James Tierney, DO
Urology · Charleston, WVNPI 1205920261
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,231 of the $5,827 with a category attached, or 72.6%. 21 manufacturers reported payments, led by Axonics, Inc. at 44.3% of the total. Reporting peaked in 2024 at $2,605 and has fallen 81.6% since, to $479 in 2025.
Across 106 payments — averaging $54.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axonics, Inc.$3K
- Medtronic$571
- Myriad Genetic Laboratories, Inc.$534
- Boston Scientific$442
- Intuitive Surgical$338
- Pfizer$235
- plus $1K from 15 others
What the payments were for
- Travel & lodging$1,46825%
- Food & beverage$4,23173%
- Education$1282%
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 |
|---|---|---|
| Axonics, Inc. | 29 | $2,579 |
| Medtronic(2 entities) | 10 | $571 |
| Myriad Genetic Laboratories, Inc. | 13 | $534 |
| Boston Scientific | 9 | $442 |
| Intuitive Surgical | 8 | $338 |
| Pfizer | 10 | $235 |
| Janssen Scientific Affairs, LLC | 1 | $150 |
| Endo Pharmaceuticals Inc. | 2 | $129 |
| Urogen Pharma, Inc. | 1 | $125 |
| Astellas Pharma US Inc | 5 | $107 |
| KARL Storz Endoscopy-america | 1 | $104 |
| AbbVie | 3 | $98 |
| Johnson & Johnson | 1 | $86 |
| Seagen Inc. | 1 | $79 |
| Convatec Inc. | 2 | $66 |
| Sumitomo Pharma America, Inc. | 2 | $43 |
| Ambu Inc. | 3 | $40 |
| AstraZeneca | 1 | $35 |
| Coloplast | 2 | $30 |
| Urovant Sciences Inc | 1 | $21 |
| Ferring Pharmaceuticals Inc. | 1 | $15 |
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
$5,827 in reported general payments places this provider in the 80th percentile of 67 urology providers in West Virginia.
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 |
|---|---|---|
| XtandiEnzalutamide | 27 | $393,028 |
| MyrbetriqMirabegron | 26 | $21,844 |
| GemtesaVibegron | 11 | $9,467 |
| Finasteride | 72 | $699 |
| Tamsulosin Hcl | 44 | $541 |
| Oxybutynin Chloride ErOxybutynin Chloride | 22 | $520 |
| Testosterone Cypionate | 13 | $414 |
| Cephalexin | 96 | $216 |
| Ciprofloxacin Hcl | 17 | $59 |
| Tramadol Hcl | 16 | $30 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 14 | $15 |
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 |
|---|---|---|
| Astellas Pharma US IncXtandi, Myrbetriq | $107 | $414,87153 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $43 | $9,46711 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 80th percentile of 67 urology providers in West Virginia.
Other urology in Charleston
- Joshua LohriCharleston$8K
- Nathan HaleCharleston$7K
- Samuel DeemCharleston$6K
- Michael StencelCharleston$5K
- Ryan FitzwaterCharleston$3K
- Ross OliverCharleston$2K
- Victoria ButcherCharleston$1K
- Hugh SmithCharleston$269
- Jaschar Shakuri-RadMorgantown$77K
- Ali HajiranMorgantown$37K
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.