Thomas Wernimont, MD
Emergency Medicine · Ames, IANPI 1003030628
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $134,319 of the $134,335 with a category attached, or 100.0%. Takeda Pharmaceuticals U.S.A., Inc. accounts for 98.3% of it on its own, with 2 other manufacturers making up the rest. 2025 is the largest year on record at $24,596, more than ten times the $2,275 reported in 2019. Among emergency medicine 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 72 payments — averaging $1865.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$132K
- Shire North American Group Inc$2K
- Medtronic$16
What the payments were for
- Consulting fees$134,319100%
- Food & beverage$160%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 68 | $132,044 |
| Shire North American Group Inc | 3 | $2,275 |
| Medtronic | 1 | $16 |
How this compares
$134,335 in reported general payments places this provider in the 95th percentile of 360 emergency medicine 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 |
|---|---|---|
| CefuroximeCefuroxime Axetil | 15 | $277 |
| Cephalexin | 26 | $115 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $75 |
| Oxycodone Hcl | 20 | $46 |
| Cyclobenzaprine Hcl | 14 | $45 |
| Prednisone | 11 | $19 |
| Tramadol Hcl | 11 | $13 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Ames
- Anthony CarterCedar Rapids$408K
- David TalanIowa City$48K
- Hijinio CarreonDes Moines$25K
- Todd SextonDes Moines$5K
- Philip SpanheimerIowa City$5K
- Scott MurraySioux City$5K
- Mohammad KotobIowa City$3K
- Ryan BakkeNewton$3K
- Daniel RundeIowa City$2K
- Patricia EndressMason City$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.