Rebecca Deal, MD
Payments from drug & device makers
What this record shows
This record is dominated by education: $13,500 of the $18,196 with a category attached, or 74.2%. Intuitive Surgical accounts for 92.2% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $12,073 and has fallen 74.6% since, to $3,065 in 2025. Among surgery clinicians in WY 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 62 payments — averaging $293.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$17K
- Zimmer Biomet$795
- Kerecis Limited$285
- BD$216
- Conmed Corporation$33
- Hologic Sales And Service, LLC$31
- plus $55 from 3 others
What the payments were for
- Travel & lodging$2,85316%
- Food & beverage$1,4328%
- Education$13,50074%
- Gifts$4112%
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 | 43 | $16,779 |
| Zimmer Biomet | 7 | $795 |
| Kerecis Limited | 3 | $285 |
| BD | 4 | $216 |
| Conmed Corporation | 1 | $33 |
| Hologic Sales And Service, LLC | 1 | $31 |
| Acera Surgical, Inc. | 1 | $21 |
| Integra Lifesciences Corporation | 1 | $20 |
| Aroa Biosurgery Incorporated | 1 | $14 |
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.
- Da Vinci Surgical System$12,463
- DAVINCI XI$3,500
- Kerecis Omega3 Marigen$704
- Kerecis Omega3 SurgiClose$176
How this compares
$18,196 in reported general payments places this provider in the 95th percentile of 49 surgery 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 |
|---|---|---|
| Sucralfate | 11 | $218 |
| Omeprazole | 16 | $111 |
| Oxycodone Hcl | 12 | $37 |
Paid to pharmacies, not to this prescriber.
Other surgery in Cody
- Thomas EtterCody$12K
- James JohnsonCody$2K
- Jeremy GatesCheyenne$44K
- Jacob RinkerGillette$21K
- Jonathan GrosdidierDouglas$17K
- Kris CanfieldGillette$12K
- Samuel SaltzCheyenne$11K
- Lane SmothersCasper$10K
- Augusto JamiasRock Springs$10K
- Nathaniel KaanCheyenne$10K
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.