Sierra Elaine Holiman, 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.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Mercy Hospital Southeast Hospital · Cape Girardeau, MO · listed as Southeast Hospital
• Missouri Delta Medical Center Hospital · Sikeston, MO
• Mercy Hospital Stoddard Hospital · Dexter, MO

Colleagues at Dexter Hospital, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 16 clinicians in the practice; 12 are shown here.

• Addison Caraway Physician Assistant · Cape Girardeau, MO
• Dr. Jefferydon Lee Coon, DO Internal Medicine Physician · Pocahontas, AR
• Sarah Ellizabeth Couch Family Nurse Practitioner · Poplar Bluff, MO
• Mrs. Kimberly Essner, MS-PAC Physician Assistant · Dexter, MO
• Kristin Suzanne Wheeler Guethle, NP-C Family Nurse Practitioner · Dexter, MO
• Mrs. Laurie Muriel Jibben, APN Family Nurse Practitioner · Dexter, MO
• Mrs. Judy Pedigo, FNP Nurse Practitioner · Dexter, MO
• Dr. Edward D Reese, MD Family Medicine Physician · Dexter, MO
• Dr. Rodney T. Rubi, MD Internal Medicine Physician · Ellington, MO
• William Ray Silliman, MD Surgery Physician · Cape Girardeau, MO
• Natasha Ware, MD Family Medicine Physician · Dexter, MO
• Richard L Wirz Jr., DO Surgery Physician · Cape Girardeau, MO

Other providers in New Madrid

• Briana Thompson, FNP

  Individual Family Nurse Practitioner · NPI 1083152847

  615 Main St, New Madrid, MO 63869-1513 · (573) 748-2546