James Fleming
Pain Medicine · Bend, ORNPI 1912401761
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (49.0%), food and beverage and education — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Nevro Corp. at 45.4% of the total.
Across 59 payments — averaging $105.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$3K
- Boston Scientific$2K
- Virtus Pharmaceuticals LLC$283
- Globus Medical$235
- Medtronic$170
- SPR Therapeutics, Inc$121
- plus $262 from 4 others
What the payments were for
- Travel & lodging$3,05549%
- Food & beverage$2,17735%
- Education$1,00616%
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 |
|---|---|---|
| Nevro Corp. | 21 | $2,833 |
| Boston Scientific | 13 | $2,335 |
| Virtus Pharmaceuticals LLC | 9 | $283 |
| Globus Medical | 8 | $235 |
| Medtronic | 1 | $170 |
| SPR Therapeutics, Inc | 1 | $121 |
| Saluda Medical Americas, Inc. | 1 | $111 |
| Si-bone, Inc. | 2 | $82 |
| Stryker | 2 | $53 |
| Ultragenyx Pharmaceutical Inc. | 1 | $16 |
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.
- Senza$2,055
- WaveWriter Alpha Prime 16$1,243
- INTELLIS ADAPTIVESTIM$170
- GENERAL PAIN MANAGEMENT$124
- SPRINT PNS System$121
- Evoke$111
How this compares
$6,238 in reported general payments places this provider in the 65th percentile of 57 pain medicine providers in Oregon.
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 |
|---|---|---|
| Buprenorphine | 41 | $9,727 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 24 | $3,272 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 172 | $3,235 |
| Pregabalin | 193 | $2,828 |
| Gabapentin | 151 | $2,657 |
| Duloxetine Hcl | 198 | $2,654 |
| Oxycodone Hcl | 144 | $2,540 |
| Lidocaine | 27 | $2,009 |
| Celecoxib | 45 | $2,002 |
| Morphine Sulfate ErMorphine Sulfate | 56 | $1,955 |
| Naloxone Hcl | 19 | $1,430 |
| Buprenorphine Hcl | 40 | $1,368 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 58 | $1,303 |
| Morphine Sulfate | 17 | $636 |
| Hydromorphone Hcl | 44 | $517 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Bend
- Edward KentBend$25K
- Keegan McClaryBend$8K
- Jon SwiftBend$6K
- Vishal KhemlaniTualatin$338K
- Robert HerosTualatin$299K
- Joseph SavinoMedford$95K
- Kimberly MauerPortland$59K
- Stuart RosenblumPortland$31K
- Andrew OhPortland$30K
- Shawn SillsMedford$28K
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.