Robert Butler, MD
Family Medicine · Vero Beach, FLNPI 1942228549
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 46 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 17 manufacturers, the largest accounting for just 13.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $617 and has fallen 59.6% since, to $249 in 2025.
Across 46 payments — averaging $30.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bayer$182
- GSK$180
- Novo Nordisk$162
- Anika Therapeutics, Inc.$141
- Astellas Pharma US Inc$139
- Lilly USA, LLC$124
- plus $454 from 11 others
What the payments were for
- Food & beverage$1,382100%
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 |
|---|---|---|
| Bayer | 4 | $182 |
| GSK | 10 | $180 |
| Novo Nordisk | 4 | $162 |
| Anika Therapeutics, Inc. | 2 | $141 |
| Astellas Pharma US Inc | 2 | $139 |
| Lilly USA, LLC | 1 | $124 |
| AbbVie | 6 | $117 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 5 | $82 |
| Abbott | 2 | $48 |
| Merck | 2 | $45 |
| Amgen | 2 | $36 |
| Teva Pharmaceuticals USA, Inc. | 1 | $24 |
| Pfizer | 1 | $23 |
| Exact Sciences | 1 | $23 |
| Viiv Healthcare Company | 1 | $22 |
| Hologic Sales And Service, LLC | 1 | $18 |
| Cranial Technologies, Inc | 1 | $15 |
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
$1,382 in reported general payments places this provider in the 70th percentile of 7,282 family medicine providers in Florida.
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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $162 |
| Azithromycin | 24 | $107 |
| Prednisone | 29 | $96 |
| Ciprofloxacin Hcl | 14 | $89 |
| Doxycycline Hyclate | 11 | $78 |
| Mupirocin | 11 | $60 |
| Hydrochlorothiazide | 12 | $58 |
| Amoxicillin | 17 | $55 |
| Meloxicam | 13 | $26 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Vero Beach
- Hal BrownVero Beach$477K
- Noah LeeOakland Park$1.2M
- Angela RosselotBelle Isle$977K
- Richard LappOrlando$702K
- Lisa EvansBoca Raton$473K
- Giovana Rene CrooksBoca Raton$407K
- Edward BraunSt Petersburg$364K
- Samuel GreenleePensacola$235K
- Kevin FitzgeraldStuart$198K
- Louis KuritzkyGainesville$186K
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.