Richard Vetter, MD
Family Medicine · West Fargo, NDNPI 1427085042
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $293,981 of the $293,981 with a category attached, or 100.0%. Takeda Pharmaceuticals U.S.A., Inc. accounts for 73.3% of it on its own, with 1 other manufacturer making up the rest. Among family medicine clinicians in ND 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 107 payments — averaging $2747.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$216K
- Shire North American Group Inc$78K
What the payments were for
- Consulting fees$293,981100%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 77 | $215,620 |
| Shire North American Group Inc | 30 | $78,362 |
How this compares
$293,981 in reported general payments places this provider in the 95th percentile of 337 family medicine providers in North Dakota.
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 |
|---|---|---|
| OzempicSemaglutide | 38 | $36,138 |
| EliquisApixaban | 33 | $23,447 |
| MounjaroTirzepatide | 17 | $17,293 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 11 | $13,236 |
| Tresiba Flextouch U-100Insulin Degludec | 12 | $6,000 |
| Incruse ElliptaUmeclidinium Bromide | 17 | $5,465 |
| Advair HfaFluticasone Propion/Salmeterol | 11 | $4,679 |
| Testosterone | 12 | $3,786 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 16 | $2,130 |
| SynthroidLevothyroxine Sodium | 18 | $1,968 |
| Tamsulosin Hcl | 91 | $1,468 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 39 | $1,378 |
| Levothyroxine Sodium | 91 | $1,207 |
| Metoprolol Succinate | 71 | $972 |
| Atorvastatin Calcium | 99 | $909 |
Paid to pharmacies, not to this prescriber.
Other family medicine in West Fargo
- Katherine NeubauerWest Fargo$160K
- Thomas ThorsonMandan$241K
- Gregory GreekGrand Forks$216K
- Spencer BerryFargo$81K
- Eric JohnsonGrand Forks$52K
- Stuart TopleyFargo$24K
- Jacqueline QuisnoBismarck$19K
- Jeffrey SmithBismarck$15K
- Hoadley HarrisFargo$10K
- Joel SchockFargo$9K
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.