James Guildford
Retina Specialist · West Palm Beach, FLNPI 1417967258
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,336 of the $6,939 with a category attached, or 76.9%. It is spread thinly across 22 manufacturers, the largest accounting for just 22.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,899 and has fallen 67.5% since, to $618 in 2023.
Across 61 payments — averaging $113.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cardinal Health 108 LLC$2K
- Regeneron Healthcare Solutions, Inc.$624
- Amgen$602
- Genentech USA, Inc.$507
- Novartis$435
- Kala Pharmaceuticals, Inc.$363
- plus $3K from 16 others
What the payments were for
- Consulting fees$1,57523%
- Travel & lodging$280%
- Food & beverage$5,33677%
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 |
|---|---|---|
| Cardinal Health 108 LLC | 1 | $1,575 |
| Regeneron Healthcare Solutions, Inc. | 14 | $624 |
| Amgen | 5 | $602 |
| Genentech USA, Inc. | 6 | $507 |
| Novartis | 6 | $435 |
| Kala Pharmaceuticals, Inc. | 3 | $363 |
| Omeros Corporation | 3 | $359 |
| Aerie Pharmaceuticals, Inc. | 3 | $345 |
| Dompe US, Inc. | 2 | $224 |
| Rayner Intraocular Lenses Limited | 2 | $213 |
| Sight Sciences, Inc. | 2 | $212 |
| Sun Pharmaceutical Industries Inc. | 2 | $209 |
| Dutch Ophthalmic, USA | 2 | $193 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $149 |
| AbbVie | 2 | $145 |
| Mallinckrodt Enterprises LLC | 1 | $123 |
| Alcon | 1 | $122 |
| Biotissue Holdings Inc. | 1 | $120 |
| Mallinckrodt Hospital Products Inc. | 1 | $107 |
| Eyevance Pharmaceuticals LLC | 1 | $107 |
| Spark Therapeutics, Inc. | 1 | $106 |
| Ivantis, Inc | 1 | $99 |
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
$6,939 in reported general payments places this provider in the 65th percentile of 118 retina specialist providers in Florida.
Other retina specialist in West Palm Beach
- Joseph NezgodaWest Palm Beach$600K
- Lauren RosecanWest Palm Beach$4K
- Sunil GuptaPensacola$1.8M
- Eduardo UchiyamaFt Lauderdale$356K
- Thomas AlbiniMiami$281K
- Audina BerrocalMiami$210K
- Philip RosenfeldMiami$206K
- John MyersPensacola$152K
- Timothy MurraySouth Miami$133K
- Adiel SmithAventura$116K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.