Melissa Hieb, DO
Obstetrics & Gynecology · Casper, WYNPI 1225255466
Payments from drug & device makers
What this record shows
This record is dominated by education: $6,016 of the $6,811 with a category attached, or 88.3%. Intuitive Surgical accounts for 90.9% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2022 at $6,316 and has fallen 98.2% since, to $113 in 2025.
Across 46 payments — averaging $148.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$6K
- AbbVie$177
- Astellas Pharma US Inc$130
- Merck$82
- Organon$54
- Myovant Sciences Inc.$50
- plus $127 from 7 others
What the payments were for
- Food & beverage$78512%
- Education$6,01688%
- Gifts$100%
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 |
|---|---|---|
| Intuitive Surgical | 8 | $6,191 |
| AbbVie | 10 | $177 |
| Astellas Pharma US Inc | 5 | $130 |
| Merck | 6 | $82 |
| Organon | 7 | $54 |
| Myovant Sciences Inc. | 3 | $50 |
| Hologic Sales And Service, LLC | 1 | $27 |
| C. R. Bard, Inc. & Subsidiaries | 1 | $23 |
| Bayer | 1 | $19 |
| Daiichi Sankyo Inc. | 1 | $17 |
| Roche Diagnostics Corporation | 1 | $16 |
| Exact Sciences | 1 | $13 |
| Exeltis, USA Inc. | 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.
- DAVINCI XI$6,000
How this compares
$6,811 in reported general payments places this provider in the 85th percentile of 58 obstetrics & gynecology providers in Wyoming.
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 |
|---|---|---|
| Medroxyprogesterone Acetate | 12 | $45 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Casper
- Carrie MerrillCasper$780
- Brittany MyersCasper$650
- Susan SheridanCasper$647
- Samuel VigneriCasper$109
- Laura SmothersCasper$61
- Patricia BellCasper$19
- Samantha MichelenaCheyenne$15K
- Lindsay CapronSheridan$9K
- Roger BrecheenJackson$8K
- Shannon RobertsJackson$7K
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.