloo, IANPI 1689158040
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (53.9%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Arthrex accounts for 71.5% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2022 at $4,076 and has fallen 99.1% since, to $38 in 2025. Among nurse practitioner 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 34 payments — averaging $130.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Wardlow Enterprises$720
- Stryker$207
- AstraZeneca$125
- Johnson & Johnson$73
- Convatec Inc.$50
- plus $95 from 5 others
What the payments were for
- Travel & lodging$1,22528%
- Food & beverage$82519%
- Education$2,40054%
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 |
|---|---|---|
| Arthrex | 11 | $3,180 |
| Wardlow Enterprises | 5 | $720 |
| Stryker | 6 | $207 |
| AstraZeneca | 1 | $125 |
| Johnson & Johnson | 3 | $73 |
| Convatec Inc. | 2 | $50 |
| Otsuka America Pharmaceutical, Inc. | 2 | $39 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
| Bioventus LLC | 1 | $17 |
| AbbVie | 1 | $16 |
| Harmony Biosciences LLC | 1 | $7 |
How this compares
$4,450 in reported general payments places this provider in the 95th percentile of 1,346 nurse practitioner providers in Iowa.
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.
Other nurse practitioner in Waterloo
- Jonathon HenningsWaterloo$11K
- Michaela JohnsonWaterloo$9K
- Crystal SchraderWaterloo$4K
- Irmela SalihovicWaterloo$4K
- Stephanie SmithWaterloo$3K
- Nicole MorganDes Moines$106K
- Julie CoffeyIowa City$31K
- Mary JohnsonDavenport$30K
- Megan Hart FernandezCedar Rapids$19K
- Carla HuberCedar Rapids$18K
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.