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

BERNARD P GRUNSTRA

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1558367417
CMS profile
115582
Location
BRISTOL, TN

General Payments · PY2018–2024

$14,753.13

  • Reported across 620 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,773.50

71 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,425.02 67
Travel and Lodging $1,348.48 4

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $4,465.25 114
PY2019 $994.65 80
PY2020 $1,215.77 87
PY2021 $1,477.79 108
PY2022 $1,173.70 85
PY2023 $2,652.47 75
PY2024 $2,773.50 71

Payment records · PY2024 (71)

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
ABBVIE INC. $16.71 02/29/2024 Food and Beverage Undisputed 01/23/2026 1103845316 CMS
ABBVIE INC. $21.42 06/11/2024 Food and Beverage Undisputed 01/23/2026 1103845318 CMS
ABBVIE INC. $19.10 07/15/2024 Food and Beverage Undisputed 01/23/2026 1103845320 CMS
Amgen Inc. $22.17 01/29/2024 Food and Beverage Undisputed 01/23/2026 1111590432 CMS
Amgen Inc. $22.17 01/29/2024 Food and Beverage Undisputed 01/23/2026 1111590434 CMS
Amgen Inc. $6.94 02/28/2024 Food and Beverage Undisputed 01/23/2026 1117267375 CMS
Amgen Inc. $12.54 04/03/2024 Food and Beverage Undisputed 01/23/2026 1117267377 CMS
Amgen Inc. $17.85 05/23/2024 Food and Beverage Undisputed 01/23/2026 1117267379 CMS
Amgen Inc. $7.58 06/20/2024 Food and Beverage Undisputed 01/23/2026 1117267381 CMS
Amgen Inc. $7.40 07/29/2024 Food and Beverage Undisputed 01/23/2026 1111590436 CMS
Amgen Inc. $14.41 08/21/2024 Food and Beverage Undisputed 01/23/2026 1117267383 CMS
Amgen Inc. $6.56 09/24/2024 Food and Beverage Undisputed 01/23/2026 1117267385 CMS
Amgen Inc. $11.98 10/08/2024 Food and Beverage Undisputed 01/23/2026 1117267387 CMS
Amgen Inc. $11.57 11/12/2024 Food and Beverage Undisputed 01/23/2026 1117267389 CMS
Amgen Inc. $15.61 12/03/2024 Food and Beverage Undisputed 01/23/2026 1117267391 CMS
AstraZeneca Pharmaceuticals LP $88.43 01/03/2024 Food and Beverage Undisputed 01/23/2026 1105514341 CMS
AstraZeneca Pharmaceuticals LP $13.97 01/22/2024 Food and Beverage Undisputed 01/23/2026 1104578634 CMS
AstraZeneca Pharmaceuticals LP $13.28 03/11/2024 Food and Beverage Undisputed 01/23/2026 1104563208 CMS
AstraZeneca Pharmaceuticals LP $13.82 07/24/2024 Food and Beverage Undisputed 01/23/2026 1105607345 CMS
AstraZeneca Pharmaceuticals LP $15.94 07/31/2024 Food and Beverage Undisputed 01/23/2026 1104329492 CMS
AstraZeneca Pharmaceuticals LP $13.64 08/19/2024 Food and Beverage Undisputed 01/23/2026 1105657422 CMS
Axsome Therapeutics, Inc. $19.54 02/08/2024 Food and Beverage Undisputed 01/23/2026 1148267345 CMS
Axsome Therapeutics, Inc. $21.17 03/25/2024 Food and Beverage Undisputed 01/23/2026 1148267347 CMS
Axsome Therapeutics, Inc. $22.54 04/08/2024 Food and Beverage Undisputed 01/23/2026 1148267343 CMS
Axsome Therapeutics, Inc. $26.01 06/20/2024 Food and Beverage Undisputed 01/23/2026 1148267341 CMS
Baxter Healthcare $17.10 12/05/2024 Food and Beverage Undisputed 01/23/2026 1120662779 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $35.00 01/26/2024 Food and Beverage Undisputed 01/23/2026 1118056951 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $115.00 01/26/2024 Travel and Lodging Undisputed 01/23/2026 1118056953 CMS
Corium, LLC $23.93 01/05/2024 Food and Beverage Undisputed 01/23/2026 1100085992 CMS
Corium, LLC $25.07 02/26/2024 Food and Beverage Undisputed 01/23/2026 1100083268 CMS
Fisher & Paykel Healthcare Inc $19.63 04/29/2024 Food and Beverage Undisputed 01/23/2026 1143834629 CMS
GlaxoSmithKline, LLC. $19.61 01/22/2024 Food and Beverage Undisputed 01/23/2026 1116284684 CMS
