Mrs. Tiffini Lynn Esch, FNP-C

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.

• Memorial Healthcare Hospital · Owosso, MI

Colleagues at Memorial Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 206 clinicians in the practice; 12 are shown here.

• Dr. Kenni Jae Allen El-Amin, MD Geriatric Medicine (Internal Medicine) Physician · Dearborn, MI
• Anas Alsara, MD Internal Medicine Physician · Owosso, MI
• James William Aragones, DO Anesthesiology Physician · Lapeer, MI
• Mujtaba Cherri, MD Internal Medicine Physician · Detroit, MI
• Sara Ann Deringer-Kohorst, PA-C Medical Physician Assistant · Ovid, MI
• Dr. Martin Ugochukwu Egenti, MD Surgery Physician · Owosso, MI
• Marcus D Feldpausch, PA-C Medical Physician Assistant · Ovid, MI
• Dr. Garrett Brant Fisher Student in an Organized Health Care Education/Training Program · Midland, MI
• Dr. Maria Donna Galang-Qahwash, DO Ophthalmology Physician · Owosso, MI
• Jimmy Qaqish, MD Family Medicine Physician · Owosso, MI
• Reddog Eitig Sina, DO Family Medicine Physician · East Lansing, MI
• Patrick Allen Yousif, DO Internal Medicine Physician · Detroit, MI

Other providers in Laingsburg

• Erin Rice, FNP-C

  Individual Family Nurse Practitioner · NPI 1861086613

  317 E Grand River Rd, Laingsburg, MI 48848-8742 · (517) 651-2801