Mr. Jonathan Alvaro

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.

• Corewell Health Pennock Hospital Hospital · Hastings, MI · listed as Pennock Hospital
• Spectrum Health Hospital · Grand Rapids, MI · listed as Spectrum Health Hospital
• Spectrum Health United Hospital Hospital · Greenville, MI · listed as Spectrum Health Hospital

Colleagues at Pennock Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 76 clinicians in the practice; 12 are shown here.

• Muriel Ann Arrowsmith, FNP Nurse Practitioner · Wayland, MI
• David John Dargis, DO Surgery Physician · Hastings, MI
• Tabitha Jane Ewert, PA-C Physician Assistant · Wayland, MI
• Jamie Lynn Gothberg, NP Family Nurse Practitioner · Ionia, MI
• Carey Sue Groendal, CNM Advanced Practice Midwife · Hastings, MI
• Dr. Eric S Leep, DO Physical Medicine & Rehabilitation Physician · Hastings, MI
• Shannon Lopez, DNP, FNP-C Family Nurse Practitioner · Ionia, MI
• Dr. Ilanit Marx, DNP Gerontology Nurse Practitioner · Grand Rapids, MI
• Maren Marie McCarthy, PA-C Physician Assistant · Grand Rapids, MI
• Gabriel Neil, PA-C Physician Assistant · Lake Odessa, MI
• Dr. Max D Rappaport, MD Surgery Physician · Hastings, MI
• MS. Jerinda K Schell, PA Medical Physician Assistant · Middleville, MI

Other providers in Lake Odessa

• MS. Kristen Nicole Gilley, PA-C

  Individual Physician Assistant · NPI 1760124176

  4294 Laurel Dr, Lake Odessa, MI 48849-8430 · (616) 374-7660

• Gabriel Neil, PA-C

  Individual Physician Assistant · NPI 1447129234

  4294 Laurel Dr, Lake Odessa, MI 48849-8430 · (616) 374-7660