James Marcouillier, PA
Physician Assistant · Forest, VANPI 1508411323
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (49.2%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Boston Scientific at 53.2% of the total. 2025 is the largest year on record at $9,118, more than ten times the $883 reported in 2021. Among physician assistant clinicians in VA 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 76 payments — averaging $221.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$9K
- Silk Road Medical, Inc.$6K
- Medtronic$1K
- Medical Device Business Services, Inc.$509
- Getinge USA Sales, LLC$78
- Pacira Pharmaceuticals Incorporated$51
- plus $63 from 2 others
What the payments were for
- Consulting fees$1,0006%
- Speaking & faculty fees$8,28049%
- Travel & lodging$3,76522%
- Food & beverage$3,51821%
- Education$2602%
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 |
|---|---|---|
| Boston Scientific | 19 | $8,953 |
| Silk Road Medical, Inc. | 23 | $5,870 |
| Medtronic | 23 | $1,299 |
| Medical Device Business Services, Inc. | 6 | $509 |
| Getinge USA Sales, LLC | 1 | $78 |
| Pacira Pharmaceuticals Incorporated | 1 | $51 |
| Bioprotect Medical, Inc. | 2 | $42 |
| Smith+Nephew | 1 | $21 |
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
$16,822 in reported general payments places this provider in the 95th percentile of 3,376 physician assistant 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 |
|---|---|---|
| EliquisApixaban | 25 | $16,547 |
| ClopidogrelClopidogrel Bisulfate | 91 | $737 |
| Atorvastatin Calcium | 45 | $618 |
| Doxycycline Hyclate | 11 | $192 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $150 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 27 | $114 |
| Tramadol Hcl | 61 | $107 |
| Gabapentin | 19 | $89 |
| Oxycodone Hcl | 12 | $31 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Forest
- John DalessandroSalem$160K
- Jalal AlghabraFredericksburg$119K
- Jamie GiovanelliVirginia Beach$118K
- John CarterStaunton$90K
- Melissa AlcoxNorfolk$73K
- Lindsay TomReston$71K
- Robert HigginsonRichmond$66K
- Jameka McElroy-BrooklynArlington$65K
- Hillary HartungNorfolk$62K
- Juliette BeristainVirginia Beach$54K
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.