Robert Lystrup, MD
Sports Medicine · Tucson, AZNPI 1679957427
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.7% of the total across 198 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 24 manufacturers, the largest accounting for just 20.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,055, more than ten times the $50 reported in 2020.
Across 198 payments — averaging $19.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$791
- GSK$513
- AbbVie$495
- Amgen$373
- Lilly USA, LLC$303
- Merck$230
- plus $1K from 18 others
What the payments were for
- Food & beverage$3,75499%
- Education$501%
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 | 31 | $791 |
| GSK | 35 | $513 |
| AbbVie(2 entities) | 22 | $495 |
| Amgen | 27 | $373 |
| Lilly USA, LLC | 19 | $303 |
| Merck | 10 | $230 |
| Novo Nordisk | 13 | $201 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $168 |
| Pfizer | 8 | $135 |
| Phathom Pharmaceuticals, Inc. | 4 | $97 |
| Radius Health, Inc. | 4 | $95 |
| Astellas Pharma US Inc | 3 | $71 |
| Sanofi Pasteur Inc. | 4 | $62 |
| Exact Sciences | 3 | $51 |
| Ardelyx, Inc. | 2 | $44 |
| Bayer | 2 | $28 |
| Merit Medical Systems Inc | 1 | $22 |
| Globus Medical | 1 | $21 |
| Phadia US Inc. | 1 | $20 |
| Aimmune Therapeutics, Inc. | 1 | $19 |
| Lundbeck LLC | 1 | $19 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $17 |
| Johnson & Johnson | 1 | $16 |
| Idorsia Pharmaceuticals US Inc | 1 | $14 |
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
$3,804 in reported general payments places this provider in the 60th percentile of 152 sports medicine providers in Arizona.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 92 | $99,285 |
| MounjaroTirzepatide | 40 | $56,848 |
| OzempicSemaglutide | 34 | $47,348 |
| EliquisApixaban | 38 | $40,909 |
| RybelsusSemaglutide | 11 | $25,617 |
| XareltoRivaroxaban | 12 | $19,820 |
| Repatha SureclickEvolocumab | 18 | $13,810 |
| VascepaIcosapent Ethyl | 19 | $9,288 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 13 | $8,800 |
| Advair HfaFluticasone Propion/Salmeterol | 11 | $3,908 |
| SynthroidLevothyroxine Sodium | 25 | $3,187 |
| Diclofenac Sodium | 23 | $2,669 |
| Duloxetine Hcl | 89 | $2,577 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 11 | $2,121 |
| Atorvastatin Calcium | 254 | $1,949 |
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 |
|---|---|---|
| GSKTrelegy Ellipta | $513 | $99,28592 claims |
| Novo NordiskOzempic, Rybelsus | $201 | $72,96545 claims |
| Lilly USA, LLCMounjaro | $303 | $56,84840 claims |
| PfizerEliquis | $135 | $40,90938 claims |
| Johnson & JohnsonXarelto | $16 | $19,82012 claims |
| AstraZenecaBreztri Aerosphere | $791 | $8,80013 claims |
| AbbVieSynthroid | $495 | $3,18725 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 60th percentile of 152 sports medicine providers in Arizona.
Other sports medicine in Tucson
- Chris LutherTucson$71K
- William PrickettTucson$30K
- Brandon GroomsTucson$26K
- John KleinTucson$5K
- Preston SmithTucson$4K
- Bradley NorrisTucson$4K
- Brett HaywoodTucson$4K
- Anup ShahPhoenix$1.3M
- Amon FerryScottsdale$482K
- John TokishScottsdale$387K
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.