Peter Lapen
Physical Medicine & Rehabilitation · Wyoming, MINPI 1275847717
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.2% of the total across 92 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 26 manufacturers reported payments, led by Abbott at 43.2% of the total. Reporting peaked in 2022 at $813 and has fallen 95.5% since, to $37 in 2025. Among physical medicine & rehabilitation clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 92 payments — averaging $34.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$1K
- Si-bone, Inc.$343
- Nevro Corp.$283
- AbbVie$180
- Medtronic$156
- Boston Scientific$102
- plus $755 from 20 others
What the payments were for
- Travel & lodging$2177%
- Food & beverage$2,98893%
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 |
|---|---|---|
| Abbott | 26 | $1,386 |
| Si-bone, Inc. | 6 | $343 |
| Nevro Corp. | 3 | $283 |
| AbbVie(2 entities) | 11 | $180 |
| Medtronic(2 entities) | 8 | $156 |
| Boston Scientific | 1 | $102 |
| SPR Therapeutics, Inc | 1 | $96 |
| UCB, Inc. | 4 | $75 |
| Lilly USA, LLC | 5 | $69 |
| Novartis | 4 | $68 |
| EMD Serono, Inc. | 3 | $55 |
| Banner Life Sciences, LLC | 3 | $53 |
| Stryker | 2 | $44 |
| Neurocrine Biosciences, Inc. | 2 | $38 |
| Avanos Medical | 1 | $37 |
| Tanabe Pharma America, Inc. | 1 | $34 |
| Bristol Myers Squibb | 2 | $31 |
| Jazz Pharmaceuticals Inc. | 1 | $26 |
| AstraZeneca | 1 | $20 |
| SK Life Science, Inc. | 1 | $20 |
| Argenx US, Inc. | 1 | $18 |
| Adamas Pharmaceuticals, Inc. | 1 | $18 |
| Lundbeck LLC | 1 | $16 |
| Amneal Pharmaceuticals LLC | 1 | $14 |
| Avion Pharmaceuticals | 1 | $12 |
| E.r. Squibb & Sons, L.L.C. | 1 | $12 |
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
$3,205 in reported general payments places this provider in the 90th percentile of 469 physical medicine & rehabilitation providers in Michigan.
See all physical medicine & rehabilitation providers in Michigan →
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Baclofen | 46 | $658 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in Wyoming
- Edward DabrowskiRoseville$167K
- Erika ErlandsonAnn Arbor$54K
- Gianna Maria RodriguezAnn Arbor$41K
- Mathew SaffarianEast Lansing$24K
- Jason PeterTroy$20K
- David WiersemaSaginaw$17K
- Satyum ParikhWarren$11K
- Reginald KapteynMuskegon$11K
- Emily GladstoneGrand Rapids$10K
- In YoonDearborn$10K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.