James Cromie, MD
Surgery · Kalispell, MTNPI 1508062894
Payments from drug & device makers
What this record shows
This record is dominated by education: $23,134 of the $34,772 with a category attached, or 66.5%. Intuitive Surgical accounts for 85.5% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2021 at $13,629 and has fallen 96.9% since, to $420 in 2025. Among surgery clinicians in MT with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 96 payments — averaging $362.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$30K
- Zimmer Biomet$2K
- W. L. Gore & Associates, Inc.$2K
- Atricure, Inc.$311
- Boston Scientific$203
- Johnson & Johnson$196
- plus $378 from 4 others
What the payments were for
- Travel & lodging$7,59422%
- Food & beverage$4,03612%
- Education$23,13467%
- Gifts$90%
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 | 61 | $29,718 |
| Zimmer Biomet | 11 | $2,022 |
| W. L. Gore & Associates, Inc. | 9 | $1,943 |
| Atricure, Inc. | 2 | $311 |
| Boston Scientific | 3 | $203 |
| Johnson & Johnson | 3 | $196 |
| Medtronic | 4 | $181 |
| Kls-martin L.p. | 1 | $98 |
| Endogastric Solutions, Inc | 1 | $59 |
| Lemaitre Vascular, Inc. | 1 | $40 |
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$28,254
- GORE BIO-A Tissue Reinforcement$1,126
- GORE TAG Thoracic Branch Endoprosthesis$436
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$311
- AdvantageRib$266
- GORE SYNECOR Biomaterial$157
- RIBFIX BLU ADVANTAGE$142
- GI Genius$123
- Echelon Circular$106
- MONOCRYL$106
- Echelon Flex$106
- SpyGlass Discover$105
- GORE ENFORM Preperitoneal Biomaterial$103
How this compares
$34,772 in reported general payments places this provider in the 95th percentile of 96 surgery providers in Montana.
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 |
|---|---|---|
| Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg | 11 | $215 |
| Famotidine | 12 | $75 |
| Oxycodone Hcl | 54 | $74 |
| Gabapentin | 15 | $72 |
| Omeprazole | 11 | $54 |
| Tramadol Hcl | 14 | $10 |
Paid to pharmacies, not to this prescriber.
Other surgery in Kalispell
- John MeansKalispell$72K
- Sydney LillardKalispell$11K
- Randall ZuckermanKalispell$4K
- Ida WilsonKalispell$2K
- Matthew SilvaMissoula$59K
- Michael WilcoxBillings$45K
- Jacob OpferBozeman$29K
- Bret MurrayBillings$27K
- Ryan GunliksonWhitefish$26K
- Emily BubbersHelena$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.