James Parsons, MD
Radiation Oncology · Boynton Beach, FLNPI 1679587075
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $180 of the $206 with a category attached, or 87.5%. 7 manufacturers reported payments, led by Tactile Systems Technology Inc at 44.4% of the total. Reporting peaked in 2019 at $61 and has fallen 57.5% since, to $26 in 2025. That places this record below the midpoint for radiation oncology clinicians in FL, where the typical reported total is $724.
Across 10 payments — averaging $20.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Tactile Systems Technology Inc$92
- Merck$26
- Shockwave Medical, Inc$25
- Daiichi Sankyo Inc.$21
- Novartis$18
- Sanofi$18
- plus $8 from 1 others
What the payments were for
- Food & beverage$18088%
- Education$2612%
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 |
|---|---|---|
| Tactile Systems Technology Inc | 4 | $92 |
| Merck | 1 | $26 |
| Shockwave Medical, Inc | 1 | $25 |
| Daiichi Sankyo Inc. | 1 | $21 |
| Novartis | 1 | $18 |
| Sanofi | 1 | $18 |
| Fortovia Therapeutics, Inc. | 1 | $8 |
How this compares
$206 in reported general payments places this provider in the 25th percentile of 465 radiation oncology providers in Florida.
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 |
|---|---|---|
| Lidocaine Hcl ViscousLidocaine Hcl | 12 | $173 |
| Tamsulosin Hcl | 11 | $105 |
| Mupirocin | 13 | $92 |
| Ciprofloxacin Hcl | 11 | $15 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Boynton Beach
- Shravan KandulaOrlando$444K
- Martin KeischMiami Shores$319K
- Marcio FagundesMiami$274K
- Evan ThomasWinter Park$209K
- Rupesh KotechaMiami$208K
- John SylvesterLakewood Ranch$205K
- Ravi ShridharOrlando$192K
- Alan BrownFort Myers$165K
- Akash NandaOrlando$165K
- Michael ChuongMiami$152K
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.