James Larson, MD
Sports Medicine · Winchester, VANPI 1366644700
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $8,510 of the $12,228 with a category attached, or 69.6%. Smith+Nephew accounts for 92.9% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2019 at $4,298 and has fallen 82.5% since, to $752 in 2025.
Across 62 payments — averaging $197.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$11K
- Stryker$325
- Pacira Pharmaceuticals Incorporated$165
- Johnson & Johnson$124
- Fortis Surgical, LLC$103
- Acacia Pharma Inc$39
- plus $107 from 5 others
Across 4 payments — averaging $1371.25 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Smith+Nephew$5K
What the payments were for
- Consulting fees$1151%
- Speaking & faculty fees$8,51070%
- Travel & lodging$1,32411%
- Food & beverage$2,27919%
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 |
|---|---|---|
| Smith+Nephew | 43 | $11,365 |
| Stryker | 7 | $325 |
| Pacira Pharmaceuticals Incorporated | 3 | $165 |
| Johnson & Johnson | 1 | $124 |
| Fortis Surgical, LLC | 1 | $103 |
| Acacia Pharma Inc | 2 | $39 |
| Amgen | 1 | $26 |
| Kyowa Kirin, Inc. | 1 | $25 |
| Heron Therapeutics, Inc. | 1 | $24 |
| Merck | 1 | $18 |
| Mallinckrodt Enterprises LLC | 1 | $14 |
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.
- NOVOSTITCH PRO$3,910
- Meniscal Root Repair System$2,530
- Meniscal Stitcher Set$2,530
- Meniscus Mender II$2,530
- Ultra Fast-Fix$2,530
- Healicoil$2,220
- SPATIAL FRAME$2,070
- Bone Anchors with Arthroscopic Delivery System$2,070
- NOVOSTITCH$1,578
- AEQUALIS PERFORM REVERSED$155
- AEQUALIS PERFORM$155
- Bioinductive Implant with Arthroscopic Delivery System - Medium$150
- Q-FIX$136
- MICRORAPTOR Knotless Shoulder$136
- ACCUPASS DIRECT Crescent XL$136
- HEALICOIL REGENESORB$136
- MICRORAPTOR REGENESORB$136
- Navio Surgical System$129
- Iovera$125
- NA$124
How this compares
$12,228 in reported general payments places this provider in the 70th percentile of 171 sports medicine providers in Virginia.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 98 | $611 |
| Naloxone Hcl | 12 | $561 |
| Ondansetron Hcl | 87 | $346 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $143 |
| Meloxicam | 14 | $107 |
| Tramadol Hcl | 25 | $34 |
| Amoxicillin | 11 | $9 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Winchester
- Matthew HintzWinchester$24K
- David DiduchCharlottesville$3.8M
- Thorp DavisMechanicsville$3M
- Stephen BrockmeierCharlottesville$2.6M
- William NordtRichmond$2.6M
- Justin GriffinVirginia Beach$1.5M
- Brian WernerCharlottesville$1.2M
- Kevin BonnerVirginia Beach$1.1M
- Kenneth ZaslavRichmond$819K
- Brandon BryantFairfax$290K
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.