James Rotchford, MD
Addiction Medicine · Port Townsend, WANPI 1144261298
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $313 of the $433 with a category attached, or 72.3%. 5 manufacturers reported payments, led by Axsome Therapeutics, Inc. at 48.8% of the total. Reporting peaked in 2023 at $228 and has fallen 63.1% since, to $84 in 2025.
Across 10 payments — averaging $43.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axsome Therapeutics, Inc.$211
- Averitas Pharma Inc.$87
- Tonix Medicines, Inc.$84
- Vanda Pharmaceuticals Inc.$25
- Indivior Inc.$25
What the payments were for
- Food & beverage$31372%
- Education$12028%
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 |
|---|---|---|
| Axsome Therapeutics, Inc. | 6 | $211 |
| Averitas Pharma Inc. | 1 | $87 |
| Tonix Medicines, Inc. | 1 | $84 |
| Vanda Pharmaceuticals Inc. | 1 | $25 |
| Indivior Inc. | 1 | $25 |
How this compares
$433 in reported general payments places this provider in the 70th percentile of 39 addiction medicine providers in Washington.
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 |
|---|---|---|
| Hysingla ErHydrocodone Bitartrate | 14 | $36,804 |
| AuvelityDextromethorphan Hbr/Bupropion | 24 | $24,491 |
| CaplytaLumateperone Tosylate | 13 | $21,280 |
| Morphine Sulfate ErMorphine Sulfate | 108 | $8,497 |
| Fentanyl | 19 | $7,101 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 56 | $5,889 |
| Lisdexamfetamine Dimesylate | 15 | $4,725 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 62 | $3,484 |
| Methadone Hcl | 65 | $2,143 |
| Methylphenidate ErMethylphenidate Hcl | 20 | $1,708 |
| Testosterone Cypionate | 22 | $1,195 |
| Ramelteon | 12 | $905 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 17 | $741 |
| Selegiline Hcl | 18 | $531 |
| Lurasidone Hcl | 18 | $492 |
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 |
|---|---|---|
| Axsome Therapeutics, Inc.Auvelity | $211 | $24,49124 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 70th percentile of 39 addiction medicine providers in Washington.
Other addiction medicine in Port Townsend
- Mark MurphyGig Harbor$22K
- John PatzMonroe$12K
- Joy Ruiz-MollestonLakewood$6K
- Cirilo AdaoLakewood$3K
- David CundiffLong Beach$977
- Jeffrey AllgaierRichland$762
- Tarek HaidarTacoma$758
- Elina ChernyakClarkston$612
- Phyllis HendersonYakima$566
- Kevin FeigBellingham$493
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.