James Brien, MD
Urology · Asheville, NCNPI 1538383658
Payments from drug & device makers
Across 188 payments — averaging $20.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$609
- Johnson & Johnson$533
- Neotract Inc.$272
- Medtronic$262
- Astellas Pharma US Inc$258
- Pfizer$245
- plus $2K from 30 others
What the payments were for
- Food & beverage$3,855100%
- Education$40%
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 |
|---|---|---|
| AbbVie | 36 | $609 |
| Johnson & Johnson | 24 | $533 |
| Neotract Inc. | 3 | $272 |
| Medtronic(2 entities) | 14 | $262 |
| Astellas Pharma US Inc | 15 | $258 |
| Pfizer | 25 | $245 |
| Urogen Pharma, Inc. | 6 | $237 |
| Boston Scientific | 8 | $212 |
| Bayer | 3 | $163 |
| Tolmar Pharmaceuticals, Inc. | 2 | $136 |
| Endo USA, Inc. | 4 | $98 |
| Merck | 4 | $75 |
| Sumitomo Pharma America, Inc. | 4 | $69 |
| Coloplast | 4 | $68 |
| Olympus America Inc. | 2 | $64 |
| Accord Healthcare, Inc. | 2 | $49 |
| E.r. Squibb & Sons, L.L.C. | 3 | $45 |
| Endo Pharmaceuticals Inc. | 3 | $43 |
| Dendreon Pharmaceuticals LLC | 2 | $42 |
| Amgen | 3 | $41 |
| Antares Pharma, Inc. | 2 | $41 |
| Progenics Pharmaceuticals, Inc. | 2 | $37 |
| SRS Medical Systems, Inc. | 1 | $29 |
| Axonics, Inc. | 1 | $24 |
| Smith+Nephew | 1 | $24 |
| Bioprotect Medical, Inc. | 1 | $23 |
| Procept Biorobotics Corporation | 1 | $22 |
| Photocure Inc | 1 | $21 |
| Ferring Pharmaceuticals Inc. | 1 | $17 |
| Calyxo, Inc. | 1 | $17 |
| 180 Medical, Inc. | 1 | $17 |
| Angiodynamics, Inc. | 1 | $17 |
| Ambu Inc. | 2 | $17 |
| Palette Life Sciences, Inc. | 1 | $16 |
| Laborie Medical Technologies Corp. | 1 | $15 |
| Travere Therapeutics, Inc. | 3 | $4 |
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
$3,859 in reported general payments places this provider in the 55th percentile of 434 urology providers in North Carolina.
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 |
|---|---|---|
| XtandiEnzalutamide | 12 | $167,264 |
| MyrbetriqMirabegron | 152 | $125,834 |
| GemtesaVibegron | 147 | $110,109 |
| Tamsulosin Hcl | 1,022 | $14,055 |
| Silodosin | 96 | $8,678 |
| Finasteride | 599 | $7,078 |
| Testosterone | 44 | $6,951 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 174 | $3,731 |
| Methenamine Hippurate | 29 | $2,595 |
| Potassium Citrate ErPotassium Citrate | 26 | $1,924 |
| Dutasteride | 54 | $1,564 |
| Oxybutynin Chloride ErOxybutynin Chloride | 43 | $1,444 |
| Estradiol | 26 | $1,196 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 38 | $1,137 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 13 | $782 |
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 |
|---|---|---|
| Astellas Pharma US IncXtandi, Myrbetriq | $258 | $293,098164 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $69 | $110,109147 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 55th percentile of 434 urology providers in North Carolina.
Other urology in Asheville
- Daniel GeorgeDurham$17.6M
- Robert LippittSmithfield$11.4M
- Thomas PolascikDurham$4.7M
- Judd MoulDurham$4.1M
- John WrennGreensboro$2.9M
- Michael KennellyCharlotte$1.4M
- John KasparRaleigh$1.1M
- Scott MacdiarmidGreensboro$882K
- Glenn PremingerDurham$736K
- Jonathan HamiltonGreenville$695K
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.