Elizabeth Lee Peppin, PA-C

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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.

Colleagues at Dickinson County Healthcare System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 101 clinicians in the practice; 12 are shown here.

• Dr. Susan Virginia Balmer, MD Internal Medicine Physician · Marquette, MI
• Dr. Bryan Douglas Brazeau, MD Emergency Medicine Physician · Saginaw, MI
• Dr. Elise Edwards-Cavalieri, MD Obstetrics & Gynecology Physician · Iron Mountain, MI
• Mrs. Emily Sue Essendrup, NP Family Nurse Practitioner · Iron Mountain, MI
• Spencer Lauren Franchi, DO Emergency Medicine Physician · Trenton, MI
• Dr. Tamar V Jeffery, MD Emergency Medicine Physician · Tuba City, AZ
• Anthony Jovanovich, DO Student in an Organized Health Care Education/Training Program · Jackson, MI
• Mrs. Robyn L Kazianka, PAC Physician Assistant · Iron Mountain, MI
• Tonia Darline Kroll, NP Nurse Practitioner · Marquette, MI
• Silvana Dhia Matte, MD Family Medicine Physician · East China, MI
• Eric William Toth, DO Emergency Medicine Physician · Iron Mountain, MI
• MS. Sarah Elizabeth Venditti, MD Orthopaedic Surgery Physician · Iron Mountain, MI

Other providers in Marquette

• Madalyne Faith-Renee Brazeau, PA

  Individual Medical Physician Assistant · NPI 1336808948

  850 W Baraga Ave, Marquette, MI 49855-4550 · (906) 449-3300

• Melissa A Broeders, PA-C

  Individual Medical Physician Assistant · NPI 1083618425

  1414 W Fair Ave Ste 201, Marquette, MI 49855-5406 · (906) 225-4500

• Christine Lynn Croney, PA-C

  Individual Medical Physician Assistant · NPI 1316374671

  580 W College Ave, Marquette, MI 49855-2736 · (906) 225-4575