Robert Cullen
Physician Assistant · Coeur D Alene, IDNPI 1366110223
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $7,377 of the $11,076 with a category attached, or 66.6%. 8 manufacturers reported payments, led by Sanofi at 47.6% of the total. 2025 is the largest year on record at $8,815, more than ten times the $162 reported in 2023. Among physician assistant clinicians in ID with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 53 payments — averaging $208.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$5K
- TG Therapeutics, Inc.$3K
- Genentech USA, Inc.$1K
- EMD Serono, Inc.$787
- Bristol Myers Squibb$277
- AstraZeneca$155
- plus $112 from 2 others
What the payments were for
- Consulting fees$7,37767%
- Speaking & faculty fees$2252%
- Travel & lodging$9108%
- Food & beverage$2,44822%
- Education$1161%
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 |
|---|---|---|
| Sanofi | 8 | $5,270 |
| TG Therapeutics, Inc. | 15 | $3,386 |
| Genentech USA, Inc. | 2 | $1,088 |
| EMD Serono, Inc. | 12 | $787 |
| Bristol Myers Squibb | 12 | $277 |
| AstraZeneca | 2 | $155 |
| Amgen | 1 | $95 |
| Genentech, Inc. | 1 | $18 |
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
$11,076 in reported general payments places this provider in the 95th percentile of 1,027 physician assistant providers in Idaho.
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 |
|---|---|---|
| Kesimpta PenOfatumumab | 67 | $595,629 |
| Dalfampridine ErDalfampridine | 50 | $24,478 |
| GemtesaVibegron | 27 | $18,518 |
| NuedextaDextromethorphan Hbr/Quinidine | 11 | $15,382 |
| UbrelvyUbrogepant | 14 | $15,033 |
| MyrbetriqMirabegron | 18 | $11,517 |
| Lacosamide | 26 | $2,710 |
| Modafinil | 18 | $1,807 |
| Gabapentin | 48 | $1,309 |
| Pregabalin | 50 | $1,087 |
| Baclofen | 32 | $994 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 30 | $851 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 15 | $769 |
| Methylphenidate ErMethylphenidate Hcl | 11 | $526 |
| RizatriptanRizatriptan Benzoate | 13 | $494 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Coeur D Alene
- Kimberly PortchCoeur D Alene$17K
- Annalise MabeCoeur D Alene$6K
- Erika ValtinsonCoeur D Alene$6K
- Benjamin KernsBoise$100K
- Brian BizikTwin Falls$81K
- Autumn HeumanBoise$28K
- James WalkerNampa$21K
- Melissa McClenahanMeridian$19K
- Arthur NeaseMeridian$16K
- Chase BealBurley$16K
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.