James Gould, MD
Otolaryngology · Festus, MONPI 1912908161
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $137,063 of the $143,463 with a category attached, or 95.5%. Stryker accounts for 99.7% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2022 at $57,387 and has fallen 98.8% since, to $703 in 2025. Among otolaryngology clinicians in MO 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 138 payments — averaging $1039.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$143K
- Neurent Medical Limited$169
- KARL Storz Endoscopy-america$114
- Acclarent, Inc$102
- Amgen$48
- Greer Laboratories, Inc.$19
What the payments were for
- Consulting fees$137,06396%
- Travel & lodging$2,4262%
- Food & beverage$3,9403%
- Education$340%
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 | 130 | $143,012 |
| Neurent Medical Limited | 1 | $169 |
| KARL Storz Endoscopy-america | 3 | $114 |
| Acclarent, Inc | 1 | $102 |
| Amgen | 2 | $48 |
| Greer Laboratories, Inc. | 1 | $19 |
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.
- CLARIFIX CRYOTHERAPY DEVICE$95,740
- LATERA$71,797
- XPRESS ENT DILATION SYSTEM$59,269
- SCOPIS ENT$43,199
- ENTELLUS - XPRESS ENT DILATION SYSTEM$42,985
- SHAVER SYSTEM$31,185
- ORTHOMAP$17,850
- TGS GUIDEWIRE$12,325
- ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM$428
- CLARIFIX$284
- XPRESS LOPROFILE$284
- ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM$243
- NEUROMARK System$169
- NEUROMARK Radiofrequency Console$169
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$102
How this compares
$143,463 in reported general payments places this provider in the 95th percentile of 210 otolaryngology providers in Missouri.
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 |
|---|---|---|
| Epinephrine | 51 | $7,932 |
| Ipratropium Bromide | 47 | $2,478 |
| Mupirocin | 253 | $2,340 |
| Triamcinolone Acetonide | 244 | $1,420 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 11 | $1,236 |
| Montelukast Sodium | 113 | $779 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 11 | $643 |
| Levocetirizine Dihydrochloride | 40 | $469 |
| Azelastine Hcl | 24 | $407 |
| Levothyroxine Sodium | 15 | $179 |
| Fluticasone Propionate | 14 | $171 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $29 |
| Prednisone | 13 | $25 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Festus
- Talon ManingasJoplin$314K
- Ryan JacksonSaint Louis$284K
- Ravindra UppaluriSaint Louis$168K
- John SchneiderSaint Louis$74K
- Amit WaliaSaint Louis$21K
- Bharat PanugantiSaint Louis$19K
- Jeffrey SharonSt. Louis$18K
- Kelvin WallsLees Summit$14K
- Cristine Klatt-CromwellSaint Louis$13K
- Lauren RolandSaint Louis$11K
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.