Amanda Langford, ARNP

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Van Diest Medical Center Hospital · Webster City, IA

Colleagues at Hamilton County Public Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 33 clinicians in the practice; 12 are shown here.

• Dr. Matthew Alan Allred, DO Family Medicine Physician · Webster City, IA
• Dr. Dapka Nicholas Baccam, MD Surgery Physician · Des Moines, IA
• Elise A G Duwe Family Medicine Physician · Webster City, IA
• Nicole L. Ehn, MD Family Medicine Physician · Webster City, IA
• Mr. Darin Eklund, PA-C Physician Assistant · Webster City, IA
• Jessica Marie Kruckenberg Family Nurse Practitioner · Webster City, IA
• MS. Antoinette Kathleen Martz, ARNP Nurse Practitioner · Dayton, IA
• Alan P Nguyen, DO Family Medicine Physician · Fort Dodge, IA
• Dr. Subhash C Sahai, MD Family Medicine Physician · Webster City, IA
• Roshan Sinha, MD Family Medicine Physician · Des Moines, IA
• Julie Trout Psychiatric/Mental Health Nurse Practitioner · Webster City, IA
• Travis Arthur Williams, PA-C Physician Assistant · Des Moines, IA

Other providers in Pleasant Hill

• Mrs. Tonia K Ackerman, ARNP

  Individual Family Nurse Practitioner · NPI 1932142692

  5900 E University Ave Ste 301, Pleasant Hill, IA 50327-8469 · (515) 304-3880

• Megan N Ferguson, ARNP

  Individual Family Nurse Practitioner · NPI 1558698753

  5900 E University Ave Ste 301, Pleasant Hill, IA 50327-8469 · (515) 304-3880