James Gnecco
Gastroenterology · Charlotte, NCNPI 1609338714
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.7% of the total across 151 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 30 manufacturers, the largest accounting for just 17.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,870, 3.9 times the $735 reported in 2022.
Across 151 payments — averaging $31.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$817
- Johnson & Johnson$365
- Madrigal Pharmaceuticals$340
- Regeneron Healthcare Solutions, Inc.$321
- Aimmune Therapeutics, Inc.$295
- Medtronic$270
- plus $2K from 24 others
What the payments were for
- Food & beverage$4,57798%
- Education$1082%
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 |
|---|---|---|
| AbbVie | 32 | $817 |
| Johnson & Johnson | 17 | $365 |
| Madrigal Pharmaceuticals | 10 | $340 |
| Regeneron Healthcare Solutions, Inc. | 5 | $321 |
| Aimmune Therapeutics, Inc. | 11 | $295 |
| Medtronic | 5 | $270 |
| Sanofi | 9 | $246 |
| Boston Scientific | 4 | $245 |
| Gilead | 2 | $244 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 12 | $234 |
| AstraZeneca | 2 | $231 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $155 |
| Ardelyx, Inc. | 2 | $141 |
| E.r. Squibb & Sons, L.L.C. | 1 | $122 |
| Olympus America Inc. | 6 | $106 |
| QOL Medical, LLC | 5 | $98 |
| Cook Medical LLC | 1 | $90 |
| Ipsen Biopharmaceuticals, Inc | 3 | $73 |
| Novo Nordisk | 3 | $56 |
| Vivus LLC | 2 | $33 |
| Evoke Pharma, Inc. | 2 | $29 |
| Biocon Biologics Inc | 1 | $28 |
| Mirum Pharmaceuticals, Inc. | 1 | $25 |
| Phathom Pharmaceuticals, Inc. | 1 | $23 |
| Lilly USA, LLC | 1 | $22 |
| Alnylam Pharmaceuticals Inc. | 1 | $20 |
| Celltrion USA Inc. | 1 | $18 |
| Pfizer | 1 | $16 |
| ERBE USA Inc | 1 | $13 |
| Micro-tech Endoscopy USA, Inc. | 1 | $8 |
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.
How this compares
$4,685 in reported general payments places this provider in the 65th percentile of 610 gastroenterology providers in North Carolina.
Other gastroenterology in Charlotte
- Stephen DealCharlotte$945K
- Fred FowlerCharlotte$932K
- Nilesh LodhiaCharlotte$735K
- Oscar BrannCharlotte$136K
- Philippe ZamorCharlotte$132K
- Kent HoltzmullerCharlotte$131K
- Baharak MoshireeCharlotte$105K
- Sagar PatelCharlotte$85K
- Olanrewaju JimohCharlotte$67K
- Sean RudnickCharlotte$60K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.