Covered recipient · General Payments record

ROBERT B VANCE

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1245375039
CMS profile: 237409
Location: PAHRUMP, NV

General Payments · PY2018

$1,762.25

Reported across 106 records
CMS publication 2026-01-23

Latest program year · PY2018

$1,762.25

106 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

PY2018 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,723.99	102
Education	$38.26	4

By paying entity

PY2018 · sorted by reported total

Paying entity	Amount	Records
GlaxoSmithKline, LLC.	$366.07	21
Acerta Pharma LLC	$350.16	13
Boehringer Ingelheim Pharmaceuticals, Inc.	$282.10	18
Lilly USA, LLC	$132.36	15
PFIZER INC.	$126.04	10
Novo Nordisk AS	$112.47	7
Janssen Pharmaceuticals, Inc	$79.79	6
MannKind Corporation	$75.09	3
Merck Sharp & Dohme Corporation	$71.83	5
SANOFI-AVENTIS U.S. LLC	$48.41	2
Amgen Inc.	$38.57	2
Corcept Therapeutics	$25.51	1
Astellas Pharma US Inc	$23.98	1
NOVARTIS PHARMACEUTICALS CORPORATION	$17.39	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$12.48	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,762.25	106

Payment records · PY2018 (106)

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

Program year 2018

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Amgen Inc.	$21.94	08/06/2018	Food and Beverage	Undisputed	01/23/2026	568032917	CMS
Amgen Inc.	$16.63	09/05/2018	Food and Beverage	Undisputed	01/23/2026	568032919	CMS
Astellas Pharma US Inc	$23.98	04/06/2018	Food and Beverage	Undisputed	01/23/2026	582488742	CMS
AstraZeneca Pharmaceuticals LP	$14.94	01/11/2018	Food and Beverage	Undisputed	01/23/2026	561445047	CMS
AstraZeneca Pharmaceuticals LP	$12.90	01/18/2018	Food and Beverage	Undisputed	01/23/2026	561191471	CMS
AstraZeneca Pharmaceuticals LP	$137.47	01/24/2018	Food and Beverage	Undisputed	01/23/2026	560467715	CMS
AstraZeneca Pharmaceuticals LP	$12.50	02/23/2018	Food and Beverage	Undisputed	01/23/2026	559755575	CMS
AstraZeneca Pharmaceuticals LP	$15.22	03/01/2018	Food and Beverage	Undisputed	01/23/2026	559995007	CMS
AstraZeneca Pharmaceuticals LP	$11.51	03/15/2018	Food and Beverage	Undisputed	01/23/2026	561973551	CMS
AstraZeneca Pharmaceuticals LP	$11.46	03/23/2018	Food and Beverage	Undisputed	01/23/2026	560283041	CMS
AstraZeneca Pharmaceuticals LP	$13.05	04/16/2018	Food and Beverage	Undisputed	01/23/2026	560522957	CMS
AstraZeneca Pharmaceuticals LP	$5.40	07/31/2018	Education	Undisputed	01/23/2026	560475595	CMS
AstraZeneca Pharmaceuticals LP	$82.13	08/01/2018	Food and Beverage	Undisputed	01/23/2026	561855255	CMS
AstraZeneca Pharmaceuticals LP	$11.13	11/08/2018	Food and Beverage	Undisputed	01/23/2026	560307673	CMS
AstraZeneca Pharmaceuticals LP	$11.51	11/15/2018	Food and Beverage	Undisputed	01/23/2026	560425887	CMS
AstraZeneca Pharmaceuticals LP	$10.94	11/29/2018	Food and Beverage	Undisputed	01/23/2026	560413357	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.59	02/01/2018	Food and Beverage	Undisputed	01/23/2026	577794863	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.32	02/08/2018	Food and Beverage	Undisputed	01/23/2026	577794823	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.39	03/08/2018	Food and Beverage	Undisputed	01/23/2026	577794799	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$9.90	04/12/2018	Food and Beverage	Undisputed	01/23/2026	577794831	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.58	05/07/2018	Food and Beverage	Undisputed	01/23/2026	577419859	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.92	06/05/2018	Food and Beverage	Undisputed	01/23/2026	577794789	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.78	06/11/2018	Food and Beverage	Undisputed	01/23/2026	577794879	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.90	07/11/2018	Food and Beverage	Undisputed	01/23/2026	577794837	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.78	07/25/2018	Food and Beverage	Undisputed	01/23/2026	577794871	