Vitalie Lupu, MD
Neurology · Portland, ORNPI 1609837913
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.7% of the total across 60 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 22 manufacturers, the largest accounting for just 12.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,665 and has fallen 52.1% since, to $797 in 2025.
Across 60 payments — averaging $100.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- EMD Serono, Inc.$781
- AstraZeneca$701
- Teva Pharmaceuticals USA, Inc.$582
- Biohaven Pharmaceuticals, Inc.$466
- Argenx US, Inc.$426
- Sanofi$412
- plus $3K from 16 others
What the payments were for
- Consulting fees$1502%
- Food & beverage$5,72495%
- Education$1723%
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 |
|---|---|---|
| EMD Serono, Inc. | 8 | $781 |
| AstraZeneca | 9 | $701 |
| Teva Pharmaceuticals USA, Inc. | 5 | $582 |
| Biohaven Pharmaceuticals, Inc. | 3 | $466 |
| Argenx US, Inc. | 5 | $426 |
| Sanofi | 4 | $412 |
| AbbVie | 3 | $370 |
| Biogen | 3 | $315 |
| Bristol Myers Squibb | 3 | $293 |
| Novartis | 2 | $226 |
| Lilly USA, LLC | 2 | $192 |
| Boston Scientific | 2 | $186 |
| Genentech, Inc. | 1 | $146 |
| TG Therapeutics, Inc. | 1 | $130 |
| Alnylam Pharmaceuticals Inc. | 1 | $125 |
| CSL Behring | 1 | $125 |
| Eisai Inc. | 1 | $119 |
| Tanabe Pharma America, Inc. | 1 | $100 |
| Sanofi-aventis U.S. LLC | 1 | $100 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $99 |
| UCB, Inc. | 2 | $85 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $69 |
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
$6,046 in reported general payments places this provider in the 80th percentile of 228 neurology providers in Oregon.
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 |
|---|---|---|
| IngrezzaValbenazine Tosylate | 14 | $114,515 |
| Avonex Pen (4 Pack)Interferon Beta-1a | 13 | $103,164 |
| MayzentSiponimod | 11 | $99,181 |
| Avonex (4 Pack)Interferon Beta-1a | 12 | $91,056 |
| Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov50 | 14 | $71,076 |
| Aimovig AutoinjectorErenumab-Aooe | 17 | $14,618 |
| Rivastigmine | 23 | $5,532 |
| Mycophenolate Mofetil | 11 | $2,498 |
| Pyridostigmine Bromide | 16 | $2,381 |
| Levetiracetam | 72 | $2,192 |
| Gabapentin | 72 | $1,999 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 71 | $1,625 |
| Lamotrigine | 25 | $1,300 |
| Oxcarbazepine | 19 | $1,027 |
| Lacosamide | 12 | $896 |
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 |
|---|---|---|
| NovartisMayzent | $226 | $99,18111 claims |
| BiogenAvonex (4 Pack) | $315 | $91,05612 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Gammagard Liquid | $69 | $71,07614 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 80th percentile of 228 neurology providers in Oregon.
Other neurology in Portland
- Kyle SmootPortland$932K
- Chafic KaramPortland$727K
- Herbert KrobPortland$416K
- Stanley CohanPortland$334K
- Matthew BrodskyPortland$123K
- Delaram SafarpourPortland$77K
- Kiren Kresa-ReahlPortland$71K
- Nizar ChahinPortland$57K
- Jeffrey KayePortland$54K
- Michelle CameronPortland$40K
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.