James Fordice, MD
Otolaryngology · Murfreesboro, TNNPI 1801878905
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 125 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by Stryker at 29.0% of the total. 2025 is the largest year on record at $1,165, 7.1 times the $165 reported in 2019.
Across 125 payments — averaging $28.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Aerin Medical Inc.$528
- Inspire Medical Systems, Inc.$441
- Sanofi$264
- Optinose US, Inc.$198
- GSK$183
- plus $890 from 17 others
What the payments were for
- Food & beverage$3,525100%
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 |
|---|---|---|
| Stryker | 43 | $1,022 |
| Aerin Medical Inc. | 6 | $528 |
| Inspire Medical Systems, Inc. | 10 | $441 |
| Sanofi | 9 | $264 |
| Optinose US, Inc. | 9 | $198 |
| GSK | 10 | $183 |
| Regeneron Healthcare Solutions, Inc. | 6 | $177 |
| Medtronic | 3 | $151 |
| Acclarent, Inc | 3 | $74 |
| Intersect ENT, Inc. | 5 | $74 |
| Olympus America Inc. | 4 | $73 |
| Tactile Systems Technology Inc | 2 | $57 |
| Hikma Pharmaceuticals USA | 3 | $42 |
| Smith+Nephew | 1 | $35 |
| Novartis | 2 | $31 |
| Endogastric Solutions, Inc | 2 | $30 |
| Integra Lifesciences Corporation | 1 | $24 |
| Hologic Sales And Service, LLC | 1 | $24 |
| Genentech USA, Inc. | 1 | $23 |
| Neurent Medical Limited | 1 | $22 |
| Paratek Pharmaceuticals, Inc. | 1 | $20 |
| Azurity Pharmaceuticals, Inc. | 1 | $20 |
| Phathom Pharmaceuticals, Inc. | 1 | $14 |
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.
- VIVAER STYLUS$352
- RHINAER STYLUS$352
- XPRESS ENT DILATION SYSTEM$268
- Inspire$260
How this compares
$3,525 in reported general payments places this provider in the 75th percentile of 191 otolaryngology 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 |
|---|---|---|
| Azelastine Hcl | 97 | $3,448 |
| Fluticasone Propionate | 64 | $678 |
| Ipratropium Bromide | 20 | $607 |
| Pilocarpine Hcl | 12 | $392 |
| Montelukast Sodium | 42 | $354 |
| Omeprazole | 16 | $219 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 18 | $208 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $201 |
| Azithromycin | 30 | $183 |
| Levothyroxine Sodium | 33 | $141 |
| Meclizine Hcl | 15 | $85 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 13 | $51 |
| Alprazolam | 12 | $41 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Murfreesboro
- Paulino GocoMurfreesboro$12K
- Britni CaplinMurfreesboro$4K
- Brannon MangusMurfreesboro$3K
- George ConverseMurfreesboro$3K
- Rakesh ChandraNashville$381K
- David FortuneHermitage$298K
- Grady BryantHermitage$74K
- Marion GillespieMemphis$67K
- Clyde MathisonFarragut$66K
- Dean KlugGermantown$37K
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.