IndustryPayments
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

JAMES L BRUTON

Allopathic & Osteopathic Physicians Internal Medicine Nephrology

NPI
1245228055
CMS profile
282947
Location
FORT SMITH, AR

General Payments · PY2018–2024

$4,050.98

  • Reported across 204 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,233.84

57 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.

Related groups: Nephrology AR All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,211.49 54
Education $22.35 3

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Amgen Inc. $147.13 6
Ardelyx, Inc. $125.65 5
Novo Nordisk AS $105.05 5
Acerta Pharma LLC $102.64 6
Aurinia Pharma U.S., Inc. $97.65 3
NOVARTIS PHARMACEUTICALS CORPORATION $89.91 4
Fresenius USA Marketing, Inc. $89.51 4
Janssen Pharmaceuticals, Inc $66.32 3
Retrophin, Inc. $64.94 5
GlaxoSmithKline, LLC. $62.14 3
Alexion Pharmaceuticals, Inc. $54.19 2
OPKO Pharmaceuticals, LLC $51.47 3
Bayer HealthCare Pharmaceuticals Inc. $41.73 2
CorMedix Inc. $34.66 2
ANI Pharmaceuticals, Inc. $33.51 1
Otsuka America Pharmaceutical, Inc. $27.46 1
CALLIDITAS THERAPEUTICS US INC. $25.96 1
Boehringer Ingelheim Pharmaceuticals, Inc. $13.92 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $446.81 26
PY2019 $620.52 36
PY2020 $52.96 3
PY2021 $132.82 3
PY2022 $496.01 26
PY2023 $1,068.02 53
PY2024 $1,233.84 57

Payment records · PY2024 (57)

