Timothy Shank

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.

• Mark Twain Medical Center Hospital · San Andreas, CA
• Sutter Amador Hospital Hospital · Jackson, CA

Colleagues at Mark Twain Health Care District

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 17 clinicians in the practice; 12 are shown here.

• Mrs. Diana Lyn Coleman, FNP Family Nurse Practitioner · Rancho Cordova, CA
• Rachall Crowe, FNP-BC Emergency Registered Nurse · Valley Springs, CA
• Daniel Hulse Davies, PHD Clinical Psychologist · Folsom, CA
• Susan Deax-Keirns, MFT Marriage & Family Therapist · Murphys, CA
• Breanna Herron, LMFT Marriage & Family Therapist · Valley Springs, CA
• Shannon Kelaita Social Worker · San Andreas, CA
• Mrs. Sarah Krutsinger, LCSW Clinical Social Worker · Murphys, CA
• Dr. James D. Mosson, MD Internal Medicine Physician · Sonora, CA
• Katherine Eileen Murphy Registered Nurse · Valley Springs, CA
• Rhoda I. Nussbaum, MD Obstetrics & Gynecology Physician · San Francisco, CA
• Barbara Lee Saul, DO Family Medicine Physician · San Diego, CA
• Dr. Randall Smart, MD Internal Medicine Physician · Murphys, CA

Other providers in Valley Springs

• Melanie Ann Yurkovich, FNP

  Individual Family Nurse Practitioner · NPI 1962772335

  1919 Vista Del Lago, Valley Springs, CA 95252-9294 · (209) 772-9538