Terry Donaldson, MD
Internal Medicine · Rock Springs, WYNPI 1417903709
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 70 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 19 manufacturers, the largest accounting for just 15.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $331 and has fallen 93.9% since, to $20 in 2025. Among internal medicine clinicians in WY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 70 payments — averaging $15.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$160
- AbbVie$129
- Merck$115
- GSK$101
- Novo Nordisk$93
- Lilly USA, LLC$81
- plus $373 from 13 others
What the payments were for
- Food & beverage$1,052100%
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 |
|---|---|---|
| AstraZeneca | 10 | $160 |
| AbbVie(2 entities) | 7 | $129 |
| Merck | 8 | $115 |
| GSK | 3 | $101 |
| Novo Nordisk | 7 | $93 |
| Lilly USA, LLC | 6 | $81 |
| Amgen | 6 | $76 |
| Boehringer Ingelheim | 4 | $58 |
| Pfizer | 4 | $49 |
| Sunovion Pharmaceuticals Inc. | 3 | $30 |
| Johnson & Johnson | 2 | $25 |
| Boston Scientific | 2 | $24 |
| Amarin Pharma, Inc. | 2 | $23 |
| Veloxis Pharmaceuticals, Inc. | 1 | $22 |
| Vistapharm, Inc. | 1 | $15 |
| Upsher-smith Laboratories LLC | 1 | $14 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
| Astellas Pharma US Inc | 1 | $12 |
| Teva Pharmaceuticals USA, Inc. | 1 | $12 |
How this compares
$1,052 in reported general payments places this provider in the 90th percentile of 101 internal medicine providers in Wyoming.
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 |
|---|---|---|
| Prednisone | 12 | $33 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Rock Springs
- Israel StewartRock Springs$6K
- Bryan ParadiseRock Springs$225
- Ahmad BashirimoghaddamRock Springs$105
- Michelle NeiceDouglas$4K
- David WalkerSheridan$3K
- Juli AckermanSheridan$3K
- Hannah HallSheridan$3K
- Kristopher SchamberSheridan$2K
- Julie CarlsonLaramie$2K
- John ThalkenDouglas$1K
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.