James Sigmon, MD
Family Medicine · Wilson, NCNPI 1356408207
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.6% of the total across 941 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 35 manufacturers, the largest accounting for just 22.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,971 and has fallen 55.0% since, to $1,337 in 2025. Among family medicine clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 941 payments — averaging $17.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$4K
- AstraZeneca$2K
- Amgen$2K
- Lilly USA, LLC$1K
- Johnson & Johnson$1K
- Bayer$1K
- plus $5K from 29 others
What the payments were for
- Food & beverage$16,206100%
- Education$610%
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 |
|---|---|---|
| Novo Nordisk | 282 | $3,574 |
| AstraZeneca | 74 | $2,327 |
| Amgen | 86 | $1,729 |
| Lilly USA, LLC | 108 | $1,404 |
| Johnson & Johnson | 60 | $1,146 |
| Bayer | 45 | $1,114 |
| Esperion Therapeutics, Inc. | 31 | $801 |
| Boehringer Ingelheim | 49 | $754 |
| Merck | 49 | $700 |
| Sanofi-aventis U.S. LLC | 42 | $577 |
| Amarin Pharma, Inc. | 20 | $330 |
| Novartis | 18 | $291 |
| Pfizer | 14 | $237 |
| Kowa Pharmaceuticals America, Inc. | 12 | $174 |
| GSK | 3 | $158 |
| Radius Health, Inc. | 3 | $127 |
| Ironshore Pharmaceuticals Inc. | 4 | $119 |
| Arbor Pharmaceuticals, Inc. | 8 | $118 |
| Harmony Biosciences LLC | 2 | $115 |
| AbbVie | 7 | $104 |
| Exact Sciences | 5 | $76 |
| Abbott | 3 | $52 |
| Sunovion Pharmaceuticals Inc. | 3 | $46 |
| Shire North American Group Inc | 2 | $25 |
| Corium, LLC | 1 | $18 |
| Mylan Specialty L.p. | 1 | $17 |
| Eisai Inc. | 1 | $17 |
| E.r. Squibb & Sons, L.L.C. | 1 | $17 |
| Corcept Therapeutics | 1 | $16 |
| Janssen Scientific Affairs, LLC | 1 | $16 |
| Hikma Pharmaceuticals USA | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Bausch Health US, LLC | 1 | $14 |
| Biogen | 1 | $12 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $11 |
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.
How this compares
$16,267 in reported general payments places this provider in the 95th percentile of 3,444 family medicine providers in North Carolina.
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 |
|---|---|---|
| OzempicSemaglutide | 150 | $250,029 |
| FarxigaDapagliflozin Propanediol | 164 | $174,080 |
| KerendiaFinerenone | 98 | $123,718 |
| JanuviaSitagliptin Phosphate | 86 | $103,322 |
| TrulicityDulaglutide | 70 | $90,700 |
| JardianceEmpagliflozin | 61 | $75,269 |
| RybelsusSemaglutide | 33 | $58,543 |
| EliquisApixaban | 45 | $51,455 |
| MounjaroTirzepatide | 40 | $49,612 |
| Bydureon BciseExenatide Microspheres | 20 | $31,308 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 22 | $31,076 |
| Repatha SureclickEvolocumab | 25 | $24,846 |
| LinzessLinaclotide | 14 | $15,143 |
| VascepaIcosapent Ethyl | 11 | $12,243 |
| NexletolBempedoic Acid | 16 | $12,012 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $3,574 | $308,571183 claims |
| AstraZenecaFarxiga, Symbicort | $2,327 | $176,977176 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $1,404 | $140,313110 claims |
| BayerKerendia | $1,114 | $123,71898 claims |
| MerckJanuvia, Janumet Xr | $700 | $114,649101 claims |
| Boehringer IngelheimJardiance | $754 | $75,26961 claims |
| PfizerEliquis | $237 | $51,45545 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $577 | $31,07622 claims |
| Esperion Therapeutics, Inc.Nexletol, Nexlizet | $801 | $21,03027 claims |
| AbbVieLinzess, Synthroid | $104 | $16,76833 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 95th percentile of 3,444 family medicine providers in North Carolina.
Other family medicine in Wilson
- Wiley CockrellWilson$21K
- William CromwellRaleigh$879K
- Steve VacalisGastonia$693K
- David DundeeWinston Salem$633K
- Kevin SodenCharlotte$558K
- Brian ForrestApex$398K
- Joseph KonenCharlotte$322K
- Richard RachimaCharlotte$294K
- Dimitrios HondrosCharlotte$275K
- Domingo Rodriguez-CueGarner$253K
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.