James Renfroe, MD
Neurology with Special Qualifications in Child Neurology · Gulf Breeze, FLNPI 1780686717
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $46,289 of the $61,091 with a category attached, or 75.8%. 30 manufacturers reported payments, led by Greenwich Biosciences, Inc. at 25.9% of the total. Reporting peaked in 2019 at $23,097 and has fallen 96.0% since, to $922 in 2025. Among neurology with special qualifications in child neurology clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 256 payments — averaging $238.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Greenwich Biosciences, Inc.$16K
- Jazz Pharmaceuticals Inc.$15K
- Immedica Pharma US, Inc.$13K
- Livanova USA, Inc.$9K
- Piramal Critical Care$2K
- Ipsen Biopharmaceuticals, Inc$2K
- plus $5K from 24 others
Across 720 payments — averaging $3941.60 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.
- H. Lundbeck A S$1.1M
- PTC Therapeutics, Inc.$482K
- Sarepta Therapeutics, Inc.$447K
- AbbVie$440K
- Neurelis, Inc.$184K
- UCB SA$97K
- plus $112K from 6 others
What the payments were for
- Consulting fees$2,0253%
- Speaking & faculty fees$46,28976%
- Travel & lodging$5,6169%
- Food & beverage$7,14412%
- Education$170%
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 |
|---|---|---|
| Greenwich Biosciences, Inc. | 21 | $15,792 |
| Jazz Pharmaceuticals Inc. | 20 | $14,530 |
| Immedica Pharma US, Inc. | 18 | $13,193 |
| Livanova USA, Inc. | 24 | $9,164 |
| Piramal Critical Care | 8 | $1,741 |
| Ipsen Biopharmaceuticals, Inc | 3 | $1,563 |
| UCB, Inc. | 49 | $1,277 |
| Mallinckrodt Enterprises LLC | 2 | $957 |
| Acadia Pharmaceuticals Inc | 11 | $384 |
| AbbVie(2 entities) | 18 | $323 |
| Biogen | 11 | $293 |
| Merz Pharmaceuticals, LLC | 9 | $260 |
| Catalyst Pharmaceuticals, Inc. | 12 | $247 |
| Eisai Inc. | 8 | $244 |
| Genentech USA, Inc. | 8 | $147 |
| NS Pharma, Inc. | 4 | $141 |
| Neurelis, Inc. | 2 | $127 |
| SK Life Science, Inc. | 2 | $126 |
| ITF Therapeutics LLC | 3 | $101 |
| Sunovion Pharmaceuticals Inc. | 6 | $90 |
| Biocodex, Inc. | 3 | $79 |
| Otter Pharmaceuticals, LLC | 2 | $70 |
| Zogenix Inc. | 3 | $63 |
| Medtronic | 2 | $46 |
| Upsher-smith Laboratories LLC | 1 | $31 |
| Biomarin Pharmaceutical Inc. | 2 | $29 |
| Amneal Pharmaceuticals LLC | 1 | $24 |
| Abbott | 1 | $17 |
| Soleno Therapeutics, Inc. | 1 | $17 |
| Boston Scientific | 1 | $14 |
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.
- Epidiolex$29,860
- ZTALMY$12,918
- VNS Therapy$8,799
- GABLOFEN$1,600
- GABLOFEN 1 mL in 1 SYRINGE, GLASS$1,600
- DYSPORT$1,525
- VALTOCO$122
- Fintepla$109
How this compares
$61,091 in reported general payments places this provider in the 90th percentile of 137 neurology with special qualifications in child neurology providers in Florida.
See all neurology with special qualifications in child neurology 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 |
|---|---|---|
| Clobazam | 12 | $10,756 |
| Lacosamide | 28 | $10,122 |
| Divalproex Sodium ErDivalproex Sodium | 28 | $3,640 |
| Carbamazepine ErCarbamazepine | 19 | $2,375 |
| Baclofen | 63 | $1,853 |
| Aripiprazole | 18 | $1,725 |
| Levetiracetam | 16 | $362 |
| Guanfacine Hcl | 13 | $340 |
| Topiramate | 14 | $225 |
| Diazepam | 23 | $174 |
| Phenobarbital | 12 | $121 |
| Clonidine Hcl | 26 | $107 |
| Sertraline Hcl | 11 | $33 |
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 |
|---|---|---|
| Upsher-smith Laboratories LLCTopiramate | $31 | $22514 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 90th percentile of 137 neurology with special qualifications in child neurology providers in Florida.
Other neurology with special qualifications in child neurology in Gulf Breeze
- Weldon MauneyGulf Breeze$8K
- Paul WinnerWest Palm Beach$624K
- Omer Abdul HamidOrlando$283K
- Natalie GillsonFort Myers$250K
- Trevor ResnickMiami$230K
- Migvis MonduyMiami$188K
- Elza VasconcellosMiami$170K
- Ronald DavisWinter Park$154K
- Ian MillerMiami$104K
- Michael HammerSaint Petersburg$100K
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.