James Pilkington, MD
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.7% of the total across 15 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Melinta Therapeutics, LLC at 25.9% of the total. That places this record below the midpoint for surgery clinicians in MI, where the typical reported total is $1,459.
Across 15 payments — averaging $23.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Melinta Therapeutics, LLC$92
- Intuitive Surgical$70
- Smith+Nephew$40
- Baxter Healthcare$40
- Solventum Corporation$30
- Johnson & Johnson$19
- plus $63 from 4 others
What the payments were for
- Food & beverage$33996%
- Education$154%
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 |
|---|---|---|
| Melinta Therapeutics, LLC | 5 | $92 |
| Intuitive Surgical | 1 | $70 |
| Smith+Nephew | 2 | $40 |
| Baxter Healthcare | 1 | $40 |
| Solventum Corporation | 1 | $30 |
| Johnson & Johnson | 1 | $19 |
| Heron Therapeutics, Inc. | 1 | $19 |
| LSI Solutions Inc | 1 | $17 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Boston Scientific | 1 | $12 |
How this compares
$354 in reported general payments places this provider in the 25th percentile of 1,081 surgery providers in Michigan.
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 |
|---|---|---|
| Pantoprazole Sodium | 23 | $316 |
| Omeprazole | 29 | $312 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 93 | $230 |
| Metronidazole | 17 | $41 |
| Ciprofloxacin Hcl | 15 | $22 |
Paid to pharmacies, not to this prescriber.
Other surgery in Alma
- Robert BartlettAnn Arbor$859K
- Matthew FourmanMonroe$492K
- Bruce McIntoshRochester Hills$435K
- Jon SchramZeeland$261K
- Eric DaviesBrighton$258K
- Robert LyonsYpsilanti$196K
- Joel StrehlTraverse City$170K
- John LimClinton Township$141K
- Bellal JosephDetroit$114K
- Anthony IaccoBeverly Hills$114K
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.