Thomas Showers, DO
Nephrology · Gillette, WYNPI 1821138272
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 28 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Johnson & Johnson at 35.6% of the total. 2025 is the largest year on record at $576, 3.5 times the $166 reported in 2019.
Across 28 payments — averaging $32.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$326
- Amgen$262
- Corcept Therapeutics$83
- AstraZeneca$81
- UCB, Inc.$40
- CSL Behring$26
- plus $97 from 5 others
What the payments were for
- Food & beverage$916100%
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 |
|---|---|---|
| Johnson & Johnson | 5 | $326 |
| Amgen | 13 | $262 |
| Corcept Therapeutics | 1 | $83 |
| AstraZeneca | 2 | $81 |
| UCB, Inc. | 1 | $40 |
| CSL Behring | 1 | $26 |
| Reprise Biomedical, Inc. | 1 | $24 |
| Chiesi USA, Inc. | 1 | $19 |
| Madrigal Pharmaceuticals | 1 | $19 |
| Novo Nordisk | 1 | $18 |
| Actelion Pharmaceuticals US, Inc. | 1 | $17 |
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.
- KRYSTEXXA$124
How this compares
Too few nephrology providers in Wyomingto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Metoprolol Succinate | 35 | $194 |
| Lisinopril | 12 | $50 |
| Promethazine Hcl | 12 | $27 |
| Levothyroxine Sodium | 12 | $0 |
Paid to pharmacies, not to this prescriber.
Other nephrology in Gillette
- Lukasz KiljanekGillette$328
- Robert NeuwirthGillette$181
- Rahul PawarRock Springs$604
- Ageselaos MearesCheyenne$405
- Casey WatkinsCheyenne$274
- Robert NeffCasper$126
- Eric SawyersCasper$0
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.