James Napier, MD
Neurology · Green Bay, WINPI 1043327489
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (59.8%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 6 manufacturers reported payments, led by Novartis at 56.6% of the total. Reporting peaked in 2019 at $540 and has fallen 78.2% since, to $118 in 2024.
Across 11 payments — averaging $92.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$579
- Sanofi$125
- Genentech USA, Inc.$125
- AstraZeneca$118
- EMD Serono, Inc.$41
- MDD US Operations, LLC$34
Across 96 payments — averaging $17,341 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.
- Novartis$1.6M
- Teva Pharmaceuticals USA, Inc.$81K
- Biogen$22K
What the payments were for
- Speaking & faculty fees$12512%
- Travel & lodging$26726%
- Food & beverage$61160%
- Education$192%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Novartis | 5 | $579 |
| Sanofi | 1 | $125 |
| Genentech USA, Inc. | 1 | $125 |
| AstraZeneca | 1 | $118 |
| EMD Serono, Inc. | 1 | $41 |
| MDD US Operations, LLC | 2 | $34 |
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
$1,022 in reported general payments places this provider in the 70th percentile of 308 neurology providers in Wisconsin.
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 |
|---|---|---|
| Kesimpta PenOfatumumab | 97 | $904,102 |
| NuplazidPimavanserin Tartrate | 113 | $551,355 |
| AptiomEslicarbazepine Acetate | 87 | $185,590 |
| CopaxoneGlatiramer Acetate | 25 | $154,786 |
| GilenyaFingolimod Hcl | 12 | $125,726 |
| Avonex Pen (4 Pack)Interferon Beta-1a | 14 | $119,460 |
| MayzentSiponimod | 13 | $116,220 |
| GocovriAmantadine Hcl | 46 | $112,641 |
| RytaryCarbidopa/Levodopa | 46 | $73,106 |
| Emgality PenGalcanezumab-Gnlm | 96 | $69,405 |
| Aimovig AutoinjectorErenumab-Aooe | 93 | $68,763 |
| BriviactBrivaracetam | 32 | $54,003 |
| EliquisApixaban | 27 | $37,960 |
| Dalfampridine ErDalfampridine | 118 | $35,701 |
| Rasagiline Mesylate | 149 | $27,985 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| NovartisGilenya, Mayzent | $579 | $241,94625 claims |
| MDD US Operations, LLCGocovri | $34 | $112,64146 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 70th percentile of 308 neurology providers in Wisconsin.
Other neurology in Green Bay
- Aaron BubolzGreen Bay$34K
- Sany KhabbazGreen Bay$19K
- David KaufmanGreen Bay$3K
- Bhupendra KhatriMilwaukee$2.5M
- Ahmed ObeidatMilwaukee$1.9M
- Staley BrodMilwaukee$1M
- Daniel LongNeenah$899K
- Traci PurathBurlington$524K
- Ashley HoldridgeWhitefish Bay$368K
- Michael SnyderMadison$284K
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.