James Rose, MD
Hand Surgery · Grand Junction, CONPI 1619266574
Payments from drug & device makers
What this record shows
This record is dominated by education: $915 of the $1,117 with a category attached, or 81.9%. Gemini Mountain Medical, LLC accounts for 81.9% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2019 at $915 and has fallen 96.5% since, to $32 in 2025. That places this record below the midpoint for hand surgery clinicians in CO, where the typical reported total is $4,155.
Across 4 payments — averaging $279.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gemini Mountain Medical, LLC$915
- Ipsen Biopharmaceuticals, Inc$170
- Vertex$16
- Celltrion USA Inc.$15
What the payments were for
- Food & beverage$20218%
- Education$91582%
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 |
|---|---|---|
| Gemini Mountain Medical, LLC | 1 | $915 |
| Ipsen Biopharmaceuticals, Inc | 1 | $170 |
| Vertex | 1 | $16 |
| Celltrion USA Inc. | 1 | $15 |
How this compares
$1,117 in reported general payments places this provider in the 30th percentile of 72 hand surgery providers in Colorado.
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 |
|---|---|---|
| Celecoxib | 35 | $514 |
| Oxycodone Hcl | 23 | $66 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $26 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Grand Junction
- Nathan PatrickGrand Junction$15K
- Fraser LeversedgeAurora$326K
- In YiLonetree$232K
- Steven TopperColorado Springs$158K
- Carlton ClinkscalesEnglewood$131K
- Ryan EndressLone Tree$80K
- Louis CatalanoAurora$61K
- William RungeColorado Springs$50K
- Rudy KovachevichEnglewood$40K
- Kulvinder SacharEnglewood$30K
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.