James Stepanski
Family Medicine · Waterford, MINPI 1669462974
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.9% of the total across 393 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 30 manufacturers, the largest accounting for just 13.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,844 and has fallen 98.8% since, to $22 in 2024. Among family medicine clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 393 payments — averaging $15.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$842
- Boehringer Ingelheim$758
- AbbVie$601
- Amarin Pharma, Inc.$480
- Lilly USA, LLC$410
- Astellas Pharma US Inc$342
- plus $3K from 24 others
What the payments were for
- Food & beverage$6,052100%
- Education$50%
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 | 53 | $842 |
| Boehringer Ingelheim | 50 | $758 |
| AbbVie(2 entities) | 34 | $601 |
| Amarin Pharma, Inc. | 35 | $480 |
| Lilly USA, LLC | 34 | $410 |
| Astellas Pharma US Inc | 19 | $342 |
| Johnson & Johnson | 21 | $316 |
| Pfizer | 22 | $307 |
| Novo Nordisk | 19 | $248 |
| Ironwood Pharmaceuticals, Inc | 11 | $210 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 11 | $192 |
| Amgen(2 entities) | 11 | $173 |
| Nestle Healthcare Nutrition Inc. | 8 | $165 |
| Merck | 7 | $107 |
| Eisai Inc. | 6 | $100 |
| Biohaven Pharmaceutical Holding Company Ltd. | 5 | $94 |
| GSK | 7 | $94 |
| Sanofi-aventis U.S. LLC | 5 | $82 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $73 |
| E.r. Squibb & Sons, L.L.C. | 4 | $72 |
| Ironshore Pharmaceuticals Inc. | 5 | $66 |
| Adlon Therapeutics L.p. | 4 | $61 |
| Abbott | 3 | $58 |
| Novartis | 3 | $53 |
| Kowa Pharmaceuticals America, Inc. | 4 | $47 |
| Sanofi Pasteur Inc. | 2 | $33 |
| IBSA Pharma Inc. | 2 | $27 |
| Bayer | 1 | $20 |
| Arbor Pharmaceuticals, Inc. | 1 | $16 |
| Teva Pharmaceuticals USA, Inc. | 1 | $12 |
How this compares
$6,057 in reported general payments places this provider in the 90th percentile of 3,945 family medicine providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Atorvastatin Calcium | 54 | $916 |
| Omeprazole | 37 | $914 |
| ClopidogrelClopidogrel Bisulfate | 18 | $607 |
| ValacyclovirValacyclovir Hcl | 14 | $582 |
| Levothyroxine Sodium | 46 | $470 |
| Escitalopram Oxalate | 22 | $398 |
| Tamsulosin Hcl | 16 | $341 |
| Metoprolol Succinate | 18 | $339 |
| Amlodipine Besylate-BenazeprilAmlodipine Besylate/Benazepril | 15 | $338 |
| Montelukast Sodium | 11 | $306 |
| Amlodipine Besylate | 26 | $303 |
| Pantoprazole Sodium | 22 | $296 |
| Duloxetine Hcl | 12 | $254 |
| Allopurinol | 15 | $242 |
| Ibuprofen | 32 | $214 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Waterford
- Emilio AntunanoWaterford$19K
- Naila AhmadWaterford$19K
- Loren ChudlerSouthfield$1.3M
- Paul BensonBerkley$779K
- Matt RosenbergJackson$550K
- Steve LasaterSaint Johns$291K
- Mary DagenGrand Rapids$265K
- Farhan BhattiLansing$230K
- Jeffrey DeitchSterling Heights$197K
- Sukhpreet SinghPlymouth$173K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.