Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ROBERT G BULTEN

Allopathic & Osteopathic Physicians Pediatrics Developmental - Behavioral Pediatrics

NPI
1023177268
CMS profile
227366
Location
WYOMING, MI

General Payments · PY2018–2023

$3,504.00

  • Reported across 253 records
  • CMS publication 2026-01-23

Latest program year · PY2023

$169.74

9 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2023 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $169.74 9

By paying entity

PY2023 · sorted by reported total

Paying entityAmountRecords
IRONSHORE PHARMACEUTICALS INC. $76.20 4
Takeda Pharmaceuticals U.S.A., Inc. $59.02 3
Tris Pharma Inc $34.52 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $400.68 35
PY2019 $402.37 30
PY2020 $759.30 51
PY2021 $1,107.68 72
PY2022 $664.23 56
PY2023 $169.74 9

Payment records · PY2023 (9)

Sorted by paying entity, then date · as published by CMS

Program year 2023 20182019202020212022 Record-level detail is published for PY2023; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Ironshore Pharmaceuticals Inc. $19.88 02/02/2023 Food and Beverage Undisputed 01/23/2026 1060451255 CMS
Ironshore Pharmaceuticals Inc. $14.41 04/19/2023 Food and Beverage Undisputed 01/23/2026 1060451399 CMS
Ironshore Pharmaceuticals Inc. $25.41 05/18/2023 Food and Beverage Undisputed 01/23/2026 1060449745 CMS
Ironshore Pharmaceuticals Inc. $16.50 06/15/2023 Food and Beverage Undisputed 01/23/2026 1060451369 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.98 01/18/2023 Food and Beverage Undisputed 01/23/2026 1055360831 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.02 02/21/2023 Food and Beverage Undisputed 01/23/2026 1055360835 CMS
Takeda Pharmaceuticals U.S.A., Inc. $20.02 04/12/2023 Food and Beverage Undisputed 01/23/2026 1055360839 CMS
Tris Pharma Inc $19.58 01/11/2023 Food and Beverage Undisputed 01/23/2026 1059337291 CMS
Tris Pharma Inc $14.94 03/28/2023 Food and Beverage Undisputed 01/23/2026 1059337371 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023
Generated from
OP_DTL_GNRL_PGYR2023_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.