James Lafleur, PA
Physician Assistant · Fairbanks, AKNPI 1285106096
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,692 of the $7,853 with a category attached, or 72.5%. 29 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 39.6% of the total. Among physician assistant clinicians in AK 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 152 payments — averaging $51.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- ZOLL Respicardia, Inc.$1K
- AstraZeneca$674
- Harmony Biosciences LLC$385
- Jazz Pharmaceuticals Inc.$374
- Amgen$279
- plus $2K from 23 others
What the payments were for
- Consulting fees$1001%
- Travel & lodging$2,06126%
- Food & beverage$5,69272%
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. | 64 | $3,112 |
| ZOLL Respicardia, Inc. | 1 | $1,200 |
| AstraZeneca(2 entities) | 12 | $674 |
| Harmony Biosciences LLC | 6 | $385 |
| Jazz Pharmaceuticals Inc. | 3 | $374 |
| Amgen | 10 | $279 |
| Argenx US, Inc. | 4 | $257 |
| Amneal Pharmaceuticals LLC | 7 | $173 |
| Biocryst US Sales Co., LLC | 6 | $160 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $155 |
| SK Life Science, Inc. | 2 | $148 |
| Sanofi | 5 | $108 |
| GSK | 5 | $102 |
| Resmed Corp | 1 | $100 |
| Biogen | 1 | $100 |
| Amylyx Pharmaceuticals, Inc. | 1 | $90 |
| GRT US Holding, Inc. | 3 | $54 |
| CSL Behring | 2 | $52 |
| Fisher & Paykel Healthcare Inc | 2 | $47 |
| AbbVie | 1 | $43 |
| Grifols USA, LLC | 2 | $42 |
| UCB, Inc. | 1 | $38 |
| Kyowa Kirin, Inc. | 2 | $32 |
| Tanabe Pharma America, Inc. | 2 | $29 |
| Lilly USA, LLC | 1 | $26 |
| Pharming Healthcare, Inc. | 1 | $22 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $19 |
| Ionis Pharmaceuticals, Inc. | 1 | $19 |
| Teva Pharmaceuticals USA, Inc. | 1 | $15 |
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$1,452
- remede System$1,200
- Epidiolex$374
- Wakix$354
- ULTOMIRIS$250
- Inspire Upper Airway Stimulation System$180
- NURTEC ODT$125
- XCOPRI$125
- AIMOVIG$100
- AirSense$100
How this compares
$7,853 in reported general payments places this provider in the 95th percentile of 365 physician assistant providers in Alaska.
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 |
|---|---|---|
| Modafinil | 30 | $1,231 |
| Gabapentin | 128 | $885 |
| Methylphenidate Hcl | 17 | $702 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 28 | $312 |
| Clonazepam | 23 | $203 |
| Zolpidem Tartrate | 15 | $71 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Fairbanks
- Carrie ConleyFairbanks$1K
- Angela EmersonFairbanks$1K
- Jeremy RosieckiAnchorage$93K
- Ivy ParayoAnchorage$12K
- Shannon DieffenderferAnchorage$11K
- Zach ZipsirAnchorage$8K
- Tara WoodAnchorage$8K
- Jared WallaceKenai$7K
- Madison RosinAnchorage$7K
- Pamela TittleAnchorage$7K
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.