Sarah Bull, MD
Endocrinology, Diabetes & Metabolism · Denver, CONPI 1427165547
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.5% of the total across 167 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 36 manufacturers, the largest accounting for just 11.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,161, 2.2 times the $517 reported in 2019.
Across 167 payments — averaging $22.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Chiesi USA, Inc.$432
- Lilly USA, LLC$298
- Amgen$297
- Sanofi-aventis U.S. LLC$227
- Amneal Pharmaceuticals LLC$205
- AbbVie$197
- plus $2K from 30 others
What the payments were for
- Speaking & faculty fees$3008%
- Food & beverage$3,46790%
- Education$662%
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 |
|---|---|---|
| Chiesi USA, Inc. | 5 | $432 |
| Lilly USA, LLC | 16 | $298 |
| Amgen(2 entities) | 14 | $297 |
| Sanofi-aventis U.S. LLC | 11 | $227 |
| Amneal Pharmaceuticals LLC | 11 | $205 |
| AbbVie | 9 | $197 |
| Novo Nordisk | 10 | $184 |
| Dexcom, Inc. | 8 | $134 |
| Medtronic(2 entities) | 6 | $130 |
| Tandem Diabetes Care, Inc. | 4 | $120 |
| Highridge Medical LLC | 2 | $118 |
| EBI, LLC | 2 | $118 |
| Insulet Corporation | 6 | $114 |
| IBSA Pharma Inc. | 6 | $109 |
| Ipsen Biopharmaceuticals, Inc | 5 | $109 |
| Abbott | 5 | $100 |
| Radius Health, Inc. | 4 | $96 |
| Mannkind Corporation | 5 | $83 |
| Merck | 6 | $81 |
| AstraZeneca(2 entities) | 4 | $78 |
| Johnson & Johnson | 3 | $71 |
| Alvogen Inc | 3 | $68 |
| Xeris Pharmaceuticals, Inc. | 3 | $56 |
| BETA Bionics, Inc. | 2 | $45 |
| Pfizer | 3 | $45 |
| Ascendis Pharma Endocrinology Inc | 2 | $42 |
| Ultragenyx Pharmaceutical Inc. | 2 | $41 |
| Recordati_rare_diseases_inc. | 2 | $40 |
| Astellas Pharma US Inc | 1 | $34 |
| Corcept Therapeutics | 1 | $31 |
| Amryt Pharma Holdings Ltd | 1 | $30 |
| Neurocrine Biosciences, Inc. | 1 | $24 |
| Shire North American Group Inc | 1 | $23 |
| BD | 1 | $18 |
| Zealand Pharma US, Inc. | 1 | $18 |
| Senseonics, Incorporated | 1 | $17 |
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.
- MYCAPSSA$300
How this compares
$3,833 in reported general payments places this provider in the 70th percentile of 120 endocrinology, diabetes & metabolism providers in Colorado.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| OzempicSemaglutide | 78 | $95,824 |
| TrulicityDulaglutide | 37 | $50,199 |
| MounjaroTirzepatide | 45 | $49,761 |
| TymlosAbaloparatide | 11 | $29,172 |
| Tresiba Flextouch U-100Insulin Degludec | 20 | $21,040 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 17 | $18,053 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 15 | $10,968 |
| SynthroidLevothyroxine Sodium | 30 | $3,442 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 20 | $2,964 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 23 | $2,857 |
| Ultra-Fine Mini Pen NeedlePen Needle, Diabetic | 15 | $1,305 |
| Levothyroxine Sodium | 78 | $1,270 |
| Methimazole | 27 | $277 |
| Alendronate Sodium | 40 | $251 |
| Metformin Hcl | 17 | $232 |
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 | $298 | $99,96082 claims |
| Novo NordiskOzempic | $184 | $95,82478 claims |
| Radius Health, Inc.Tymlos | $96 | $29,17211 claims |
| MerckJanumet Xr | $81 | $10,96815 claims |
| AbbVieSynthroid | $197 | $3,44230 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $205 | $1,27078 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 120 endocrinology, diabetes & metabolism providers in Colorado.
Other endocrinology, diabetes & metabolism in Denver
- Daniel BessesenDenver$34K
- Michael LoughnerDenver$32K
- Leonard ZemelDenver$19K
- Alex GoldsmithDenver$12K
- Daniel CitronDenver$8K
- Leslie GamacheDenver$4K
- Claudia PanzerDenver$3K
- Sheila MaierDenver$2K
- Karin HickeyDenver$2K
- Gregory LundDenver$1K
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.