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.99	07/30/2018	Food and Beverage	Undisputed	01/23/2026	577794771	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$0.86	08/20/2018	Food and Beverage	Undisputed	01/23/2026	577794857	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.01	08/22/2018	Food and Beverage	Undisputed	01/23/2026	577794803	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.28	09/11/2018	Food and Beverage	Undisputed	01/23/2026	577516085	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.06	10/05/2018	Food and Beverage	Undisputed	01/23/2026	577794843	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.12	10/19/2018	Food and Beverage	Undisputed	01/23/2026	577794795	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.59	11/01/2018	Food and Beverage	Undisputed	01/23/2026	577794811	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$10.09	11/30/2018	Food and Beverage	Undisputed	01/23/2026	577794817	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.94	12/20/2018	Food and Beverage	Undisputed	01/23/2026	577794849	CMS
Corcept Therapeutics	$25.51	08/13/2018	Food and Beverage	Undisputed	01/23/2026	601712081	CMS
GlaxoSmithKline, LLC.	$16.53	01/09/2018	Food and Beverage	Undisputed	01/23/2026	593949871	CMS
GlaxoSmithKline, LLC.	$20.31	01/22/2018	Food and Beverage	Undisputed	01/23/2026	593947927	CMS
GlaxoSmithKline, LLC.	$22.28	01/25/2018	Food and Beverage	Undisputed	01/23/2026	593883493	CMS
GlaxoSmithKline, LLC.	$3.75	01/25/2018	Education	Undisputed	01/23/2026	596860927	CMS
GlaxoSmithKline, LLC.	$21.76	02/08/2018	Food and Beverage	Undisputed	01/23/2026	593947477	CMS
GlaxoSmithKline, LLC.	$13.33	03/14/2018	Food and Beverage	Undisputed	01/23/2026	594157884	CMS
GlaxoSmithKline, LLC.	$15.55	03/29/2018	Food and Beverage	Undisputed	01/23/2026	593707724	CMS
GlaxoSmithKline, LLC.	$9.86	04/19/2018	Food and Beverage	Undisputed	01/23/2026	593832095	CMS
GlaxoSmithKline, LLC.	$16.03	05/07/2018	Food and Beverage	Undisputed	01/23/2026	594404014	CMS
GlaxoSmithKline, LLC.	$22.75	05/08/2018	Food and Beverage	Undisputed	01/23/2026	594494918	CMS
GlaxoSmithKline, LLC.	$17.17	05/16/2018	Food and Beverage	Undisputed	01/23/2026	594856893	CMS
GlaxoSmithKline, LLC.	$24.82	05/29/2018	Food and Beverage	Undisputed	01/23/2026	594672273	CMS
GlaxoSmithKline, LLC.	$23.95	05/31/2018	Food and Beverage	Undisputed	01/23/2026	594671907	CMS
GlaxoSmithKline, LLC.	$17.17	06/13/2018	Food and Beverage	Undisputed	01/23/2026	594857051	CMS
GlaxoSmithKline, LLC.	$16.32	06/14/2018	Food and Beverage	Undisputed	01/23/2026	594796575	CMS
GlaxoSmithKline, LLC.	$19.97	06/18/2018	Food and Beverage	Undisputed	01/23/2026	595107397	CMS
GlaxoSmithKline, LLC.	$19.01	07/19/2018	Food and Beverage	Undisputed	01/23/2026	595378931	CMS
GlaxoSmithKline, LLC.	$12.60	08/22/2018	Food and Beverage	Undisputed	01/23/2026	595656933	CMS
GlaxoSmithKline, LLC.	$15.69	09/13/2018	Food and Beverage	Undisputed	01/23/2026	595996129	CMS
GlaxoSmithKline, LLC.	$21.21	11/09/2018	Food and Beverage	Undisputed	01/23/2026	596499101	CMS
GlaxoSmithKline, LLC.	$16.01	12/13/2018	Food and Beverage	Undisputed	01/23/2026	596642759	CMS
Janssen Pharmaceuticals, Inc	$13.79	01/10/2018	Food and Beverage	Undisputed	01/23/2026	549899705	CMS
Janssen Pharmaceuticals, Inc	$14.16	03/28/2018	Food and Beverage	Undisputed	01/23/2026	549899713	CMS
Janssen Pharmaceuticals, Inc	$12.72	08/08/2018	Food and Beverage	Undisputed	01/23/2026	550111415	CMS
Janssen Pharmaceuticals, Inc	$11.61	09/20/2018	Food and Beverage	Undisputed	01/23/2026	550111411	CMS
Janssen Pharmaceuticals, Inc	$14.93	09/20/2018	Food and Beverage	Undisputed	01/23/2026	550111423	CMS
Janssen Pharmaceuticals, Inc	$12.58	10/17/2018	Food and Beverage	Undisputed	01/23/2026	550111419	CMS
Lilly USA, LLC	$16.30	01/31/2018	Food and Beverage	Undisputed	01/23/2026	559660287	CMS
Lilly USA, LLC	$1.36	02/16/2018	Food and Beverage	Undisputed	01/23/2026	559660263	CMS
Lilly USA, LLC	$18.87	02/16/2018	Food and Beverage	Undisputed	01/23/2026	559660269	CMS
