Robert Armstrong, MD
Neurology · Asheville, NCNPI 1518945617
Payments from drug & device makers
Across 1,059 payments — averaging $2532.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$2.4M
- Biogen$136K
- EMD Serono, Inc.$90K
- Eisai Inc.$21K
- Eli Lilly$9K
- Livanova USA, Inc.$5K
- plus $24K from 54 others
Across 1 payment — averaging $17,640 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Eli Lilly$18K
What the payments were for
- Consulting fees$3,6707%
- Speaking & faculty fees$28,27854%
- Travel & lodging$2,1644%
- Food & beverage$18,23335%
- Education$3191%
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.
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
$2,681,500 in reported general payments places this provider in the 95th percentile of 566 neurology providers in North Carolina.
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 |
|---|---|---|
| VyvgartEfgartigimod Alfa-Fcab | 19 | $1,321,482 |
| SolirisEculizumab | 12 | $626,208 |
| EpidiolexCannabidiol (Cbd) | 83 | $399,191 |
| GilenyaFingolimod Hcl | 12 | $125,532 |
| HizentraImmun Glob G(Igg)/Pro/Iga 0-50 | 18 | $118,511 |
| Lamictal XrLamotrigine | 40 | $114,283 |
| FycompaPerampanel | 86 | $104,311 |
| QutenzaCapsaicin/Skin Cleanser | 25 | $82,798 |
| BriviactBrivaracetam | 51 | $80,286 |
| TopamaxTopiramate | 51 | $69,472 |
| VyeptiEptinezumab-Jjmr | 13 | $51,278 |
| LamictalLamotrigine | 23 | $46,022 |
| Lacosamide | 226 | $41,242 |
| BotoxOnabotulinumtoxina | 27 | $38,331 |
| Keppra XrLevetiracetam | 16 | $37,837 |
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 |
|---|---|---|
| Argenx US, Inc.Vyvgart | $160 | $1,321,48219 claims |
| AstraZenecaSoliris | $591 | $626,20812 claims |
| NovartisGilenya | $2,395,071 | $125,53212 claims |
| CSL BehringHizentra | $254 | $118,51118 claims |
| Eisai Inc.Fycompa | $21,163 | $104,31186 claims |
| UCB, Inc.Briviact | $1,226 | $80,28651 claims |
| AbbVieBotox, Ubrelvy | $1,642 | $56,80338 claims |
| Lundbeck LLCVyepti | $245 | $51,27813 claims |
| PfizerNurtec Odt, Dilantin | $297 | $28,31456 claims |
| SK Life Science, Inc.Xcopri | $4,743 | $15,64711 claims |
| Amneal Pharmaceuticals LLCPyridostigmine Bromide | $258 | $1,93925 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 95th percentile of 566 neurology providers in North Carolina.
Other neurology in Asheville
- Matthew EngelbrechtAsheville$974K
- James PattonAsheville$698K
- Mohammad BolouriCharlotte$16.6M
- Katherine PetersDurham$11M
- John ScagnelliRaleigh$9.3M
- T RaoCharlotte$4M
- Pramod SethiGreensboro$2.9M
- Casey JeffreysRaleigh$2.2M
- Mitchell IsaacWinston Salem$2.2M
- Vern JuelDurham$2M
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.