Shelby Meyer
Acute Care · Marion, IANPI 1750857264
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% 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 13 manufacturers, the largest accounting for just 13.4% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for acute care clinicians in IA, where the typical reported total is $313.
Across 18 payments — averaging $16.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$39
- Pfizer$34
- Takeda Pharmaceuticals U.S.A., Inc.$29
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$28
- Boehringer Ingelheim$27
- Amarin Pharma, Inc.$20
- plus $113 from 7 others
What the payments were for
- Food & beverage$289100%
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 |
|---|---|---|
| Novo Nordisk | 2 | $39 |
| Pfizer | 2 | $34 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $29 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $28 |
| Boehringer Ingelheim | 2 | $27 |
| Amarin Pharma, Inc. | 1 | $20 |
| Bayer | 1 | $20 |
| Sanofi Pasteur Inc. | 1 | $19 |
| Biohaven Pharmaceuticals, Inc. | 1 | $17 |
| AbbVie | 1 | $17 |
| AstraZeneca | 1 | $14 |
| Lilly USA, LLC | 1 | $13 |
| Jazz Pharmaceuticals Inc. | 1 | $11 |
How this compares
$289 in reported general payments places this provider in the 45th percentile of 104 acute care 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Doxycycline Hyclate | 29 | $242 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 22 | $235 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 11 | $206 |
| Cephalexin | 26 | $192 |
| Fluticasone Propionate | 14 | $124 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $104 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $85 |
| Methylprednisolone | 13 | $84 |
| Ondansetron OdtOndansetron | 11 | $62 |
| Cyclobenzaprine Hcl | 24 | $58 |
| Prednisone | 28 | $57 |
| Azithromycin | 13 | $32 |
Paid to pharmacies, not to this prescriber.
Other acute care in Marion
- Whitney HankenCedar Rapids$73K
- Jessica WitterDavenport$5K
- Michele RenzeDes Moines$5K
- Samantha BoninDes Moines$4K
- Teri DevineDavenport$4K
- Nicole BanasikCedar Rapids$4K
- Kristel HowellDes Moines$3K
- Tabetha GehrkeWaterloo$3K
- Nicole DupreeWaterloo$3K
- Shawna DuskeDavenport$2K
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.