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 S FIRESTONE

Allopathic & Osteopathic Physicians Family Medicine

NPI
1497811194
CMS profile
203525
Location
SANTA MARIA, CA

General Payments · PY2018–2019

$1,268.68

  • Reported across 111 records
  • CMS publication 2026-01-23

Latest program year · PY2019

$272.59

28 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

PY2019 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $232.95 26
Education $39.64 2

By paying entity

PY2019 · sorted by reported total

Paying entityAmountRecords
PFIZER INC. $139.01 20
Novo Nordisk AS $45.71 2
Janssen Pharmaceuticals, Inc $33.66 2
Lilly USA, LLC $26.67 2
GlaxoSmithKline, LLC. $15.07 1
Avanir Pharmaceuticals, Inc. $12.47 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $996.09 83
PY2019 $272.59 28

Payment records · PY2019 (28)

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

Program year 2019 2018 Record-level detail is published for PY2019; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Avanir Pharmaceuticals, Inc. $12.47 04/12/2019 Food and Beverage Undisputed 01/23/2026 653607009 CMS
GlaxoSmithKline, LLC. $15.07 06/07/2019 Food and Beverage Undisputed 01/23/2026 670849747 CMS
Janssen Pharmaceuticals, Inc $12.87 01/31/2019 Food and Beverage Undisputed 01/23/2026 658581149 CMS
Janssen Pharmaceuticals, Inc $20.79 07/30/2019 Food and Beverage Undisputed 01/23/2026 658581163 CMS
Lilly USA, LLC $13.39 01/25/2019 Food and Beverage Undisputed 01/23/2026 658106155 CMS
Lilly USA, LLC $13.28 12/13/2019 Food and Beverage Undisputed 01/23/2026 658127133 CMS
Novo Nordisk Inc $19.35 02/07/2019 Food and Beverage Undisputed 01/23/2026 668747649 CMS
Novo Nordisk Inc $26.36 04/04/2019 Food and Beverage Undisputed 01/23/2026 669549685 CMS
PFIZER INC. $4.50 02/11/2019 Food and Beverage Undisputed 01/23/2026 673814527 CMS
PFIZER INC. $4.94 04/01/2019 Food and Beverage Undisputed 01/23/2026 673794977 CMS
PFIZER INC. $6.63 04/22/2019 Food and Beverage Undisputed 01/23/2026 673816631 CMS
PFIZER INC. $4.99 05/13/2019 Food and Beverage Undisputed 01/23/2026 673799761 CMS
PFIZER INC. $4.99 05/20/2019 Food and Beverage Undisputed 01/23/2026 673820657 CMS
PFIZER INC. $5.26 06/17/2019 Food and Beverage Undisputed 01/23/2026 673803903 CMS
PFIZER INC. $5.27 06/24/2019 Food and Beverage Undisputed 01/23/2026 673800519 CMS
PFIZER INC. $6.11 07/15/2019 Food and Beverage Undisputed 01/23/2026 673819093 CMS
PFIZER INC. $4.82 07/22/2019 Food and Beverage Undisputed 01/23/2026 673804273 CMS
PFIZER INC. $5.56 08/12/2019 Food and Beverage Undisputed 01/23/2026 673820627 CMS
PFIZER INC. $3.70 09/09/2019 Food and Beverage Undisputed 01/23/2026 673795879 CMS
PFIZER INC. $5.25 09/16/2019 Food and Beverage Undisputed 01/23/2026 673802325 CMS
PFIZER INC. $4.71 09/30/2019 Food and Beverage Undisputed 01/23/2026 673795451 CMS
PFIZER INC. $5.31 10/07/2019 Food and Beverage Undisputed 01/23/2026 673803301 CMS
PFIZER INC. $7.28 10/14/2019 Food and Beverage Undisputed 01/23/2026 673796019 CMS
PFIZER INC. $34.95 10/21/2019 Education Undisputed 01/23/2026 673795795 CMS
PFIZER INC. $4.69 10/21/2019 Education Undisputed 01/23/2026 673801663 CMS
PFIZER INC. $5.75 11/04/2019 Food and Beverage Undisputed 01/23/2026 673796951 CMS
PFIZER INC. $7.73 11/11/2019 Food and Beverage Undisputed 01/23/2026 673803357 CMS
PFIZER INC. $6.57 12/02/2019 Food and Beverage Undisputed 01/23/2026 673827953 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
Source files
Dataset page · Bulk file · PY2018 , PY2019
Generated from
OP_DTL_GNRL_PGYR2019_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.