GlaxoSmithKline, LLC. $19.61 04/02/2024 Food and Beverage Undisputed 01/23/2026 1116059794 CMS
GlaxoSmithKline, LLC. $19.61 07/31/2024 Food and Beverage Undisputed 01/23/2026 1116470382 CMS
GlaxoSmithKline, LLC. $19.61 11/20/2024 Food and Beverage Undisputed 01/23/2026 1116581049 CMS
IDORSIA PHARMACEUTICALS US INC $15.47 12/20/2024 Food and Beverage Undisputed 01/23/2026 1146794273 CMS
Lilly USA, LLC $13.31 04/18/2024 Food and Beverage Undisputed 01/23/2026 1136079641 CMS
Lilly USA, LLC $19.71 05/01/2024 Food and Beverage Undisputed 01/23/2026 1136079643 CMS
Lilly USA, LLC $15.16 05/06/2024 Food and Beverage Undisputed 01/23/2026 1136066485 CMS
Lilly USA, LLC $16.48 05/16/2024 Food and Beverage Undisputed 01/23/2026 1136062348 CMS
Lilly USA, LLC $16.72 06/28/2024 Food and Beverage Undisputed 01/23/2026 1136070709 CMS
Lilly USA, LLC $14.61 09/05/2024 Food and Beverage Undisputed 01/23/2026 1136062350 CMS
Merck Sharp & Dohme LLC $19.74 08/29/2024 Food and Beverage Undisputed 01/23/2026 1141972477 CMS
ModernaTX, Inc. $240.00 09/14/2024 Travel and Lodging Undisputed 01/23/2026 1152557891 CMS
ModernaTX, Inc. $727.95 09/14/2024 Travel and Lodging Undisputed 01/23/2026 1152557905 CMS
ModernaTX, Inc. $265.53 09/14/2024 Travel and Lodging Undisputed 01/23/2026 1152557933 CMS
ModernaTX, Inc. $120.00 09/14/2024 Food and Beverage Undisputed 01/23/2026 1152557949 CMS
ModernaTX, Inc. $45.00 09/14/2024 Food and Beverage Undisputed 01/23/2026 1152557951 CMS
ModernaTX, Inc. $30.00 09/14/2024 Food and Beverage Undisputed 01/23/2026 1152557953 CMS
ModernaTX, Inc. $81.00 09/14/2024 Food and Beverage Undisputed 01/23/2026 1152557955 CMS
ModernaTX, Inc. $30.00 09/14/2024 Food and Beverage Undisputed 01/23/2026 1152557957 CMS
Novartis Pharmaceuticals Corporation $18.99 02/12/2024 Food and Beverage Undisputed 01/23/2026 1086901871 CMS
Novartis Pharmaceuticals Corporation $23.09 12/10/2024 Food and Beverage Undisputed 01/23/2026 1086901905 CMS
Novo Nordisk Inc $19.98 05/13/2024 Food and Beverage Undisputed 01/23/2026 1096714351 CMS
Novo Nordisk Inc $14.49 07/24/2024 Food and Beverage Undisputed 01/23/2026 1097267102 CMS
Novo Nordisk Inc $17.14 07/31/2024 Food and Beverage Undisputed 01/23/2026 1096752834 CMS
Novo Nordisk Inc $19.80 08/14/2024 Food and Beverage Undisputed 01/23/2026 1096687324 CMS
Novo Nordisk Inc $16.52 08/18/2024 Food and Beverage Undisputed 01/23/2026 1097760475 CMS
Novo Nordisk Inc $22.97 09/09/2024 Food and Beverage Undisputed 01/23/2026 1096621596 CMS
Otsuka America Pharmaceutical, Inc. $16.34 03/04/2024 Food and Beverage Undisputed 01/23/2026 1118901814 CMS
PFIZER INC. $14.49 02/01/2024 Food and Beverage Undisputed 01/23/2026 1131186819 CMS
PFIZER INC. $17.22 02/26/2024 Food and Beverage Undisputed 01/23/2026 1131156966 CMS
PFIZER INC. $1.55 05/15/2024 Food and Beverage Undisputed 01/23/2026 1132001485 CMS
PFIZER INC. $12.97 05/15/2024 Food and Beverage Undisputed 01/23/2026 1132001487 CMS
PFIZER INC. $15.76 06/11/2024 Food and Beverage Undisputed 01/23/2026 1131685462 CMS
PFIZER INC. $14.02 07/30/2024 Food and Beverage Undisputed 01/23/2026 1131742266 CMS
PFIZER INC. $2.77 08/22/2024 Food and Beverage Undisputed 01/23/2026 1131847013 CMS
PFIZER INC. $17.06 08/26/2024 Food and Beverage Undisputed 01/23/2026 1131883959 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.66 02/22/2024 Food and Beverage Undisputed 01/23/2026 1137564198 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.00 06/24/2024 Food and Beverage Undisputed 01/23/2026 1137564202 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.48 10/28/2024 Food and Beverage Undisputed 01/23/2026 1137564206 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.