James Kovach, PA
Physician Assistant · Wilson, NCNPI 1588700165
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $58,873 of the $59,143 with a category attached, or 99.5%. Heartflow, Inc. accounts for 99.5% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $58,919, more than ten times the $84 reported in 2021. Among physician assistant clinicians in NC 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 27 payments — averaging $2190.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Heartflow, Inc.$59K
- Bioventus LLC$52
- Endo USA, Inc.$46
- Ferring Pharmaceuticals Inc.$41
- Si-bone, Inc.$29
- Amgen$24
- plus $78 from 4 others
What the payments were for
- Consulting fees$58,873100%
- Food & beverage$2700%
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 |
|---|---|---|
| Heartflow, Inc. | 14 | $58,873 |
| Bioventus LLC | 3 | $52 |
| Endo USA, Inc. | 2 | $46 |
| Ferring Pharmaceuticals Inc. | 2 | $41 |
| Si-bone, Inc. | 1 | $29 |
| Amgen | 1 | $24 |
| Ipsen Biopharmaceuticals, Inc | 1 | $23 |
| Fidia Pharma USA Inc. | 1 | $22 |
| Vertos Medical, Inc. | 1 | $21 |
| Biodelivery Sciences International, Inc. | 1 | $12 |
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.
- FFRct$58,729
How this compares
$59,143 in reported general payments places this provider in the 95th percentile of 7,441 physician assistant providers in North Carolina.
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 |
|---|---|---|
| Methylprednisolone | 152 | $951 |
| Gabapentin | 99 | $915 |
| Tramadol Hcl | 186 | $456 |
| Meloxicam | 127 | $409 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 50 | $371 |
| Tizanidine Hcl | 41 | $346 |
| Baclofen | 86 | $294 |
| Cyclobenzaprine Hcl | 32 | $276 |
| Celecoxib | 15 | $223 |
| Naproxen | 13 | $96 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Wilson
- Philip ReasbeckWilson$180K
- Frank FerrittoWilson$90K
- Jo HughesGreensboro$814K
- Rachel HolzhauerCharlotte$739K
- Amber BlairCharlotte$551K
- Benjamin EpsteinDavidson$447K
- Rebecca KrausDavidson$425K
- Brooke JonesGoldsboro$259K
- Katherine SchultzHuntersville$164K
- Kristin CabedaCharlotte$135K
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.