Lilly USA, LLC	$1.34	04/20/2018	Food and Beverage	Undisputed	01/23/2026	559660271	CMS
Lilly USA, LLC	$16.63	04/20/2018	Food and Beverage	Undisputed	01/23/2026	559660275	CMS
Lilly USA, LLC	$3.75	06/14/2018	Food and Beverage	Undisputed	01/23/2026	559660277	CMS
Lilly USA, LLC	$0.92	06/21/2018	Food and Beverage	Undisputed	01/23/2026	559660281	CMS
Lilly USA, LLC	$13.54	06/21/2018	Food and Beverage	Undisputed	01/23/2026	559660283	CMS
Lilly USA, LLC	$9.74	08/16/2018	Food and Beverage	Undisputed	01/23/2026	559660291	CMS
Lilly USA, LLC	$9.53	09/06/2018	Food and Beverage	Undisputed	01/23/2026	559660305	CMS
Lilly USA, LLC	$9.62	09/19/2018	Food and Beverage	Undisputed	01/23/2026	559660309	CMS
Lilly USA, LLC	$9.96	10/03/2018	Food and Beverage	Undisputed	01/23/2026	559660311	CMS
Lilly USA, LLC	$0.89	10/26/2018	Food and Beverage	Undisputed	01/23/2026	559660295	CMS
Lilly USA, LLC	$9.95	10/26/2018	Food and Beverage	Undisputed	01/23/2026	559660301	CMS
Lilly USA, LLC	$9.96	11/13/2018	Food and Beverage	Undisputed	01/23/2026	559660299	CMS
MannKind Corporation	$25.81	01/24/2018	Food and Beverage	Undisputed	01/23/2026	617571135	CMS
MannKind Corporation	$26.40	02/28/2018	Food and Beverage	Undisputed	01/23/2026	617571137	CMS
MannKind Corporation	$22.88	04/12/2018	Food and Beverage	Undisputed	01/23/2026	617571139	CMS
Merck Sharp & Dohme Corporation	$17.99	02/12/2018	Food and Beverage	Undisputed	01/23/2026	604232187	CMS
Merck Sharp & Dohme Corporation	$13.24	03/22/2018	Food and Beverage	Undisputed	01/23/2026	604284583	CMS
Merck Sharp & Dohme Corporation	$14.15	04/30/2018	Food and Beverage	Undisputed	01/23/2026	604350877	CMS
Merck Sharp & Dohme Corporation	$14.63	05/09/2018	Food and Beverage	Undisputed	01/23/2026	604379235	CMS
Merck Sharp & Dohme Corporation	$11.82	10/03/2018	Food and Beverage	Undisputed	01/23/2026	604651813	CMS
Novartis Pharmaceuticals Corporation	$17.39	10/10/2018	Food and Beverage	Undisputed	01/23/2026	608796315	CMS
Novo Nordisk Inc	$12.79	01/19/2018	Food and Beverage	Undisputed	01/23/2026	588925823	CMS
Novo Nordisk Inc	$17.06	02/09/2018	Food and Beverage	Undisputed	01/23/2026	588925801	CMS
Novo Nordisk Inc	$16.68	03/10/2018	Food and Beverage	Undisputed	01/23/2026	588925815	CMS
Novo Nordisk Inc	$18.39	06/04/2018	Food and Beverage	Undisputed	01/23/2026	588925811	CMS
Novo Nordisk Inc	$15.72	06/12/2018	Food and Beverage	Undisputed	01/23/2026	588925827	CMS
Novo Nordisk Inc	$15.19	07/26/2018	Food and Beverage	Undisputed	01/23/2026	588925833	CMS
Novo Nordisk Inc	$16.64	10/16/2018	Food and Beverage	Undisputed	01/23/2026	588925805	CMS
PFIZER INC.	$8.33	03/02/2018	Food and Beverage	Undisputed	01/23/2026	610160535	CMS
PFIZER INC.	$13.43	04/03/2018	Food and Beverage	Undisputed	01/23/2026	610053301	CMS
PFIZER INC.	$12.44	08/27/2018	Food and Beverage	Undisputed	01/23/2026	609856927	CMS
PFIZER INC.	$15.03	10/09/2018	Education	Undisputed	01/23/2026	609966099	CMS
PFIZER INC.	$9.74	10/09/2018	Food and Beverage	Undisputed	01/23/2026	610339299	CMS
PFIZER INC.	$14.08	10/09/2018	Education	Undisputed	01/23/2026	610500903	CMS
PFIZER INC.	$14.82	10/09/2018	Food and Beverage	Undisputed	01/23/2026	610579777	CMS
PFIZER INC.	$12.12	11/06/2018	Food and Beverage	Undisputed	01/23/2026	609596641	CMS
PFIZER INC.	$10.97	11/07/2018	Food and Beverage	Undisputed	01/23/2026	610834347	CMS
PFIZER INC.	$15.08	11/29/2018	Food and Beverage	Undisputed	01/23/2026	610813509	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$12.48	10/05/2018	Food and Beverage	Undisputed	01/23/2026	589738627	CMS
SANOFI-AVENTIS U.S. LLC	$23.65	01/16/2018	Food and Beverage	Undisputed	01/23/2026	601929357	CMS
SANOFI-AVENTIS U.S. LLC	$24.76	03/21/2018	Food and Beverage	Undisputed	01/23/2026	602020345	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
Source files: Dataset page · Bulk file · PY2018
Generated from: OP_DTL_GNRL_PGYR2018_P01232026_01102026.csv

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