Robert Jerstad, DO
Anesthesiology · Des Moines, IANPI 1467432013
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 22 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Merck at 41.2% of the total. Reporting peaked in 2024 at $128 and has fallen 70.1% since, to $38 in 2025.
Across 22 payments — averaging $19.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$174
- Vyaire Medical, Inc.$96
- Vertex$32
- Chiesi USA, Inc.$29
- Pacira Pharmaceuticals Incorporated$27
- Edwards Lifesciences$20
- plus $44 from 3 others
What the payments were for
- Food & beverage$421100%
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 |
|---|---|---|
| Merck | 9 | $174 |
| Vyaire Medical, Inc. | 5 | $96 |
| Vertex | 1 | $32 |
| Chiesi USA, Inc. | 2 | $29 |
| Pacira Pharmaceuticals Incorporated | 1 | $27 |
| Edwards Lifesciences | 1 | $20 |
| Regeneron Healthcare Solutions, Inc. | 1 | $17 |
| Heron Therapeutics, Inc. | 1 | $16 |
| Acacia Pharma Inc | 1 | $10 |
How this compares
$421 in reported general payments places this provider in the 85th percentile of 388 anesthesiology 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 anesthesiology in Des Moines
- Bryan PurdyDes Moines$12K
- Allen EckhoffDes Moines$1K
- Dana LowryDes Moines$1K
- Jim DuongDes Moines$1K
- Dustin WiemersDes Moines$756
- John PaszekDes Moines$681
- John SkoogDes Moines$631
- Tyler VoigtDes Moines$522
- Joseph WickardDes Moines$497
- Sung KimDes Moines$446
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.