Robert Struthers, MD
Neurology · Cedar Rapids, IANPI 1982738795
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.5% of the total across 133 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 37 manufacturers, the largest accounting for just 24.0% — the pattern of someone who eats at a lot of different presentations.
Across 133 payments — averaging $18.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$576
- Itamar Medical Inc$178
- Inspire Medical Systems, Inc.$163
- Novartis$128
- AbbVie$126
- Abbott$88
- plus $1K from 31 others
What the payments were for
- Food & beverage$2,36999%
- Education$351%
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 |
|---|---|---|
| Pfizer | 57 | $576 |
| Itamar Medical Inc | 2 | $178 |
| Inspire Medical Systems, Inc. | 3 | $163 |
| Novartis | 5 | $128 |
| AbbVie(2 entities) | 7 | $126 |
| Abbott | 3 | $88 |
| Biogen | 4 | $84 |
| Johnson & Johnson(2 entities) | 3 | $78 |
| Philips North America LLC | 3 | $69 |
| Lundbeck LLC | 3 | $63 |
| EMD Serono, Inc. | 3 | $62 |
| Resmed Corp | 3 | $61 |
| MDD US Operations, LLC | 3 | $57 |
| Ipsen Biopharmaceuticals, Inc | 2 | $53 |
| Livanova USA, Inc. | 3 | $52 |
| Amgen | 2 | $51 |
| Eisai Inc. | 2 | $50 |
| Genentech USA, Inc. | 3 | $47 |
| AstraZeneca | 2 | $40 |
| Catalyst Pharmaceuticals, Inc. | 2 | $36 |
| Axsome Therapeutics, Inc. | 2 | $30 |
| Argenx US, Inc. | 1 | $29 |
| Medtronic | 1 | $29 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $25 |
| Kyowa Kirin, Inc. | 1 | $24 |
| Sunovion Pharmaceuticals Inc. | 1 | $23 |
| Biohaven Pharmaceuticals, Inc. | 1 | $22 |
| 3b Medical, Inc. | 1 | $21 |
| Biomarin Pharmaceutical Inc. | 1 | $19 |
| Sanofi | 1 | $19 |
| Avion Pharmaceuticals | 1 | $18 |
| Lilly USA, LLC | 1 | $16 |
| Vanda Pharmaceuticals Inc. | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Alnylam Pharmaceuticals Inc. | 1 | $14 |
| E.r. Squibb & Sons, L.L.C. | 1 | $14 |
| Supernus Pharmaceuticals, 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
$2,404 in reported general payments places this provider in the 70th percentile of 132 neurology providers in Iowa.
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 |
|---|---|---|
| XywavSodium,calcium,mag,pot Oxybate | 11 | $222,463 |
| Kesimpta PenOfatumumab | 16 | $205,031 |
| AustedoDeutetrabenazine | 13 | $100,344 |
| EpidiolexCannabidiol (Cbd) | 18 | $86,837 |
| Nurtec OdtRimegepant Sulfate | 49 | $49,906 |
| QuliptaAtogepant | 30 | $35,822 |
| AptiomEslicarbazepine Acetate | 12 | $34,772 |
| XcopriCenobamate | 25 | $31,139 |
| Emgality PenGalcanezumab-Gnlm | 24 | $28,687 |
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 369 | $22,990 |
| Lacosamide | 161 | $22,433 |
| RytaryCarbidopa/Levodopa | 14 | $17,524 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 617 | $17,399 |
| Ajovy AutoinjectorFremanezumab-Vfrm | 18 | $17,311 |
| BriviactBrivaracetam | 12 | $16,850 |
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 |
|---|---|---|
| PfizerNurtec Odt, Dilantin | $576 | $60,728127 claims |
| AbbVieQulipta, Ubrelvy | $126 | $52,06245 claims |
| Sunovion Pharmaceuticals Inc.Aptiom | $23 | $34,77212 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 70th percentile of 132 neurology providers in Iowa.
Other neurology in Cedar Rapids
- Winthrop RiskCedar Rapids$136K
- Scott GeislerCedar Rapids$87K
- Shereen ChangCedar Rapids$2K
- Thomas RogersCedar Rapids$2K
- Laurence KrainCedar Rapids$2K
- Stephanie JacksonCedar Rapids$852
- Bruce HughesDes Moines$1.8M
- Michael JacobyDes Moines$243K
- Lynn RankinDes Moines$181K
- Wendy ZadehDes Moines$134K
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.