Mrs. Kari Nicole Koster, RN, APRN

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 Community Health and Emergency Services Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

• MS. Elizabeth Ann Bebout, PAC Physician Assistant · Harrisburg, IL
• MS. Rebekah B Bogan, FNP Registered Nurse · Cairo, IL
• Robert Daniel Dansby III, APRN Family Nurse Practitioner · Cairo, IL
• W Christine Davis, NP Nurse Practitioner · Golconda, IL
• Mr. Leon Gauthier, PA-C Physician Assistant · Herrin, IL
• MS. Maureen Jane Klemme, CNP Nurse Practitioner · Carbondale, IL
• Colleen M Lawler-Bjornberg, MD Internal Medicine Physician · Marion, IL
• Lilee Robinson, PAC Physician Assistant · Carbondale, IL
• Dr. Razia Sami, MD Internal Medicine Physician · West Frankfort, IL
• Natasha Charlyn Shafer, FNP-BC Family Nurse Practitioner · Carbondale, IL
• Valerie A. Wilson, LCSW Clinical Social Worker · Bloomington, IL