James Guille, MD
Orthopaedic Surgery · Pottstown, PANPI 1346218237
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.6%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Heron Therapeutics, Inc. accounts for 73.8% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2019 at $2,613 and has fallen 96.0% since, to $105 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in PA, where the typical reported total is $3,243.
Across 17 payments — averaging $197.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Heron Therapeutics, Inc.$2K
- Si-bone, Inc.$379
- Centinel Spine, LLC$147
- Zimmer Biomet$126
- Ortho Development Corporation$113
- EBI, LLC$46
- plus $71 from 2 others
What the payments were for
- Consulting fees$2,00060%
- Travel & lodging$36711%
- Food & beverage$98929%
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 |
|---|---|---|
| Heron Therapeutics, Inc. | 3 | $2,475 |
| Si-bone, Inc. | 6 | $379 |
| Centinel Spine, LLC | 1 | $147 |
| Zimmer Biomet | 1 | $126 |
| Ortho Development Corporation | 2 | $113 |
| EBI, LLC | 1 | $46 |
| Highridge Medical LLC | 1 | $46 |
| Amgen(2 entities) | 2 | $25 |
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.
- HTX-011$2,475
- iFuse Implant$287
- PRODISC C$147
- EBI Bone Healing System$126
How this compares
$3,356 in reported general payments places this provider in the 50th percentile of 1,048 orthopaedic surgery providers in Pennsylvania.
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 |
|---|---|---|
| Gabapentin | 62 | $637 |
| Diclofenac Sodium | 29 | $266 |
| Prednisone | 30 | $104 |
| Cyclobenzaprine Hcl | 20 | $98 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $76 |
| Meloxicam | 35 | $63 |
| Tramadol Hcl | 14 | $38 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Pottstown
- William HozackBensalem$10.6M
- Jess LonnerBryn Mawr$7.8M
- Gerald WilliamsBryn Mawr$6.8M
- Mark LazarusBensalem$6.4M
- John FenlinPhiladelphia$5.9M
- Peter SharkeyKing Of Prussia$5.7M
- Alexander VaccaroPhiladelphia$4.5M
- Selene ParekhBensalem$4.5M
- Joseph AbboudPhiladelphia$3.9M
- Jonathan GarinoMalvern$3.8M
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.