Tyler Clark, MD
Physical Medicine & Rehabilitation · Billings, MTNPI 1831623826
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,241 of the $1,843 with a category attached, or 67.3%. Boston Scientific accounts for 65.7% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2021 at $929 and has fallen 72.8% since, to $253 in 2025. Among physical medicine & rehabilitation clinicians in MT 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 25 payments — averaging $73.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$1K
- SPR Therapeutics, Inc$191
- Bioventus LLC$148
- Nevro Corp.$130
- Stryker$110
- Pacira Pharmaceuticals Incorporated$30
- plus $24 from 1 others
What the payments were for
- Travel & lodging$60333%
- Food & beverage$1,24167%
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 |
|---|---|---|
| Boston Scientific | 11 | $1,211 |
| SPR Therapeutics, Inc | 4 | $191 |
| Bioventus LLC | 1 | $148 |
| Nevro Corp. | 2 | $130 |
| Stryker | 4 | $110 |
| Pacira Pharmaceuticals Incorporated | 2 | $30 |
| Medtronic | 1 | $24 |
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
$1,843 in reported general payments places this provider in the 90th percentile of 24 physical medicine & rehabilitation providers in Montana.
See all physical medicine & rehabilitation providers in Montana →
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 |
|---|---|---|
| Gabapentin | 49 | $456 |
| Pregabalin | 13 | $326 |
| Baclofen | 12 | $171 |
| Cyclobenzaprine Hcl | 14 | $79 |
| Meloxicam | 11 | $11 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in Billings
- Earl HealyBillings$2K
- James JohnsonBillings$155
- Gregg SingerBillings$67
- Blackshear BryanBillings$36
- Terrence CahillBillings$15
- Lindsey BeckBillings$0
- Joseph ShurtzMissoula$91K
- Catherine CooperMissoula$3K
- Kegan CunniffMissoula$1K
- Adam ServerMissoula$534
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.