James Melville
Oral and Maxillofacial Surgery · Houston, TXNPI 1972751907
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $151,950 of the $239,281 with a category attached, or 63.5%. 19 manufacturers reported payments, led by Axogen at 59.5% of the total. 2025 is the largest year on record at $73,667, 2.4 times the $30,505 reported in 2019. Among oral and maxillofacial surgery clinicians in TX 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 408 payments — averaging $586.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$142K
- Kerecis Limited$82K
- Kls-martin L.p.$7K
- Medical Device Business Services, Inc.$3K
- Acell, Inc.$2K
- Checkpoint Surgical, Inc$440
- plus $2K from 13 others
Across 1 payment — averaging $2470.00 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.
- Sonavex, Inc.$2K
What the payments were for
- Consulting fees$36,29115%
- Speaking & faculty fees$151,95064%
- Travel & lodging$17,2317%
- Food & beverage$26,30911%
- Education$7,5003%
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 |
|---|---|---|
| Axogen | 224 | $142,357 |
| Kerecis Limited | 61 | $82,003 |
| Kls-martin L.p. | 76 | $7,217 |
| Medical Device Business Services, Inc. | 1 | $3,030 |
| Acell, Inc. | 3 | $2,175 |
| Checkpoint Surgical, Inc | 9 | $440 |
| Johnson & Johnson(2 entities) | 9 | $343 |
| Integra Lifesciences Corporation | 2 | $305 |
| Zimmer Biomet | 4 | $301 |
| BD | 1 | $261 |
| Biotissue Holdings Inc. | 8 | $223 |
| Stryker | 3 | $218 |
| Baxter Healthcare | 1 | $122 |
| Lifenet Health | 1 | $105 |
| Acera Surgical, Inc. | 1 | $70 |
| Access Pro Medical, LLC | 1 | $40 |
| Tempus AI, Inc | 1 | $24 |
| Davol Inc. | 1 | $24 |
| 3d Systems | 1 | $23 |
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.
- Kerecis SurgiClose$213,053
- Kerecis Omega3 Marigen$111,426
- AxoGuard Nerve Protector$95,639
- AxoGuard Nerve Connector$95,639
- AVANCE NERVE GRAFT$91,130
- Kerecis GraftGuide$53,263
- AXOGUARD HA+ NERVE PROTECTOR$45,025
- AxoGuard Nerve Cap$45,025
- AXOGUARD$33,047
- Kerecis Omega3 SurgiClose$28,182
- TRUMATCH$3,149
- INTEGRA$471
- CYTAL$295
- Walter$257
- INTEGRA DERMAL REGENERATION TEMPLATE$157
- PRIMATRIX$157
- PerClot$122
- Checkpoint Stimulators$120
- Kerecis Omega3 GraftGuide$118
- NA$108
How this compares
$239,281 in reported general payments places this provider in the 95th percentile of 591 oral and maxillofacial surgery providers in Texas.
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 |
|---|---|---|
| Pentoxifylline | 31 | $792 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 18 | $384 |
| Doxycycline Hyclate | 26 | $250 |
| Metronidazole | 18 | $140 |
| Chlorhexidine Gluconate | 32 | $105 |
| Amoxicillin | 14 | $33 |
Paid to pharmacies, not to this prescriber.
Other oral and maxillofacial surgery in Houston
- David AlfiHouston$58K
- Craig PearlHouston$38K
- Frank FrishkeyHouston$17K
- Jonathan ShumHouston$10K
- Nagi DemianHouston$10K
- Tareq Izzat BeckHouston$10K
- Mark WongHouston$7K
- Pedro FrancoIrving$91K
- Fayette WilliamsFort Worth$74K
- Craig BuchmannKeller$69K
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.