James Lashley, MD
Orthopaedic Surgery of the Spine · Dalton, GANPI 1972631182
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,225 of the $1,431 with a category attached, or 85.6%. Globus Medical accounts for 85.6% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2020 at $1,257 and has fallen 96.0% since, to $51 in 2023. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in GA, where the typical reported total is $16,983.
Across 15 payments — averaging $95.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$1K
- Johnson & Johnson$40
- Medtronic$32
- Vericel Corporation$22
- Stryker$21
- Alpha Orthopedic Systems$17
- plus $74 from 5 others
What the payments were for
- Travel & lodging$1,22586%
- Food & beverage$20614%
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 |
|---|---|---|
| Globus Medical | 1 | $1,225 |
| Johnson & Johnson(2 entities) | 3 | $40 |
| Medtronic(2 entities) | 2 | $32 |
| Vericel Corporation | 2 | $22 |
| Stryker | 1 | $21 |
| Alpha Orthopedic Systems | 1 | $17 |
| KCI USA, Inc. | 1 | $17 |
| Smith+Nephew | 1 | $16 |
| Pacira Therapeutics, Inc. | 1 | $16 |
| Avanos Medical | 1 | $15 |
| Bioventus LLC | 1 | $11 |
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.
How this compares
$1,431 in reported general payments places this provider in the 15th percentile of 57 orthopaedic surgery of the spine providers in Georgia.
See all orthopaedic surgery of the spine providers in Georgia →
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 | 113 | $670 |
| Methocarbamol | 82 | $639 |
| Cyclobenzaprine Hcl | 20 | $466 |
| Methylprednisolone | 57 | $367 |
| Tizanidine Hcl | 60 | $279 |
| Pregabalin | 15 | $206 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $168 |
| Baclofen | 20 | $150 |
| Meloxicam | 49 | $122 |
| Ibuprofen | 34 | $118 |
| Tramadol Hcl | 30 | $111 |
| Ondansetron Hcl | 28 | $91 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Dalton
- John HellerAtlanta$4.2M
- Scott BodenAtlanta$1.5M
- Justin BundyAugusta$1.4M
- John RheeAtlanta$1.1M
- Tapan DaftariAustell$759K
- Brad PrybisStockbridge$659K
- Paul JeffordsAtlanta$651K
- Raphael RoybalSavannah$400K
- Hewatt SimsDouglas$376K
- James MalcolmMarietta$295K
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.