Payment overview · 2025
General Payments
$189,564.25
379 reported records · 22 companies
Healthcare provider profile · identity verified
Robert John Bierwirth, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology · CRANSTON, RI · NPI 1053517565
Verified facts
What the public records show
CMS Open Payments records show Robert John Bierwirth, M.D. received $189,564.25 in general payments during 2025 across 379 reported records.
Janssen Biotech, Inc. accounted for 55.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 28 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Creon, Linzess, Rezdiffra, Rinvoq, Xifaxan.
ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported CREON as an associated drug or biological on 91561 records involving 20616 distinct recipient NPIs. Public Medicare Part D data also shows 39 claims for Creon by this doctor in 2024.
ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 59 claims for Linzess by this doctor in 2024.
ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported RINVOQ as an associated drug or biological on 279238 records involving 34343 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Rinvoq by this doctor in 2024.
Madrigal Pharmaceuticals reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported REZDIFFRA as an associated drug or biological on 75650 records involving 19195 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Rezdiffra by this doctor in 2024.
Salix Pharmaceuticals, a division of Bausch Health US, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported PLENVU as an associated drug or biological on 1016 records involving 359 distinct recipient NPIs. Public Medicare Part D data also shows 32 claims for Plenvu by this doctor in 2024.
Salix Pharmaceuticals, a division of Bausch Health US, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported XIFAXAN as an associated drug or biological on 101901 records involving 33018 distinct recipient NPIs. Public Medicare Part D data also shows 25 claims for Xifaxan by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $105,762.73 | 55.8% | 130 | 2025 |
| Madrigal Pharmaceuticals | Unresolved — no canonical attribution shown | $38,879.71 | 20.5% | 55 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $17,659.23 | 9.3% | 30 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $16,613.73 | 8.8% | 25 | 2025 |
| Phathom Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $3,821.57 | 2.0% | 9 | 2025 |
| Ipsen Biopharmaceuticals, Inc | Unresolved — no canonical attribution shown | $3,182.00 | 1.7% | 4 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $1,251.60 | 0.7% | 67 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $1,057.50 | 0.6% | 1 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $269.15 | 0.1% | 12 | 2025 |
| Ardelyx, Inc. | Unresolved — no canonical attribution shown | $211.85 | 0.1% | 16 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $172.17 | 0.1% | 9 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $156.76 | 0.1% | 3 | 2025 |
| QOL Medical, LLC | Unresolved — no canonical attribution shown | $119.99 | 0.1% | 3 | 2025 |
| Braintree Laboratories, Inc. | Unresolved — no canonical attribution shown | $110.26 | 0.1% | 1 | 2025 |
| Intercept Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $75.99 | 0.0% | 3 | 2025 |
| Celltrion USA Inc. | Unresolved — no canonical attribution shown | $75.47 | 0.0% | 3 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $45.54 | 0.0% | 2 | 2025 |
| Aimmune Therapeutics, Inc. | Unresolved — no canonical attribution shown | $43.31 | 0.0% | 2 | 2025 |
| Alnylam Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $21.91 | 0.0% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $14.83 | 0.0% | 1 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $13.82 | 0.0% | 1 | 2025 |
| Janssen Scientific Affairs, LLC | Unresolved — no canonical attribution shown | $5.13 | 0.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $159,712.36 | 48 |
| Travel and Lodging | $14,525.52 | 80 |
| Food and Beverage | $9,347.37 | 247 |
| Consulting Fee | $5,895.00 | 3 |
| Education | $84.00 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| TREMFYA Normalized: tremfya |
Drug | Janssen Biotech, Inc., Janssen Scientific Affairs, LLC | $105,767.86 | 131 | 2025 |
Source payment records
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| REZDIFFRA Normalized: rezdiffra |
Drug | Madrigal Pharmaceuticals | $37,912.21 | 54 | 2025 |
Source payment records
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| Epclusa Normalized: epclusa |
Drug | Gilead Sciences, Inc. | $17,564.20 | 22 | 2025 |
Source payment records
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| OMVOH Normalized: omvoh |
Drug | Lilly USA, LLC | $5,448.48 | 11 | 2025 |
Source payment records
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| VOQUEZNA Normalized: voquezna |
Drug | Phathom Pharmaceuticals, Inc. | $3,821.57 | 9 | 2025 |
Source payment records
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| IQIRVO Normalized: iqirvo |
Drug | Ipsen Biopharmaceuticals, Inc | $3,182.00 | 4 | 2025 |
Source payment records
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| SKYRIZI Normalized: skyrizi |
Biological | ABBVIE INC. | $1,165.25 | 60 | 2025 |
Source payment records
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| STELARA Normalized: stelara |
Biological | Janssen Biotech, Inc. | $1,085.02 | 3 | 2025 |
Source payment records
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| IMFINZI Normalized: imfinzi |
Biological | AstraZeneca Pharmaceuticals LP | $1,057.50 | 1 | 2025 |
Source payment records
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| RINVOQ Normalized: rinvoq |
Biological | ABBVIE INC. | $851.62 | 47 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $269.15 | 12 | 2025 |
Source payment records
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| IBSRELA Normalized: ibsrela |
Drug | Ardelyx, Inc. | $211.85 | 16 | 2025 |
Source payment records
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| ENTYVIO Normalized: entyvio |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $172.17 | 9 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Healthcare Solutions, Inc. | $170.58 | 4 | 2025 |
Source payment records
