Robert McArdle, DO
Pulmonary Disease · Lewiston, MENPI 1073625356
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.4% of the total across 139 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 19 manufacturers reported payments, led by AstraZeneca at 40.7% of the total. Reporting peaked in 2019 at $1,088 and has fallen 90.2% since, to $107 in 2024.
Across 139 payments — averaging $20.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Boehringer Ingelheim$478
- GSK$411
- Sanofi$203
- Novartis$182
- AbbVie$57
- plus $346 from 13 others
What the payments were for
- Food & beverage$2,78098%
- Education$452%
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 | 37 | $1,149 |
| Boehringer Ingelheim | 25 | $478 |
| GSK | 41 | $411 |
| Sanofi | 6 | $203 |
| Novartis | 7 | $182 |
| AbbVie(2 entities) | 3 | $57 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $55 |
| Mallinckrodt Hospital Products Inc. | 2 | $54 |
| Mylan Specialty L.p. | 2 | $34 |
| Jazz Pharmaceuticals Inc. | 2 | $32 |
| Astellas Pharma US Inc | 2 | $30 |
| Actelion Pharmaceuticals US, Inc. | 2 | $29 |
| Grifols USA, LLC | 1 | $21 |
| Harmony Biosciences LLC | 1 | $19 |
| Philips North America LLC | 1 | $17 |
| Shire North American Group Inc | 1 | $16 |
| Circassia Inc. | 1 | $14 |
| Genentech USA, Inc. | 1 | $13 |
| Amgen | 1 | $12 |
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
$2,825 in reported general payments places this provider in the 85th percentile of 58 pulmonary disease providers in Maine.
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 | 277 | $305,467 |
| Breo ElliptaFluticasone/Vilanterol | 80 | $59,591 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 56 | $54,054 |
| Spiriva HandihalerTiotropium Bromide | 43 | $40,855 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 31 | $30,756 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 27 | $24,478 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 20 | $14,553 |
| Spiriva RespimatTiotropium Bromide | 21 | $13,562 |
| SymbicortBudesonide/Formoterol Fumarate | 26 | $12,823 |
| DuleraMometasone/Formoterol | 28 | $12,274 |
| Advair HfaFluticasone Propion/Salmeterol | 21 | $11,076 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 202 | $7,847 |
| Incruse ElliptaUmeclidinium Bromide | 11 | $6,790 |
| Fluticasone-VilanterolFluticasone/Vilanterol | 24 | $6,370 |
| Roflumilast | 46 | $5,433 |
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, Breo Ellipta, Anoro Ellipta, Incruse Ellipta | $411 | $425,903424 claims |
| Boehringer IngelheimStiolto Respimat, Combivent Respimat, Spiriva Respimat | $478 | $52,59368 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $1,149 | $43,57957 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 85th percentile of 58 pulmonary disease providers in Maine.
Other pulmonary disease in Lewiston
- Michele GuzowskiLewiston$382
- Erwey TengLewiston$203
- Benjamin SmithLewiston$159
- Simrina SabharwalLewiston$15
- Neil DuvalLewiston$15
- Evan RamserLewiston$10
- Jonathan EvansSouth Portland$322K
- Andrew FildermanRockport$210K
- Andrew DixonBangor$40K
- Meagan MooreSouth Portland$34K
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.