James McDowell, MD
Surgery · Springfield, TNNPI 1437156270
Payments from drug & device makers
What this record shows
This record is dominated by education: $30,750 of the $38,679 with a category attached, or 79.5%. Intuitive Surgical accounts for 96.6% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2021 at $12,903 and has fallen 99.0% since, to $129 in 2025. Among surgery clinicians in TN 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 70 payments — averaging $552.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$37K
- LSI Solutions Inc$356
- TELA Bio, Inc.$231
- Aroa Biosurgery Incorporated$163
- Medtronic$144
- Endogastric Solutions, Inc$114
- plus $298 from 7 others
What the payments were for
- Travel & lodging$4,50712%
- Food & beverage$3,4139%
- Education$30,75080%
- Gifts$90%
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 |
|---|---|---|
| Intuitive Surgical | 47 | $37,373 |
| LSI Solutions Inc | 5 | $356 |
| TELA Bio, Inc. | 4 | $231 |
| Aroa Biosurgery Incorporated | 3 | $163 |
| Medtronic | 1 | $144 |
| Endogastric Solutions, Inc | 1 | $114 |
| Apollo Endosurgery US Inc | 2 | $99 |
| W. L. Gore & Associates, Inc. | 2 | $93 |
| Bolton Medical Inc | 1 | $32 |
| Myriad Genetic Laboratories, Inc. | 1 | $25 |
| KARL Storz Endoscopy-america | 1 | $24 |
| Hologic Sales And Service, LLC | 1 | $13 |
| Olympus America Inc. | 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
$38,679 in reported general payments places this provider in the 95th percentile of 516 surgery providers in Tennessee.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 31 | $131 |
Paid to pharmacies, not to this prescriber.
Other surgery in Springfield
- Keith GoldbergSpringfield$52K
- Siva MullangiSpringfield$24K
- Heath BroussardJackson$688K
- Eric WallaceCookeville$529K
- John RobertsonJohnson City$432K
- Jaime Ponce-PortugalChattanooga$412K
- Evelio RodriguezNashville$362K
- Mathew NinanNashville$298K
- Joseph BroucekNashville$262K
- Linda HanGermantown$252K
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.