James Fulton, MD
Allergy & Immunology · Fort Collins, CONPI 1346521887
Payments from drug & device makers
Across 797 payments — averaging $459.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$351K
- Sanofi$3K
- Takeda Pharmaceuticals U.S.A., Inc.$2K
- GSK$2K
- Adare Pharmaceuticals, Inc.$2K
- CSL Behring$1K
- plus $6K from 29 others
What the payments were for
- Consulting fees$1,5157%
- Travel & lodging$2,26411%
- Food & beverage$17,28782%
- Education$1371%
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 |
|---|---|---|
| AstraZeneca | 155 | $350,966 |
| Sanofi | 64 | $3,012 |
| Takeda Pharmaceuticals U.S.A., Inc. | 129 | $2,238 |
| GSK | 152 | $1,899 |
| Adare Pharmaceuticals, Inc. | 7 | $1,515 |
| CSL Behring | 43 | $1,113 |
| Biocryst US Sales Co., LLC | 32 | $778 |
| Genentech USA, Inc. | 29 | $584 |
| Regeneron Healthcare Solutions, Inc. | 31 | $547 |
| Amgen | 19 | $519 |
| Novartis | 29 | $467 |
| Optinose US, Inc. | 17 | $463 |
| Grifols USA, LLC | 15 | $417 |
| Pharming Healthcare, Inc. | 10 | $327 |
| Sanofi-aventis U.S. LLC | 3 | $221 |
| AbbVie | 5 | $193 |
| QOL Medical, LLC | 10 | $183 |
| Pfizer | 8 | $147 |
| Biomarin Pharmaceutical Inc. | 1 | $135 |
| Kaleo, Inc. | 6 | $118 |
| Octapharma USA, Inc. | 5 | $98 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $88 |
| Teva Pharmaceuticals USA, Inc. | 5 | $83 |
| Ionis Pharmaceuticals, Inc. | 3 | $77 |
| Blueprint Medicines Corporation | 2 | $62 |
| Cycle Pharmaceuticals Inc | 2 | $46 |
| Aimmune Therapeutics, Inc. | 3 | $45 |
| Boehringer Ingelheim | 2 | $34 |
| Shire North American Group Inc | 2 | $27 |
| Phadia US Inc. | 1 | $22 |
| Biocryst Pharmaceuticals, Inc. | 1 | $22 |
| Galderma Laboratories, L.p. | 1 | $18 |
| Incyte Corporation | 1 | $17 |
| ADMA Biomanufacturing LLC | 1 | $7 |
| Organon | 1 | $4 |
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.
How this compares
$366,492 in reported general payments places this provider in the 90th percentile of 89 allergy & immunology providers in Colorado.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 82 | $70,423 |
| Dupixent SyringeDupilumab | 16 | $60,883 |
| TezspireTezepelumab-Ekko | 13 | $56,035 |
| Breo ElliptaFluticasone/Vilanterol | 40 | $24,247 |
| Spiriva RespimatTiotropium Bromide | 23 | $19,938 |
| Advair HfaFluticasone Propion/Salmeterol | 24 | $14,955 |
| DuleraMometasone/Formoterol | 15 | $8,666 |
| SymbicortBudesonide/Formoterol Fumarate | 23 | $7,430 |
| Azelastine Hcl | 178 | $6,985 |
| Ipratropium Bromide | 112 | $2,742 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 20 | $2,285 |
| Fluticasone Propionate | 148 | $2,191 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 79 | $1,998 |
| BreynaBudesonide/Formoterol Fumarate | 12 | $1,781 |
| Montelukast Sodium | 164 | $996 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta | $1,899 | $94,669122 claims |
| AstraZenecaTezspire, Symbicort | $350,966 | $63,46636 claims |
| Boehringer IngelheimSpiriva Respimat | $34 | $19,93823 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 89 allergy & immunology providers in Colorado.
Other allergy & immunology in Fort Collins
- Michael MartucciFort Collins$17K
- William CulverFort Collins$9K
- Erin WillitsFort Collins$6K
- Erin KempeFort Collins$2K
- Shaila GogateDenver$4M
- Donald LeungDenver$3.5M
- Jeffrey RumbyrtLakewood$2.8M
- Eileen WangDenver$2.3M
- Kevin ObrienThornton$1.7M
- Rohit KatialDenver$894K
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.