James Norys, MD
Internal Medicine · Fayetteville, ARNPI 1568407666
Payments from drug & device makers
Across 253 payments — averaging $14.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$984
- GSK$780
- Pfizer$610
- AstraZeneca$321
- CSL Behring$138
- Dexcom, Inc.$93
- plus $759 from 21 others
What the payments were for
- Food & beverage$3,686100%
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 |
|---|---|---|
| AbbVie(2 entities) | 60 | $984 |
| GSK | 55 | $780 |
| Pfizer | 53 | $610 |
| AstraZeneca(2 entities) | 23 | $321 |
| CSL Behring | 6 | $138 |
| Dexcom, Inc. | 7 | $93 |
| Amgen | 6 | $93 |
| Teva Pharmaceuticals USA, Inc. | 6 | $93 |
| United Therapeutics Corporation | 4 | $88 |
| Boehringer Ingelheim | 5 | $80 |
| Novo Nordisk | 6 | $77 |
| Merck | 3 | $41 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $31 |
| Lilly USA, LLC | 2 | $30 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $24 |
| Astellas Pharma US Inc | 2 | $24 |
| Amarin Pharma, Inc. | 1 | $21 |
| Sanofi | 1 | $21 |
| Shield Therapeutics Inc | 1 | $20 |
| Grifols USA, LLC | 1 | $19 |
| Currax Pharmaceuticals LLC | 1 | $17 |
| Novartis | 1 | $16 |
| Regeneron Healthcare Solutions, Inc. | 1 | $14 |
| Eisai Inc. | 1 | $13 |
| Esperion Therapeutics, Inc. | 1 | $13 |
| Biohaven Pharmaceuticals, Inc. | 1 | $12 |
| Intercept Pharmaceuticals, Inc. | 1 | $12 |
How this compares
$3,686 in reported general payments places this provider in the 85th percentile of 614 internal medicine providers in Arkansas.
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 | 159 | $165,906 |
| OzempicSemaglutide | 120 | $121,235 |
| JardianceEmpagliflozin | 101 | $104,671 |
| MounjaroTirzepatide | 82 | $95,042 |
| XareltoRivaroxaban | 67 | $67,900 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 53 | $48,064 |
| FarxigaDapagliflozin Propanediol | 40 | $47,027 |
| Tresiba Flextouch U-200Insulin Degludec | 31 | $45,024 |
| TrulicityDulaglutide | 42 | $43,271 |
| EntrestoSacubitril/Valsartan | 29 | $26,531 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 22 | $17,823 |
| Breo ElliptaFluticasone/Vilanterol | 34 | $17,806 |
| LinzessLinaclotide | 17 | $16,565 |
| GemtesaVibegron | 13 | $12,166 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 460 | $11,722 |
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 |
|---|---|---|
| PfizerEliquis | $610 | $165,906159 claims |
| Lilly USA, LLCMounjaro, Trulicity | $30 | $138,313124 claims |
| Novo NordiskOzempic | $77 | $121,235120 claims |
| Boehringer IngelheimJardiance | $80 | $104,671101 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort, Nexium | $321 | $78,43599 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $780 | $65,87087 claims |
| NovartisEntresto | $16 | $26,53129 claims |
| AbbVieLinzess, Synthroid | $984 | $22,64393 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 85th percentile of 614 internal medicine providers in Arkansas.
Other internal medicine in Fayetteville
- Scott BirchFayetteville$7K
- David ClayFayetteville$6K
- Priyantha WijewardaneLittle Rock$43.6M
- Joseph RoseLittle Rock$1.1M
- David JohnsonSearcy$630K
- Kathleen GannonRogers$450K
- Alexander KaczenskiLittle Rock$305K
- John HendersonSearcy$102K
- David PyleJonesboro$93K
- Manisha SinghLittle Rock$71K
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.