James Barger, MD
Orthopaedic Surgery · Nashua, NHNPI 1801326046
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (39.7%), education and food and beverage — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Crossroads Orthopedics, LLC at 33.0% of the total. Reporting peaked in 2022 at $4,228 and has fallen 70.6% since, to $1,242 in 2025.
Across 51 payments — averaging $146.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Crossroads Orthopedics, LLC$2K
- Arthrex$2K
- Encore Medical, LP$2K
- Stryker$542
- Medacta USA, Inc.$136
- Johnson & Johnson$106
- plus $264 from 7 others
What the payments were for
- Travel & lodging$2,95640%
- Food & beverage$2,09628%
- Education$2,40032%
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 |
|---|---|---|
| Crossroads Orthopedics, LLC | 5 | $2,461 |
| Arthrex | 21 | $2,150 |
| Encore Medical, LP | 8 | $1,794 |
| Stryker | 8 | $542 |
| Medacta USA, Inc. | 1 | $136 |
| Johnson & Johnson | 1 | $106 |
| Acumed LLC | 1 | $84 |
| Access Pro Medical, LLC | 1 | $57 |
| Zimmer Biomet | 1 | $52 |
| Kairos Surgical Inc | 1 | $25 |
| Checkpoint Surgical, Inc | 1 | $18 |
| Endo Pharmaceuticals Inc. | 1 | $15 |
| Trimed, Inc. | 1 | $13 |
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.
- DJO SURGICAL$1,629
- PRIMARY SHOULDER$136
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$130
- INSPACE$114
- HAMMERLOCK$106
- NA$106
How this compares
$7,452 in reported general payments places this provider in the 75th percentile of 141 orthopaedic surgery providers in New Hampshire.
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 |
|---|---|---|
| Meloxicam | 18 | $52 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $49 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Nashua
- David RichardsNashua$122K
- Christian KlareNashua$88K
- Matthew WilkeningNashua$79K
- Thomas FortneyNashua$54K
- Peter EyvazzadehNashua$19K
- Anand PadmanabhaNashua$16K
- Bryan BeanNashua$11K
- Andrew GarberNashua$9K
- Jason SmoakNashua$8K
- Daniel BouvierNashua$5K
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.