James Neuenschwander, MD
Emergency Medicine · Mount Vernon, OHNPI 1740210749
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $712,589 of the $938,925 with a category attached, or 75.9%. AstraZeneca accounts for 66.8% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2021 at $193,047 and has fallen 98.7% since, to $2,415 in 2025. Among emergency medicine clinicians in OH 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 1,266 payments — averaging $741.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$628K
- Johnson & Johnson$203K
- Fisher Scientific Company L.L.C.$51K
- Siemens Medical Solutions USA, Inc.$15K
- Fisher & Paykel Healthcare Inc$11K
- Vifor Pharma, Inc.$10K
- plus $21K from 17 others
Across 11 payments — averaging $3140.36 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.
- Siemens Medical Solutions USA, Inc.$27K
- Sanofi US Services Inc.$8K
What the payments were for
- Consulting fees$49,6085%
- Speaking & faculty fees$712,58976%
- Travel & lodging$148,81016%
- Food & beverage$27,8903%
- Education$270%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 883 | $627,534 |
| Johnson & Johnson | 256 | $203,202 |
| Fisher Scientific Company L.L.C. | 66 | $51,382 |
| Siemens Medical Solutions USA, Inc. | 11 | $14,700 |
| Fisher & Paykel Healthcare Inc | 7 | $10,520 |
| Vifor Pharma, Inc. | 3 | $10,400 |
| E.r. Squibb & Sons, L.L.C. | 5 | $9,000 |
| Pfizer | 3 | $4,499 |
| Ortho-clinical Diagnostics, Inc. | 1 | $3,825 |
| Abbott | 5 | $1,615 |
| BTG International Inc. | 2 | $796 |
| Baxter Healthcare | 1 | $310 |
| Aero US Inc | 1 | $294 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $198 |
| Fisher & Paykel Healthcare Limited | 3 | $138 |
| Organogenesis Inc. | 1 | $121 |
| Kyowa Kirin, Inc. | 2 | $75 |
| Ceribell, Inc. | 2 | $74 |
| Janssen Scientific Affairs, LLC | 2 | $71 |
| Portola Pharmaceuticals, LLC | 5 | $69 |
| Acelrx Pharmaceuticals, Inc. | 1 | $65 |
| Instrumentation Laboratory Company | 1 | $25 |
| Medtronic | 1 | $12 |
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.
- LOKELMA$486,581
- XARELTO$199,126
- ANDEXXA$127,468
- FISHER & PAYKEL HEALTHCARE$52,602
- Procalcitonin$30,404
- BRAHMS PCT KRYPTOR$20,185
- Alinity$1,200
- AEROGEN SOLO NEBULIZER SYSTEM$589
- Fluid Systems - Research Devel$310
- AEROGEN USB CONTROLLER SYSTEM$294
- AEROGEN SOLO; AEROGEN ULTRA$294
- Architect i2000SR Analyser System$160
- Aurlumyn$121
- Puraply Antimicrobial$121
- RELISTOR$112
- XIFAXAN$112
- Reagent$108
How this compares
$938,925 in reported general payments places this provider in the 95th percentile of 2,431 emergency medicine providers in Ohio.
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 |
|---|---|---|
| Doxycycline Hyclate | 23 | $249 |
| Methylprednisolone | 21 | $106 |
| Ondansetron OdtOndansetron | 11 | $64 |
| Cephalexin | 12 | $57 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Mount Vernon
- Thomas NaumoffBeachwood$746K
- Paul HogyaSouth Lebanon$468K
- Gregory FermannCincinnati$210K
- Anne StubbsColumbus$190K
- Natalie KreitzerCincinnati$150K
- Michael LyonsColumbus$140K
- Kiran FaryarWest Chester$125K
- Jordan BonomoCincinnati$92K
- Lori StolzCincinnati$86K
- William KnightCincinnati$62K
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.