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

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Alexion Pharmaceuticals, Inc. $21.60 06/19/2024 Food and Beverage Undisputed 01/23/2026 1093951410 CMS
Alexion Pharmaceuticals, Inc. $32.59 11/11/2024 Food and Beverage Undisputed 01/23/2026 1093911900 CMS
Amgen Inc. $23.98 02/29/2024 Food and Beverage Undisputed 01/23/2026 1111538226 CMS
Amgen Inc. $28.24 05/06/2024 Food and Beverage Undisputed 01/23/2026 1111538228 CMS
Amgen Inc. $26.02 05/07/2024 Food and Beverage Undisputed 01/23/2026 1111538236 CMS
Amgen Inc. $21.53 09/16/2024 Food and Beverage Undisputed 01/23/2026 1111538230 CMS
Amgen Inc. $30.82 11/06/2024 Food and Beverage Undisputed 01/23/2026 1111538232 CMS
Amgen Inc. $16.54 12/09/2024 Food and Beverage Undisputed 01/23/2026 1111538234 CMS
ANI Pharmaceuticals, Inc. $33.51 05/30/2024 Food and Beverage Undisputed 01/23/2026 1091171396 CMS
Ardelyx, Inc. $25.87 01/09/2024 Food and Beverage Undisputed 01/23/2026 1146673076 CMS
Ardelyx, Inc. $22.05 06/24/2024 Food and Beverage Undisputed 01/23/2026 1146673078 CMS
Ardelyx, Inc. $28.29 07/23/2024 Food and Beverage Undisputed 01/23/2026 1146673080 CMS
Ardelyx, Inc. $21.08 08/28/2024 Food and Beverage Undisputed 01/23/2026 1146673082 CMS
Ardelyx, Inc. $28.36 10/23/2024 Food and Beverage Undisputed 01/23/2026 1146673084 CMS
AstraZeneca Pharmaceuticals LP $17.70 01/23/2024 Food and Beverage Undisputed 01/23/2026 1104545752 CMS
AstraZeneca Pharmaceuticals LP $19.55 02/08/2024 Food and Beverage Undisputed 01/23/2026 1105470179 CMS
AstraZeneca Pharmaceuticals LP $19.76 06/26/2024 Food and Beverage Undisputed 01/23/2026 1104743547 CMS
AstraZeneca Pharmaceuticals LP $15.94 08/14/2024 Food and Beverage Undisputed 01/23/2026 1104422549 CMS
AstraZeneca Pharmaceuticals LP $14.89 08/28/2024 Food and Beverage Undisputed 01/23/2026 1105563262 CMS
AstraZeneca Pharmaceuticals LP $14.80 09/17/2024 Food and Beverage Undisputed 01/23/2026 1104451020 CMS
Aurinia Pharma U.S., Inc. $33.43 03/12/2024 Food and Beverage Undisputed 01/23/2026 1150677165 CMS
Aurinia Pharma U.S., Inc. $36.12 05/13/2024 Food and Beverage Undisputed 01/23/2026 1150677167 CMS
Aurinia Pharma U.S., Inc. $28.10 06/05/2024 Food and Beverage Undisputed 01/23/2026 1150677169 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.11 01/30/2024 Food and Beverage Undisputed 01/23/2026 1086146253 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.62 10/22/2024 Food and Beverage Undisputed 01/23/2026 1086191122 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.92 12/02/2024 Food and Beverage Undisputed 01/23/2026 1117929654 CMS
CALLIDITAS THERAPEUTICS US INC. $25.96 09/23/2024 Food and Beverage Undisputed 01/23/2026 1141522703 CMS
CorMedix Inc. $19.55 07/31/2024 Food and Beverage Undisputed 01/23/2026 1082024539 CMS
CorMedix Inc. $15.11 11/06/2024 Food and Beverage Undisputed 01/23/2026 1082024535 CMS
Fresenius USA Marketing, Inc. $24.95 01/24/2024 Food and Beverage Undisputed 01/23/2026 1154200518 CMS
Fresenius USA Marketing, Inc. $23.78 02/19/2024 Food and Beverage Undisputed 01/23/2026 1154200516 CMS
Fresenius USA Marketing, Inc. $17.63 07/31/2024 Food and Beverage Undisputed 01/23/2026 1154200512 CMS
Fresenius USA Marketing, Inc. $23.15 10/28/2024 Food and Beverage Undisputed 01/23/2026 1154200514 CMS
GlaxoSmithKline, LLC. $19.74 03/05/2024 Food and Beverage Undisputed 01/23/2026 1116288526 CMS
GlaxoSmithKline, LLC. $22.54 06/04/2024 Food and Beverage Undisputed 01/23/2026 1116526188 CMS
GlaxoSmithKline, LLC. $19.86 09/10/2024 Food and Beverage Undisputed 01/23/2026 1116576224 CMS
Janssen Pharmaceuticals, Inc $33.52 03/07/2024 Food and Beverage Undisputed 01/23/2026 1077909847 CMS
Janssen Pharmaceuticals, Inc $15.20 06/17/2024 Food and Beverage Undisputed 01/23/2026 1077909857 CMS
Janssen Pharmaceuticals, Inc $17.60 07/22/2024 Food and Beverage Undisputed 01/23/2026 1077909673 CMS
Novartis Pharmaceuticals Corporation $26.28 01/31/2024 Food and Beverage Undisputed 01/23/2026 1086751323 CMS
Novartis Pharmaceuticals Corporation $15.61 04/22/2024 Food and Beverage Undisputed 01/23/2026 1086751327 CMS
Novartis Pharmaceuticals Corporation $21.98 09/04/2024 Food and Beverage Undisputed 01/23/2026 1086751329 CMS
Novartis Pharmaceuticals Corporation $26.04 10/02/2024 Food and Beverage Undisputed 01/23/2026 1086751331 CMS
Novo Nordisk Inc $16.40 01/03/2024 Food and Beverage Undisputed 01/23/2026 1096713193 CMS
Novo Nordisk Inc $24.69 02/14/2024 Food and Beverage Undisputed 01/23/2026 1097694153 CMS
Novo Nordisk Inc $23.27 06/03/2024 Food and Beverage Undisputed 01/23/2026 1097788637 CMS
Novo Nordisk Inc $17.28 08/07/2024 Food and Beverage Undisputed 01/23/2026 1097034819 CMS
Novo Nordisk Inc $23.41 10/25/2024 Food and Beverage Undisputed 01/23/2026 1097454859 CMS
OPKO Pharmaceuticals, LLC $16.82 03/18/2024 Food and Beverage Undisputed 01/23/2026 1112843020 CMS
OPKO Pharmaceuticals, LLC $16.27 05/24/2024 Food and Beverage Undisputed 01/23/2026 1112843022 CMS
OPKO Pharmaceuticals, LLC $18.38 06/26/2024 Food and Beverage Undisputed 01/23/2026 1112843024 CMS
Otsuka America Pharmaceutical, Inc. $27.46 04/02/2024 Food and Beverage Undisputed 01/23/2026 1118868512 CMS
Travere Therapeutics, Inc. $2.38 08/05/2024 Education Undisputed 01/23/2026 1149950276 CMS
Travere Therapeutics, Inc. $3.08 08/05/2024 Education Undisputed 01/23/2026 1149950280 CMS
Travere Therapeutics, Inc. $16.89 08/05/2024 Education Undisputed 01/23/2026 1149950284 CMS
Travere Therapeutics, Inc. $22.52 08/05/2024 Food and Beverage Undisputed 01/23/2026 1149950292 CMS
Travere Therapeutics, Inc. $20.07 09/03/2024 Food and Beverage Undisputed 01/23/2026 1149950288 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, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_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.