James Lacey, MD
Otolaryngology · Melbourne, FLNPI 1164457081
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,321 of the $3,354 with a category attached, or 69.2%. Inspire Medical Systems, Inc. accounts for 89.7% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2024 at $1,397 and has fallen 79.7% since, to $284 in 2025.
Across 48 payments — averaging $69.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Medtronic$91
- Stryker$56
- Sanofi$51
- Acclarent, Inc$38
- Amgen$34
- plus $76 from 5 others
What the payments were for
- Travel & lodging$99930%
- Food & beverage$2,32169%
- Education$341%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 33 | $3,007 |
| Medtronic(2 entities) | 2 | $91 |
| Stryker | 2 | $56 |
| Sanofi | 3 | $51 |
| Acclarent, Inc | 2 | $38 |
| Amgen | 1 | $34 |
| Checkpoint Surgical, Inc | 1 | $20 |
| Phadia US Inc. | 1 | $17 |
| Regeneron Healthcare Solutions, Inc. | 1 | $15 |
| Kaleo, Inc. | 1 | $13 |
| Hologic Sales And Service, LLC | 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.
- Inspire Upper Airway Stimulation System$1,197
- Inspire$1,125
How this compares
$3,354 in reported general payments places this provider in the 70th percentile of 586 otolaryngology providers in Florida.
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 |
|---|---|---|
| Dupixent PenDupilumab | 17 | $81,373 |
| Fluticasone Propionate | 232 | $3,638 |
| Omeprazole | 134 | $2,749 |
| Famotidine | 121 | $2,013 |
| Ipratropium Bromide | 21 | $1,479 |
| Montelukast Sodium | 65 | $992 |
| Pantoprazole Sodium | 21 | $710 |
| Fluocinolone Acetonide Oil | 17 | $681 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 46 | $618 |
| Ofloxacin | 23 | $568 |
| Azelastine Hcl | 19 | $556 |
| Clarithromycin | 23 | $540 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 45 | $460 |
| Ondansetron OdtOndansetron | 78 | $310 |
| Levocetirizine Dihydrochloride | 16 | $295 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Melbourne
- Cecelia DamaskOrlando$707K
- Ralph TufanoSarasota$469K
- Franklin RimellFort Myers$314K
- David BrodnerBoynton Beach$209K
- Maria SuurnaMiami$189K
- Jane DillonOrmond Beach$180K
- Jeb JusticeGainesville$142K
- Indranil DebnathWinter Park$109K
- Agustin ArrietaMiami$95K
- John WestineGainesville$86K
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.