James Blair, PA
Physician Assistant · Port Townsend, WANPI 1447202585
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 12 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Amgen at 55.5% of the total. 2025 is the largest year on record at $241, 7.0 times the $35 reported in 2023.
Across 12 payments — averaging $28.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$188
- Exact Sciences$61
- Lilly USA, LLC$25
- Dexcom, Inc.$25
- Medtronic$19
- Eisai Inc.$16
- plus $5 from 1 others
What the payments were for
- Food & beverage$339100%
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 |
|---|---|---|
| Amgen | 4 | $188 |
| Exact Sciences | 3 | $61 |
| Lilly USA, LLC | 1 | $25 |
| Dexcom, Inc. | 1 | $25 |
| Medtronic | 1 | $19 |
| Eisai Inc. | 1 | $16 |
| Organon | 1 | $5 |
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.
- Repatha$120
How this compares
$339 in reported general payments places this provider in the 75th percentile of 2,741 physician assistant providers in Washington.
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 |
|---|---|---|
| EliquisApixaban | 14 | $18,096 |
| JardianceEmpagliflozin | 13 | $17,539 |
| PremarinEstrogens, Conjugated | 16 | $4,494 |
| Clomipramine Hcl | 11 | $551 |
| Tamsulosin Hcl | 36 | $531 |
| Losartan Potassium | 69 | $486 |
| Atorvastatin Calcium | 42 | $401 |
| Gabapentin | 26 | $401 |
| Metoprolol Succinate | 30 | $394 |
| Levothyroxine Sodium | 38 | $306 |
| Lisinopril | 42 | $305 |
| Indapamide | 16 | $246 |
| Ipratropium Bromide | 14 | $239 |
| Trazodone Hcl | 44 | $238 |
| Metformin Hcl | 16 | $190 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Port Townsend
- Jill KandoraShoreline$437K
- Jeannette HartRichland$263K
- Lance KeckTacoma$162K
- Erinn KingSeattle$129K
- Christy VathSeattle$75K
- Scott TaylorMercer Island$71K
- Gina FragioneGraham$69K
- Regan BrownSpokane$56K
- Justin ChapinSeattle$40K
- Susan DuffyBellevue$23K
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.