James Farmer, MD
Sports Medicine · Roanoke, VANPI 1013988161
Payments from drug & device makers
Across 100 payments — averaging $76.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pacira Pharmaceuticals Incorporated$3K
- Stryker$2K
- Medical Device Business Services, Inc.$1K
- Johnson & Johnson$1K
- Zimmer Biomet$135
- Vertex$30
- plus $131 from 6 others
What the payments were for
- Consulting fees$90012%
- Travel & lodging$4,14555%
- Food & beverage$2,47633%
- Education$831%
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 |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | 10 | $2,918 |
| Stryker | 17 | $1,833 |
| Medical Device Business Services, Inc. | 8 | $1,416 |
| Johnson & Johnson | 56 | $1,140 |
| Zimmer Biomet | 2 | $135 |
| Vertex | 1 | $30 |
| Trice Medical, Inc. | 1 | $27 |
| Si-bone, Inc. | 1 | $26 |
| Kerecis Limited | 1 | $25 |
| KCI USA, Inc. | 1 | $22 |
| Bioventus LLC | 1 | $17 |
| Arthrosurface Incorporated | 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.
- Iovera$2,751
- MAKO$636
- AEQUALIS PERFORM$537
- TRUESPAN$294
- AEQUALIS ASCEND FLEX$151
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$150
How this compares
$7,604 in reported general payments places this provider in the 60th percentile of 171 sports medicine providers in Virginia.
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 |
|---|---|---|
| Celecoxib | 62 | $2,537 |
| ProgesteroneProgesterone, Micronized | 35 | $1,581 |
| Pregabalin | 42 | $834 |
| Ondansetron OdtOndansetron | 55 | $776 |
| Np ThyroidThyroid,pork | 16 | $738 |
| Oxycodone Hcl | 61 | $343 |
| Cephalexin | 84 | $263 |
| Ibuprofen | 24 | $208 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $190 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 19 | $93 |
| Tramadol Hcl | 15 | $81 |
| Meloxicam | 42 | $79 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Roanoke
- Thomas MillerRoanoke$63K
- Ian DempseyRoanoke$57K
- David DiduchCharlottesville$4M
- Thorp DavisMechanicsville$3M
- Stephen BrockmeierCharlottesville$2.6M
- William NordtRichmond$2.6M
- Justin GriffinVirginia Beach$2.1M
- Kevin BonnerVirginia Beach$1.7M
- Brian WernerCharlottesville$1.6M
- Kenneth ZaslavRichmond$1M
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.