James Fish, DO
Orthopaedic Surgery of the Spine · Smyrna, TNNPI 1821046459
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 109 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 28 manufacturers, the largest accounting for just 23.3% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in TN, where the typical reported total is $7,717.
Across 109 payments — averaging $56.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimvie Inc.$1K
- Zimmer Biomet$912
- Intrinsic Therapeutics$896
- Providence Medical Technology, Inc.$442
- EBI, LLC$277
- Highridge Medical LLC$261
- plus $2K from 22 others
Across 10 payments — averaging $300.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Intrinsic Therapeutics$3K
What the payments were for
- Food & beverage$6,146100%
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 |
|---|---|---|
| Zimvie Inc. | 6 | $1,429 |
| Zimmer Biomet | 5 | $912 |
| Intrinsic Therapeutics | 16 | $896 |
| Providence Medical Technology, Inc. | 11 | $442 |
| EBI, LLC | 1 | $277 |
| Highridge Medical LLC | 1 | $261 |
| Si-bone, Inc. | 7 | $249 |
| Amgen(2 entities) | 12 | $227 |
| Elevation Spine, Inc. | 2 | $217 |
| Abbott | 9 | $200 |
| Osteocentric Technologies, Inc. | 2 | $141 |
| Arteriocyte Medical Systems, Inc. | 4 | $135 |
| Cerapedics Inc. | 3 | $134 |
| Radius Health, Inc. | 7 | $127 |
| Vertex | 4 | $101 |
| Medtronic(2 entities) | 3 | $85 |
| Johnson & Johnson(2 entities) | 2 | $45 |
| Centinel Spine, LLC | 1 | $39 |
| Kowa Pharmaceuticals America, Inc. | 2 | $37 |
| Bioventus LLC | 2 | $34 |
| Spineology Inc. | 2 | $31 |
| Innovation Technologies Inc | 1 | $24 |
| Pacira Pharmaceuticals Incorporated | 1 | $21 |
| DJO, LLC | 1 | $19 |
| Ossur Americas, Inc. | 1 | $19 |
| Alphatec Spine, Inc | 1 | $17 |
| Zyla Life Sciences, Inc. | 1 | $14 |
| Orthofix Medical, Inc. | 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.
- Biomet SpinalPak Non-invasive Spine Fusion Stimulator System$1,743
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$1,067
- Biomet SpinalPak$555
- Biomet SpinalPak / OrthoPak$325
- Mobi-C$224
- iFuse Implant$134
How this compares
$6,146 in reported general payments places this provider in the 40th percentile of 51 orthopaedic surgery of the spine providers in Tennessee.
See all orthopaedic surgery of the spine providers in Tennessee →
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 291 | $4,124 |
| Lidocaine | 36 | $3,097 |
| Gabapentin | 246 | $2,479 |
| Diclofenac Sodium | 100 | $1,592 |
| Methylprednisolone | 151 | $1,218 |
| Celecoxib | 26 | $1,194 |
| Meloxicam | 261 | $903 |
| Pregabalin | 80 | $849 |
| Tizanidine Hcl | 59 | $781 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 81 | $510 |
| Methocarbamol | 37 | $441 |
| Cyclobenzaprine Hcl | 76 | $365 |
| Ibuprofen | 29 | $276 |
| Tramadol Hcl | 79 | $228 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Smyrna
- John BurlesonSmyrna$184K
- Juris ShibayamaSmyrna$40K
- Lawrence BabatNashville$928K
- Raymond GardockiNashville$666K
- Samuel SchroerluckeMemphis$451K
- James JolleyChattanooga$231K
- Michael McNamaraFranklin$150K
- John KlekampFranklin$148K
- Daniel WellsKnoxville$135K
- Colin CrosbyNashville$134K
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.