James Rubright, MD
Hand Surgery · Nashville, TNNPI 1003031261
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $587 of the $768 with a category attached, or 76.4%. It is spread thinly across 13 manufacturers, the largest accounting for just 23.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $247 and has fallen 62.8% since, to $92 in 2025. That places this record below the midpoint for hand surgery clinicians in TN, where the typical reported total is $3,914.
Across 27 payments — averaging $28.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$181
- Stryker$125
- Endo Pharmaceuticals Inc.$120
- Orthofix Medical, Inc.$63
- Endo USA, Inc.$55
- Smith+Nephew$43
- plus $181 from 7 others
What the payments were for
- Food & beverage$58776%
- Other$18124%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 1 | $181 |
| Stryker | 3 | $125 |
| Endo Pharmaceuticals Inc. | 8 | $120 |
| Orthofix Medical, Inc. | 3 | $63 |
| Endo USA, Inc. | 3 | $55 |
| Smith+Nephew | 2 | $43 |
| Alpha Orthopedic Systems | 1 | $40 |
| Pacira Pharmaceuticals Incorporated | 1 | $37 |
| Davol Inc. | 1 | $32 |
| Kowa Pharmaceuticals America, Inc. | 1 | $20 |
| Axogen | 1 | $20 |
| Kerecis Limited | 1 | $18 |
| Acumed LLC | 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.
- INTEGRA$181
How this compares
$768 in reported general payments places this provider in the 15th percentile of 60 hand surgery providers in Tennessee.
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 |
|---|---|---|
| Methylprednisolone | 41 | $314 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $124 |
| Meloxicam | 48 | $118 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 15 | $107 |
| Amoxicillin | 18 | $22 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Nashville
- Donald LeeNashville$546K
- Mihir DesaiNashville$110K
- Gleb MedvedevNashville$60K
- Todd RubinNashville$39K
- Jed MaslowNashville$29K
- Jane SiegelNashville$22K
- Michael VaughnNashville$13K
- Adam CochranNashville$8K
- Shaan PatelNashville$5K
- William MeltonNashville$5K
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.