James Counce, MD
Cardiac Surgery · Fayetteville, ARNPI 1104805498
Payments from drug & device makers
Across 228 payments — averaging $75.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$6K
- Veran Medical Technologies, Inc.$3K
- Atricure, Inc.$2K
- Abiomed$653
- Medtronic$478
- Abbott$456
- plus $4K from 37 others
What the payments were for
- Travel & lodging$8,78151%
- Food & beverage$8,31348%
- Education$921%
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 |
|---|---|---|
| Intuitive Surgical | 35 | $6,419 |
| Veran Medical Technologies, Inc. | 8 | $3,191 |
| Atricure, Inc. | 15 | $1,818 |
| Abiomed | 9 | $653 |
| Medtronic(2 entities) | 9 | $478 |
| Abbott | 6 | $456 |
| Davol Inc. | 11 | $444 |
| AstraZeneca | 13 | $357 |
| Merck | 17 | $273 |
| Johnson & Johnson(4 entities) | 9 | $273 |
| Livanova USA, Inc. | 2 | $235 |
| Kls-martin L.p. | 2 | $215 |
| Novartis | 11 | $209 |
| Amgen | 10 | $176 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $158 |
| Elutia, Inc. | 3 | $157 |
| Endologix LLC | 1 | $146 |
| Silk Road Medical, Inc. | 2 | $136 |
| Jazz Pharmaceuticals Inc. | 8 | $135 |
| Regeneron Healthcare Solutions, Inc. | 5 | $134 |
| Stryker | 3 | $125 |
| Genentech USA, Inc. | 7 | $123 |
| Edwards Lifesciences | 1 | $117 |
| Biom'up SA | 1 | $113 |
| Boehringer Ingelheim | 4 | $103 |
| Daiichi Sankyo Inc. | 2 | $58 |
| Blueprint Medicines Corporation | 3 | $54 |
| BD | 2 | $46 |
| G1 Therapeutics, Inc. | 3 | $43 |
| Pharmacosmos Therapeutics Inc. | 2 | $42 |
| Sanofi | 2 | $39 |
| Covidien LP | 1 | $38 |
| Biom'up France SAS | 1 | $36 |
| Lilly USA, LLC | 2 | $34 |
| Nuvation Bio Inc. | 1 | $28 |
| EMD Serono, Inc. | 1 | $20 |
| Array Biopharma Inc | 1 | $20 |
| AVEO Pharmaceuticals, Inc. | 1 | $16 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
| Getinge USA Sales, LLC | 1 | $14 |
| Karyopharm Therapeutics Inc. | 1 | $13 |
| Bayer | 1 | $13 |
| Seagen Inc. | 1 | $12 |
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.
- Da Vinci Surgical System$5,573
- Spin$3,118
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$1,353
- Impella$216
- Epic$193
- COROFLOW$179
- SYNERGY ABLATION SYSTEM$175
- Essenz$146
- Alto Abdominal Stent Graft System$146
- Avalus$146
- Progel Applicator Spray Tips$141
- ECM Patch,Pouch$136
- TAGRISSO$130
- ENROUTE Transcarotid Neuroprotection System$125
- ENROUTE .014 Guidewire$125
- ENHANCE Transcarotid Peripheral Access Kit$125
- ENROUTE Transcarotid Stent$125
- HEMOBLAST$113
- ENDURANT IIS$111
How this compares
Too few cardiac surgery providers in Arkansasto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 13 | $118 |
| Gabapentin | 12 | $110 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 13 | $74 |
| Atorvastatin Calcium | 13 | $35 |
Paid to pharmacies, not to this prescriber.
Other cardiac surgery in Fayetteville
- Russell WoodFayetteville$333K
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.