Christopher James, MD
Adult Reconstructive Orthopaedic Surgery · Palm Harbor, FLNPI 1790190700
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,874 of the $11,822 with a category attached, or 66.6%. 25 manufacturers reported payments, led by Smith+Nephew at 27.4% of the total. Reporting peaked in 2022 at $3,091 and has fallen 52.2% since, to $1,478 in 2025. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in FL, where the typical reported total is $11,822.
Across 150 payments — averaging $78.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$3K
- Stryker$3K
- Zimmer Biomet$3K
- Painteq LLC$440
- Johnson & Johnson$350
- Maxx Orthopedics, Inc.$286
- plus $1K from 19 others
What the payments were for
- Grants$1601%
- Travel & lodging$3,78932%
- Food & beverage$7,87467%
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 |
|---|---|---|
| Smith+Nephew | 20 | $3,236 |
| Stryker | 45 | $3,211 |
| Zimmer Biomet | 38 | $2,844 |
| Painteq LLC | 1 | $440 |
| Johnson & Johnson | 2 | $350 |
| Maxx Orthopedics, Inc. | 2 | $286 |
| Coastal Medical Technologies LLC | 7 | $231 |
| Osteoremedies, LLC | 1 | $204 |
| Medical Device Business Services, Inc. | 5 | $139 |
| Theragen, Inc. | 6 | $116 |
| Ossur Americas, Inc. | 3 | $96 |
| Medline Industries LP | 1 | $88 |
| Seaspine Orthopedics Corporation | 1 | $84 |
| Orthalign Inc | 1 | $84 |
| MVP Orthopedics Inc | 3 | $63 |
| Bioventus LLC | 3 | $56 |
| Biotronik Inc. | 1 | $46 |
| BREG, Inc | 1 | $46 |
| Boston Scientific | 1 | $44 |
| Vertex | 2 | $41 |
| Solventum Corporation | 2 | $38 |
| Kestra Medical Technology Services, Inc. | 1 | $30 |
| Kerecis Limited | 1 | $19 |
| Sanara Medtech Inc. | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
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.
- Journey II$3,760
- MAKO$1,543
- REAL INTELLIGENCE$1,066
- Legion Revision$1,066
- Oxford$920
- TRIATHLON$467
- PAINTEQ$440
- Avenir$354
- ROSA$265
- MyMobility$231
- ATTUNE$225
- Remedy Spacer$204
- Remedy Spectrum GV Spacer$204
- BioBrush$204
- Spectrum GV$204
- Osteoboost Select 10cc$204
- INSIGNIA$174
- NONE$160
- ACCOLADE$159
- Persona$149
How this compares
$11,822 in reported general payments places this provider in the 50th percentile of 96 adult reconstructive orthopaedic surgery providers in Florida.
See all adult reconstructive orthopaedic surgery providers in Florida →
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 |
|---|---|---|
| Celecoxib | 95 | $1,988 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 223 | $1,902 |
| Tramadol Hcl | 341 | $1,396 |
| Ondansetron Hcl | 131 | $763 |
| Meloxicam | 141 | $328 |
| Gabapentin | 25 | $280 |
| Prednisone | 82 | $278 |
| Cefadroxil | 28 | $275 |
| Cyclobenzaprine Hcl | 24 | $254 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $214 |
| Mupirocin | 14 | $92 |
| Ibuprofen | 13 | $69 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Palm Harbor
- Zachary WellsPalm Harbor$13K
- Carlos LaverniaMiami$5.4M
- Juan SuarezMiami$3.9M
- John RedmondJacksonville$987K
- Gavan DuffyJacksonville$543K
- Timothy van de LeurSummerfield$511K
- Edward StolarskiSarasota$445K
- Andrew NoblePalm Beach Gardens$308K
- Raul GostheMiami$252K
- Chancellor GrayGainesville$228K
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.