Jacob Tulipan, MD
Hand Surgery · Torrington, CTNPI 1770926529
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.5% of the total across 64 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 16.1% — the pattern of someone who eats at a lot of different presentations.
Across 64 payments — averaging $53.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Skeletal Dynamics Inc$550
- Endo USA, Inc.$344
- Extremity Medical$335
- Axogen$296
- Smith+Nephew$276
- AbbVie$224
- plus $1K from 18 others
What the payments were for
- Travel & lodging$842%
- Food & beverage$3,34498%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Skeletal Dynamics Inc | 7 | $550 |
| Endo USA, Inc. | 12 | $344 |
| Extremity Medical | 2 | $335 |
| Axogen | 3 | $296 |
| Smith+Nephew | 5 | $276 |
| AbbVie(2 entities) | 2 | $224 |
| Arthrex | 6 | $172 |
| Stryker | 1 | $154 |
| Bone Support Inc. | 1 | $146 |
| Integra Lifesciences Corporation | 1 | $145 |
| Kairos Surgical Inc | 2 | $124 |
| Endo Pharmaceuticals Inc. | 8 | $113 |
| Acumed LLC | 1 | $108 |
| Anika Therapeutics, Inc. | 1 | $97 |
| Medacta USA, Inc. | 1 | $71 |
| Johnson & Johnson | 3 | $62 |
| Globus Medical | 1 | $48 |
| Solventum Corporation | 1 | $43 |
| Baxter Healthcare | 1 | $35 |
| Davol Inc. | 1 | $22 |
| Vertex | 1 | $22 |
| Next Science LLC | 1 | $15 |
| Sonex Health, Inc. | 1 | $15 |
| Heraeus Medical, LLC. | 1 | $9 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Geminus$367
- Align$367
- IJS$367
- Implate$367
- IO FiX$252
- MAKO$154
- XIAFLEX$146
- CERAMENTBONE VOID FILLER$146
- CERAMENT G$146
- FREEDOM WRIST$145
- PYRO MCP$145
- TSSM - TOTAL SHOULDER SYSTEM METAL$145
- TITAN-SHOULDER$145
- External Fixation System$145
- AVANCE NERVE GRAFT$143
- AxoGuard Nerve Connector$143
- AxoGuard Nerve Protector$143
- AXOGUARD HA+ NERVE PROTECTOR$143
- AxoGuard Nerve Cap$143
- AVYCAZ$125
How this compares
$3,428 in reported general payments places this provider in the 55th percentile of 54 hand surgery providers in Connecticut.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Doxycycline Hyclate | 35 | $242 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 32 | $162 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 36 | $124 |
| Meloxicam | 17 | $35 |
| Tramadol Hcl | 14 | $17 |
| Prednisone | 13 | $12 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Torrington
- Douglas WischTorrington$9K
- Michael RedlerTrumbull$763K
- Richard BernsteinHamden$437K
- Lisa LattanzaNew Haven$156K
- Kenneth DonohueNew Haven$41K
- Paul ProtomastroNorwalk$16K
- Mark VitaleGreenwich$13K
- Erik CarlsonMiddlebury$13K
- Devon BandaGlastonbury$10K
- Ryan NaujoksMiddletown$8K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.