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| Sucraid Normalized: sucraid |
Drug | QOL Medical, LLC | $119.99 | 3 | 2025 |
Source payment records
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| SUFLAVE Normalized: suflave |
Drug | Braintree Laboratories, Inc. | $110.26 | 1 | 2025 |
Source payment records
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| SUTAB Normalized: sutab |
Drug | Braintree Laboratories, Inc. | $110.26 | 1 | 2025 |
Source payment records
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| TRULANCE Normalized: trulance |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $98.34 | 1 | 2025 |
Source payment records
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| CREON Normalized: creon |
Drug | ABBVIE INC. | $86.35 | 7 | 2025 |
Source payment records
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| LINZESS Normalized: linzess |
Drug | ABBVIE INC. | $86.35 | 7 | 2025 |
Source payment records
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| OCALIVA Normalized: ocaliva |
Drug | Intercept Pharmaceuticals, Inc. | $75.99 | 3 | 2025 |
Source payment records
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| VEGZELMA Normalized: vegzelma |
Biological | Celltrion USA Inc. | $75.47 | 3 | 2025 |
Source payment records
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $45.54 | 2 | 2025 |
Source payment records
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| VOWST Normalized: vowst |
Biological | Aimmune Therapeutics, Inc. | $23.01 | 1 | 2025 |
Source payment records
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| GIVLAARI Normalized: givlaari |
Drug | Alnylam Pharmaceuticals Inc. | $21.91 | 1 | 2025 |
Source payment records
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| ZENPEP Normalized: zenpep |
Drug | Aimmune Therapeutics, Inc. | $20.30 | 1 | 2025 |
Source payment records
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| VELSIPITY Normalized: velsipity |
Drug | PFIZER INC. | $14.83 | 1 | 2025 |
Source payment records
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| XELJANZ Normalized: xeljanz |
Drug | PFIZER INC. | $14.83 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| CREON creon |
2025 | Creon | 2024 | 39 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| LINZESS linzess |
2025 | Linzess | 2024 | 59 | exact normalized | Medicare Part D |
| REZDIFFRA rezdiffra |
2025 | Rezdiffra | 2024 | 16 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| RINVOQ rinvoq |
2025 | Rinvoq | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| XIFAXAN xifaxan |
2025 | Xifaxan | 2024 | 25 Beneficiary count suppressed |
exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | CREON open payments reported associated product |
CMS Open Payments — General Payments 91561 supporting records · 20616 recipient NPIs · example record 1201352608 |
Creon · 2024 Exact normalized brand match · 1 Part D row |
39 | suppressed by CMS |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | LINZESS open payments reported associated product |
CMS Open Payments — General Payments 87954 supporting records · 21815 recipient NPIs · example record 1201352608 |
Linzess · 2024 Exact normalized brand match · 1 Part D row |
59 | 11 |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | RINVOQ open payments reported associated product |
CMS Open Payments — General Payments 279238 supporting records · 34343 recipient NPIs · example record 1201352600 |
Rinvoq · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| Madrigal Pharmaceuticals Exact reporting entity; no affiliate inference |
2025 | REZDIFFRA open payments reported associated product |
CMS Open Payments — General Payments 75650 supporting records · 19195 recipient NPIs · example record 1248227746 |
Rezdiffra · 2024 Exact normalized brand match · 1 Part D row |
16 | suppressed by CMS |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC Exact reporting entity; no affiliate inference |
2025 | PLENVU open payments reported associated product |
CMS Open Payments — General Payments 1016 supporting records · 359 recipient NPIs · example record 1231776646 |
Plenvu · 2024 Exact normalized brand match · 1 Part D row |
32 | 32 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC Exact reporting entity; no affiliate inference |
2025 | XIFAXAN open payments reported associated product |
CMS Open Payments — General Payments 101901 supporting records · 33018 recipient NPIs · example record 1231775337 |
Xifaxan · 2024 Exact normalized brand match · 1 Part D row |
25 | suppressed by CMS |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Pantoprazole Sodium | Pantoprazole Sodium | 367 | 101 |
| Famotidine | Famotidine | 325 | 69 |
| Omeprazole | Omeprazole | 147 | 36 |
| Linzess | Linaclotide | 59 | 11 |
| Creon | Lipase/Protease/Amylase | 39 | suppressed |
| Azathioprine | Azathioprine | 37 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 37 | suppressed |
| Plenvu | Peg3350/Sod Sul/Nacl/Kcl/Asb/C | 32 | 32 |
| Sucralfate | Sucralfate | 32 | suppressed |
| Motegrity | Prucalopride Succinate | 31 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 28 | suppressed |
| Ondansetron Odt | Ondansetron | 28 | suppressed |
| Mesalamine | Mesalamine | 26 | suppressed |
| Xifaxan | Rifaximin | 25 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 19 | suppressed |
| Lactulose | Lactulose | 19 | suppressed |
| Lansoprazole | Lansoprazole | 19 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 16 | suppressed |
| Rezdiffra | Resmetirom | 16 | suppressed |
| Ursodiol | Ursodiol | 16 | suppressed |
| Cimetidine | Cimetidine | 13 | suppressed |
| Sulfasalazine Dr | Sulfasalazine | 13 | suppressed |
| Rinvoq | Upadacitinib | 12 | suppressed |
| Amiloride Hcl | Amiloride Hcl | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $189,564.25 · 379 records | Janssen Biotech, Inc. | CREON, DUPIXENT, ENTYVIO, Epclusa, GIVLAARI, IBSRELA, IMFINZI, IQIRVO, JOURNAVX, LINZESS, OCALIVA, OMVOH, REZDIFFRA, RINVOQ, SKYRIZI, STELARA, SUFLAVE, SUTAB, Sucraid, TREMFYA, TRULANCE, VEGZELMA, VELSIPITY, VOQUEZNA, VOWST, XELJANZ, XIFAXAN, ZENPEP | 6 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Creon play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE INC.?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error