James Schrenker, MD
Family Medicine · Bristol, TNNPI 1710981535
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $79 of the $102 with a category attached, or 77.3%. 4 manufacturers reported payments, led by Lilly USA, LLC at 40.5% of the total. 2022 is the largest year on record at $49, 3.0 times the $16 reported in 2020. That places this record below the midpoint for family medicine clinicians in TN, where the typical reported total is $470.
Across 6 payments — averaging $16.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$41
- AstraZeneca$23
- Abbott$21
- Novo Nordisk$16
What the payments were for
- Food & beverage$7977%
- Education$2323%
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 |
|---|---|---|
| Lilly USA, LLC | 2 | $41 |
| AstraZeneca | 2 | $23 |
| Abbott | 1 | $21 |
| Novo Nordisk | 1 | $16 |
How this compares
$102 in reported general payments places this provider in the 25th percentile of 2,087 family medicine 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 |
|---|---|---|
| EliquisApixaban | 132 | $132,404 |
| TrulicityDulaglutide | 73 | $119,067 |
| MounjaroTirzepatide | 80 | $115,095 |
| JardianceEmpagliflozin | 49 | $74,989 |
| OzempicSemaglutide | 16 | $25,941 |
| XareltoRivaroxaban | 17 | $18,542 |
| ProgesteroneProgesterone, Micronized | 333 | $15,185 |
| SymbicortBudesonide/Formoterol Fumarate | 30 | $10,872 |
| MyrbetriqMirabegron | 16 | $9,040 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 63 | $7,515 |
| TradjentaLinagliptin | 12 | $6,342 |
| BrilintaTicagrelor | 12 | $6,301 |
| Levothyroxine Sodium | 651 | $5,341 |
| SynthroidLevothyroxine Sodium | 67 | $4,961 |
| Losartan Potassium | 419 | $4,834 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro | $41 | $234,162153 claims |
| Novo NordiskOzempic | $16 | $25,94116 claims |
| AstraZenecaSymbicort, Brilinta | $23 | $17,17242 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 25th percentile of 2,087 family medicine providers in Tennessee.
Other family medicine in Bristol
- Andrew BrockmyreBristol$18K
- Kevin DennisFranklin$354K
- Charolette JacksonBartlett$162K
- Keren HolmesNashville$58K
- Kabir Harricharan SinghNewport$49K
- Khaisha GistAntioch$49K
- Jerry PunchKnoxville$45K
- Christopher HollowayAntioch$41K
- Curtis JantziKingsport$39K
- Ellen ClelandChattanooga$38K
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.