Robert Nelson, PA
Physician Assistant · Glenwood Springs, CONPI 1003110172
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (36.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Sanofi-aventis U.S. LLC accounts for 83.9% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2024 at $11,296 and has fallen 97.3% since, to $301 in 2025. Among physician assistant clinicians in CO 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 57 payments — averaging $233.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi-aventis U.S. LLC$11K
- Medtronic$2K
- Lilly USA, LLC$145
- BETA Bionics, Inc.$134
- AbbVie$74
- Pfizer$59
- plus $212 from 9 others
What the payments were for
- Consulting fees$3,13624%
- Speaking & faculty fees$4,90037%
- Travel & lodging$3,07423%
- Food & beverage$2,17516%
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-aventis U.S. LLC | 22 | $11,145 |
| Medtronic | 8 | $1,516 |
| Lilly USA, LLC | 8 | $145 |
| BETA Bionics, Inc. | 1 | $134 |
| AbbVie | 4 | $74 |
| Pfizer | 3 | $59 |
| Amgen | 2 | $43 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $30 |
| Nestle Healthcare Nutrition Inc. | 1 | $27 |
| Astellas Pharma US Inc | 1 | $24 |
| Merck | 1 | $21 |
| Otsuka America Pharmaceutical, Inc. | 1 | $19 |
| Novartis | 1 | $19 |
| Novo Nordisk | 1 | $16 |
| Exact Sciences | 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.
- TZIELD$4,930
- MINIMED 780G$1,285
- iLet Bionic Pancreas$401
How this compares
$13,285 in reported general payments places this provider in the 95th percentile of 2,849 physician assistant providers in Colorado.
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 |
|---|---|---|
| JardianceEmpagliflozin | 42 | $55,082 |
| TrulicityDulaglutide | 32 | $50,411 |
| OzempicSemaglutide | 30 | $47,333 |
| MounjaroTirzepatide | 30 | $45,973 |
| Tresiba Flextouch U-200Insulin Degludec | 32 | $25,633 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 21 | $17,047 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 22 | $13,482 |
| Humalog Kwikpen U-200Insulin Lispro | 13 | $8,608 |
| HumalogInsulin Lispro | 15 | $3,545 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 12 | $3,367 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 27 | $2,318 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 19 | $2,085 |
| Ultra-Fine Nano Pen NeedlePen Needle, Diabetic | 14 | $1,088 |
| Metformin Hcl ErMetformin Hcl | 59 | $804 |
| Rosuvastatin Calcium | 22 | $781 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro, Humalog, Insulin Lispro | $145 | $100,69288 claims |
| Novo NordiskOzempic | $16 | $47,33330 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 2,849 physician assistant providers in Colorado.
Other physician assistant in Glenwood Springs
- Donald MooreEnglewood$246K
- Neekan AeiniGreenwood Village$234K
- Korby HowellCortez$182K
- Heather FinlaysonLittleton$180K
- Kristen LervikDenver$131K
- Marissa Moritz-GuzikLouisville$94K
- Clayton LabaumeDurango$87K
- Emily FrischDenver$79K
- Daniel HumerLone Tree$69K
- Christine ZerrLittleton$68K
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.