Sheryl Mulder
Nurse Practitioner · Ottumwa, IANPI 1962497438
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (58.7%), speaking fees and education — rather than concentrated in one kind of arrangement. It is spread thinly across 25 manufacturers, the largest accounting for just 20.8%. 2025 is the largest year on record at $4,050, 7.9 times the $512 reported in 2021. Among nurse practitioner clinicians in IA 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 221 payments — averaging $36.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- LNHC, Inc$2K
- E.r. Squibb & Sons, L.L.C.$1K
- Johnson & Johnson$813
- Sun Pharmaceutical Industries Inc.$741
- AbbVie$738
- Galderma Laboratories, L.p.$504
- plus $3K from 19 others
What the payments were for
- Consulting fees$6448%
- Speaking & faculty fees$1,60020%
- Travel & lodging$3204%
- Food & beverage$4,74859%
- Education$77310%
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 |
|---|---|---|
| LNHC, Inc | 2 | $1,681 |
| E.r. Squibb & Sons, L.L.C. | 23 | $1,006 |
| Johnson & Johnson | 34 | $813 |
| Sun Pharmaceutical Industries Inc. | 25 | $741 |
| AbbVie | 45 | $738 |
| Galderma Laboratories, L.p. | 10 | $504 |
| UCB, Inc. | 16 | $390 |
| Novartis | 13 | $336 |
| Pfizer | 9 | $245 |
| Janssen Scientific Affairs, LLC | 2 | $194 |
| Dermavant Sciences, Inc. | 5 | $173 |
| Organogenesis Inc. | 4 | $166 |
| Sanofi | 3 | $157 |
| LEO Pharma Inc. | 1 | $142 |
| Lilly USA, LLC | 6 | $127 |
| Incyte Corporation | 1 | $113 |
| Organon | 2 | $99 |
| Regeneron Healthcare Solutions, Inc. | 4 | $96 |
| Boehringer Ingelheim | 4 | $96 |
| Arcutis Biotherapeutics, Inc. | 4 | $80 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $67 |
| Amgen | 3 | $62 |
| Biofrontera Inc. | 2 | $25 |
| Convatec Inc. | 1 | $20 |
| Blueprint Medicines Corporation | 1 | $13 |
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.
How this compares
$8,085 in reported general payments places this provider in the 95th percentile of 1,346 nurse practitioner 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 |
|---|---|---|
| Tacrolimus | 30 | $5,562 |
| Acitretin | 14 | $4,061 |
| Fluocinonide | 80 | $2,721 |
| Metronidazole | 38 | $2,514 |
| Ketoconazole | 115 | $1,747 |
| Triamcinolone Acetonide | 210 | $1,588 |
| Doxycycline Monohydrate | 78 | $1,560 |
| Clindamycin Phosphate | 31 | $1,536 |
| Clobetasol Propionate | 21 | $1,217 |
| ValacyclovirValacyclovir Hcl | 25 | $747 |
| ProgesteroneProgesterone, Micronized | 12 | $704 |
| Spironolactone | 14 | $617 |
| Nystatin | 23 | $376 |
| Silver Sulfadiazine | 20 | $223 |
| Mupirocin | 31 | $194 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Ottumwa
- Nicole MorganDes Moines$106K
- Julie CoffeyIowa City$31K
- Mary JohnsonDavenport$30K
- Megan Hart FernandezCedar Rapids$19K
- Carla HuberCedar Rapids$18K
- Beth ChiaWest Des Moines$15K
- Margaret KinneyRed Oak$13K
- Abbey ModlinDes Moines$12K
- Jonathon HenningsWaterloo$11K
- Michaela JohnsonWaterloo$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.