Samuel Reck, MD
Dermatology · Billings, MTNPI 1790832756
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.8% of the total across 18 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 12 manufacturers, the largest accounting for just 14.1% — the pattern of someone who eats at a lot of different presentations. 2024 is the largest year on record at $174, 8.5 times the $21 reported in 2020. That places this record below the midpoint for dermatology clinicians in MT, where the typical reported total is $1,595.
Across 18 payments — averaging $18.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$47
- Novartis$47
- Incyte Corporation$38
- AbbVie$38
- Regeneron Healthcare Solutions, Inc.$28
- E.r. Squibb & Sons, L.L.C.$26
- plus $108 from 6 others
What the payments were for
- Food & beverage$31294%
- Education$216%
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 |
|---|---|---|
| Amgen | 3 | $47 |
| Novartis | 2 | $47 |
| Incyte Corporation | 2 | $38 |
| AbbVie | 2 | $38 |
| Regeneron Healthcare Solutions, Inc. | 1 | $28 |
| E.r. Squibb & Sons, L.L.C. | 2 | $26 |
| Sanofi-aventis U.S. LLC | 1 | $21 |
| Biofrontera Inc. | 1 | $20 |
| Lilly USA, LLC | 1 | $19 |
| Sanofi | 1 | $19 |
| Boehringer Ingelheim | 1 | $15 |
| Johnson & Johnson | 1 | $15 |
How this compares
$332 in reported general payments places this provider in the 30th percentile of 46 dermatology providers in Montana.
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 |
|---|---|---|
| Cosentyx Sensoready (2 Pens)Secukinumab | 11 | $99,431 |
| Dupixent PenDupilumab | 15 | $55,858 |
| Fluorouracil | 133 | $10,098 |
| Clobetasol Propionate | 182 | $6,968 |
| Betamethasone Dipropionate | 75 | $2,139 |
| Mometasone Furoate | 69 | $1,485 |
| Doxycycline Monohydrate | 46 | $1,448 |
| Metronidazole | 26 | $1,255 |
| Ketoconazole | 45 | $1,054 |
| Doxycycline Hyclate | 30 | $1,039 |
| Pentoxifylline | 19 | $800 |
| Clindamycin Phosphate | 30 | $750 |
| Triamcinolone Acetonide | 59 | $530 |
| MethotrexateMethotrexate Sodium | 19 | $429 |
| ValacyclovirValacyclovir Hcl | 13 | $323 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Billings
- Eric MarandaBillings$5K
- Chloe EkelemBillings$3K
- Austin SmithBillings$658
- Gail KlemanBillings$243
- Kimberly BlainBillings$117
- Diana NortonBillings$0
- Michelle SpennyBillings$0
- Neil SwansonMissoula$148K
- Leslie StappGreat Falls$58K
- Shannon FosterMissoula$11K
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.