John Bulger, MD
Family Medicine · Mishawaka, INNPI 1821123035
Payments from drug & device makers
Across 143 payments — averaging $17.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$459
- Otsuka America Pharmaceutical, Inc.$380
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$169
- Novo Nordisk$137
- Exact Sciences$117
- AstraZeneca$115
- plus $1K from 23 others
What the payments were for
- Food & beverage$2,538100%
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 |
|---|---|---|
| AbbVie | 27 | $459 |
| Otsuka America Pharmaceutical, Inc. | 20 | $380 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 10 | $169 |
| Novo Nordisk | 8 | $137 |
| Exact Sciences | 7 | $117 |
| AstraZeneca(2 entities) | 7 | $115 |
| Almatica Pharma LLC | 7 | $112 |
| Axsome Therapeutics, Inc. | 5 | $112 |
| Supernus Pharmaceuticals, Inc. | 4 | $100 |
| Pfizer | 6 | $93 |
| Bayer | 4 | $88 |
| Mylan Specialty L.p. | 4 | $79 |
| Amgen | 5 | $78 |
| GSK | 6 | $76 |
| Vanda Pharmaceuticals Inc. | 2 | $72 |
| Verona Pharma, Inc. | 3 | $61 |
| Lilly USA, LLC | 2 | $43 |
| Collegium Pharmaceutical, Inc. | 2 | $32 |
| Dexcom, Inc. | 2 | $30 |
| Electromed, Inc. | 3 | $29 |
| Vertex | 1 | $24 |
| Tandem Diabetes Care, Inc. | 1 | $19 |
| Neurocrine Biosciences, Inc. | 1 | $19 |
| Alkermes, Inc. | 1 | $19 |
| Astellas Pharma US Inc | 1 | $18 |
| Boehringer Ingelheim | 1 | $17 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
| Philips North America LLC | 1 | $14 |
| Ironshore Pharmaceuticals Inc. | 1 | $12 |
How this compares
$2,538 in reported general payments places this provider in the 75th percentile of 2,709 family medicine providers in Indiana.
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 |
|---|---|---|
| OzempicSemaglutide | 49 | $50,146 |
| OxycontinOxycodone Hcl | 52 | $46,968 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 56 | $44,320 |
| RybelsusSemaglutide | 19 | $44,055 |
| EliquisApixaban | 35 | $43,125 |
| TrulicityDulaglutide | 25 | $30,700 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 491 | $23,057 |
| RexultiBrexpiprazole | 12 | $22,448 |
| Xtampza ErOxycodone Myristate | 31 | $21,505 |
| JardianceEmpagliflozin | 16 | $19,094 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 411 | $12,837 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 16 | $11,622 |
| Spiriva RespimatTiotropium Bromide | 13 | $10,985 |
| Pregabalin | 161 | $8,939 |
| Emgality SyringeGalcanezumab-Gnlm | 11 | $7,072 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $137 | $94,20168 claims |
| GSKTrelegy Ellipta | $76 | $44,32056 claims |
| PfizerEliquis | $93 | $43,12535 claims |
| Lilly USA, LLCTrulicity | $43 | $30,70025 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $17 | $30,07929 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $380 | $22,44812 claims |
| Collegium Pharmaceutical, Inc.Xtampza Er | $32 | $21,50531 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $115 | $18,67435 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 75th percentile of 2,709 family medicine providers in Indiana.
Other family medicine in Mishawaka
- Laura HelmanMishawaka$4M
- Blair BrengleIndianapolis$10.6M
- J Christopher SartoreEvansville$3.9M
- Hubert ReyesEvansville$3.2M
- David SchultzEvansville$3M
- Steven SmithIndianapolis$2.5M
- Renee Michelle GalenNewburgh$2.1M
- Eric HewittAvon$1.7M
- Alexander Dela LlanaEvansville$1.6M
- Jonathan ConditMuncie$1.6M
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.