James Galbraith, MD
Emergency Medicine · Birmingham, ALNPI 1164508214
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $73,659 of the $73,787 with a category attached, or 99.8%. Gilead accounts for 100.0% of it on its own, with 1 other manufacturer making up the rest. 2025 is the largest year on record at $37,410, more than ten times the $11 reported in 2019. Among emergency medicine clinicians in AL 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 6 payments — averaging $12,298 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$74K
- E.r. Squibb & Sons, L.L.C.$11
Across 27 payments — averaging $4227.13 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.
- Gilead$82K
- BD$32K
What the payments were for
- Consulting fees$73,659100%
- Food & beverage$1290%
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 |
|---|---|---|
| Gilead | 5 | $73,776 |
| E.r. Squibb & Sons, L.L.C. | 1 | $11 |
How this compares
$73,787 in reported general payments places this provider in the 95th percentile of 565 emergency medicine providers in Alabama.
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.
Other emergency medicine in Birmingham
- Lauren WalterBirmingham$64K
- Maxwell ThompsonBirmingham$4K
- Paul KivelaBirmingham$2K
- Kevin CopeBirmingham$2K
- Eric YatesBirmingham$2K
- Rafael PeraltaBirmingham$2K
- Elizabeth AdamsBirmingham$1K
- Bryan BalentineBirmingham$1K
- Taylor PayneBirmingham$1K
- Michael BoboBirmingham$1K
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.