Who Paid My Doc
Tiffany Spaulding
Family Medicine Casper, WY Doctor of Osteopathy
NPI 1679704753 CMS profile 166644
1522 E A St, Casper, WY 82601
General payments
$2,466
Research payments
$0
Ownership & investment interest
$0
Through program year 2024, Tiffany Spaulding of Casper, WY is reported in the CMS Open Payments database as having received $2,466 across 151 general payments and $0 in research payments paid to them.
No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.
General payments for this record sit in the 82nd percentile of Family Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
6 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2024 | General | $127 | 5 | |
| 2023 | General | $367 | 21 | |
| 2022 | General | $502 | 29 | |
| 2021 | General | $563 | 37 | |
| 2020 | General | $380 | 24 | |
| 2019 | General | $528 | 35 |
Beside peers
- Tiffany Spaulding
- Family Medicine median
- Middle half of Family Medicine
- National median
In program year 2025, general payments to Tiffany Spaulding were reported at $0. Among 56,786 Family Medicine profiles paid that year, the median was $155 and the middle half received between $45 and $549.
Show as a table
| Year | Tiffany Spaulding | Family Medicine median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $528 | $150 | $41–$543 | $163 |
| 2020 | $380 | $120 | $32–$415 | $114 |
| 2021 | $563 | $137 | $35–$551 | $132 |
| 2022 | $502 | $137 | $37–$512 | $149 |
| 2023 | $367 | $149 | $42–$545 | $160 |
| 2024 | $127 | $156 | $44–$560 | $164 |
| 2025 | $0 | $155 | $45–$549 | $169 |
Breakdown
A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.
Prescribing to Medicare patients
Part D · data year 2024 · 25 drugsPart D claims
565
Drug cost
$31,397
Branded share of claims
16.3%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Farxiga Dapagliflozin Propanediol | Brand | 24 | $14,566 | |
| Myrbetriq Mirabegron | Brand | 11 | $7,798 | |
| Toujeo Solostar Insulin Glargine,hum.Rec.Anlog | Brand | 11 | $4,463 | |
| Levothyroxine Sodium | Generic | 55 | $621 | |
| Np Thyroid Thyroid,pork | Brand | 14 | $537 | |
| Potassium Chloride | Generic | 23 | $528 | |
| Omeprazole | Generic | 31 | $256 | |
| Liothyronine Sodium | Generic | 13 | $222 | |
| Atorvastatin Calcium | Generic | 33 | $214 | |
| Simvastatin | Generic | 36 | $213 |
The 10 drugs with the highest cost, of 25 counted.
Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 105,120 Part D prescribers listed as Family Practice; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 15 billing codesPaid by Medicare
$606
Medicare patients
14
Services billed
60
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| Alzheimer's or dementia | 0% |
Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.
Records
151 reportedEvery payment, record by record
Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.
Other Family Medicine in Wyoming
Related records
Family Medicine in Wyoming
Practitioners in the same specialty and state, ranked by reported value.
All Family Medicine
Everyone recorded under this specialty, nationwide.
Doctors in Wyoming
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
What this means
U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.
An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.
Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.