GlassScriptPhysician profile
Bernard P Grunstra
NPI 1558367417
$15,766.63
in general payments reported to CMS, 2019-2025
51 companies · $3,420 in 2025
The $3,420 reported for 2025 was more than what 97% of Internal Medicine providers received nationally (typical 2025 total: $156).
Payments by year
General and research payments by program year, as reported to CMS.
General payments by year: 2019: $995 · 2020: $1,216 · 2021: $1,478 · 2022: $1,174 · 2023: $2,652 · 2024: $4,833 · 2025: $3,420.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $5,617 · Travel and Lodging: $5,267 · Education: $20.76.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $5,617.16 |
| Travel and Lodging | $5,266.80 |
| Education | $20.76 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Research payments are listed separately below. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Astrazeneca Pharmaceuticals LP | $3,344.62 | 2019-2025 | Breztri, Farxiga, Airsupra |
| F. Hoffmann-La Roche Ag | $1,822.92 | 2025 | |
| Boehringer Ingelheim International Gmbh | $1,544.84 | 2023 | |
| Modernatx, INC. | $1,539.48 | 2024 | |
| Abbvie INC. | $990.29 | 2019-2025 | |
| Novo Nordisk INC | $926.23 | 2019-2025 | Ozempic, Wegovy, Rybelsus |
| Glaxosmithkline, LLC. | $880.98 | 2019-2025 | Trelegy Ellipta, Arexvy, Shingrix |
| Amgen INC. | $564.11 | 2019-2025 | Repatha, Otezla, Repatha |
| Takeda Pharmaceuticals U.S.A., INC. | $487.53 | 2019-2025 | Trintellix |
| Lilly USA, LLC | $368.40 | 2020-2025 | Jardiance, Zepbound, Mounjaro |
| Sanofi-Aventis U.S. LLC | $346.64 | 2019-2023 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | $330.94 | 2019-2024 | Jardiance, Synjardy, Tradjenta |
| Pfizer INC. | $328.12 | 2019-2025 | |
| Novartis Pharmaceuticals Corporation | $246.97 | 2019-2025 | |
| Janssen Pharmaceuticals, INC | $242.30 | 2019-2023 | Spravato |
Show all 43 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Axsome Therapeutics, INC. | $232.06 | 2023-2025 | Auvelity, Symbravo |
| Amarin Pharma, INC. | $162.85 | 2020-2022 | |
| Esperion Therapeutics, INC. | $153.18 | 2020-2023 | Nexletol |
| Corium, LLC | $138.50 | 2023-2025 | Azstarys |
| Merck Sharp & Dohme LLC | $127.62 | 2020-2025 | Gardasil 9, Vaxelis, Vaxneuvance |
| Otsuka America Pharmaceutical, INC. | $116.03 | 2022-2025 | Rexulti |
| Kowa Pharmaceuticals America, INC. | $111.30 | 2019-2025 | Zoryve |
| Idorsia Pharmaceuticals US INC | $96.08 | 2022-2025 | Quviviq, Quviviq |
| Daiichi Sankyo INC. | $82.22 | 2021-2025 | Injectafer |
| Bayer Healthcare Pharmaceuticals INC. | $81.65 | 2021-2023 | |
| Biohaven Pharmaceutical Holding Company LTD. | $74.08 | 2022 | |
| Allergan, INC. | $52.08 | 2020 | |
| Teva Pharmaceuticals USA, INC. | $46.60 | 2019-2021 | |
| Dexcom, INC. | $41.36 | 2021-2022 | |
| Kaleo, INC. | $33.75 | 2020-2021 | |
| Exact Sciences Corporation | $29.14 | 2025 | The Cologuard Plus Collection Kit |
| Ardelyx, INC. | $28.10 | 2025 | Ibsrela |
| Arbor Pharmaceuticals, INC. | $25.11 | 2019 | |
| Inspire Medical Systems, INC. | $23.13 | 2025 | Inspire |
| Xeris Pharmaceuticals, INC. | $22.41 | 2025 | Gvoke Hypopen |
| Fisher & Paykel Healthcare INC | $19.63 | 2024 | Fisher & Paykel Healthcare |
| Biohaven Pharmaceuticals, INC. | $19.06 | 2021 | |
| Genentech USA, INC. | $17.87 | 2019 | |
| Baxter Healthcare | $17.10 | 2024 | Hillrom - Carnation Ambulatory Monitor |
| Phathom Pharmaceuticals, INC. | $14.37 | 2025 | Voquezna |
| Horizon Therapeutics Plc | $14.12 | 2022 | |
| Eisai INC. | $11.62 | 2021 | |
| Currax Pharmaceuticals LLC | $11.24 | 2021 |
8 companies reported research payments only; those appear in the research section below.
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
Research and ownership
$19,700.09 in research payments reported 2019-2025. Research payments are often institution-directed and tied to clinical trials: they are reported under a clinician's name but frequently go to a hospital or research organization, and usually reflect participation in medical research.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Bernard Grunstra listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.