James Winkley, MD
Neurology · Lexington, KYNPI 1932120011
Payments from drug & device makers
Across 2,730 payments — averaging $713.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$493K
- Novartis$390K
- Biogen$317K
- Sanofi$147K
- Genentech, Inc.$135K
- Teva Pharmaceuticals USA, Inc.$63K
- plus $404K from 39 others
Across 7 payments — averaging $1718.15 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- AstraZeneca$12K
What the payments were for
- Consulting fees$117,00714%
- Speaking & faculty fees$574,56071%
- Travel & lodging$73,3979%
- Food & beverage$41,4265%
- Education$9400%
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.
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
$1,948,704 in reported general payments places this provider in the 95th percentile of 210 neurology providers in Kentucky.
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 |
|---|---|---|
| Kesimpta PenOfatumumab | 191 | $1,801,808 |
| Austedo XrDeutetrabenazine | 52 | $440,223 |
| VumerityDiroximel Fumarate | 50 | $425,950 |
| Nurtec OdtRimegepant Sulfate | 140 | $293,759 |
| Teriflunomide | 72 | $207,137 |
| AubagioTeriflunomide | 15 | $193,116 |
| CopaxoneGlatiramer Acetate | 34 | $192,891 |
| NuedextaDextromethorphan Hbr/Quinidine | 110 | $192,585 |
| TecfideraDimethyl Fumarate | 22 | $185,842 |
| RebifInterferon Beta-1a/Albumin | 17 | $176,064 |
| AustedoDeutetrabenazine | 17 | $175,808 |
| Dalfampridine ErDalfampridine | 263 | $168,036 |
| Dimethyl Fumarate | 78 | $159,987 |
| IngrezzaValbenazine Tosylate | 14 | $150,301 |
| FingolimodFingolimod Hcl | 42 | $149,276 |
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc.Austedo Xr, Copaxone, Austedo | $62,606 | $808,921103 claims |
| BiogenVumerity, Tecfidera | $317,188 | $611,79272 claims |
| AbbVieQulipta, Botox, Ubrelvy, Vraylar | $10,582 | $310,309239 claims |
| PfizerNurtec Odt | $960 | $293,759140 claims |
| SanofiAubagio | $147,256 | $193,11615 claims |
| Avanir Pharmaceuticals, Inc.Nuedexta | $365 | $192,585110 claims |
| EMD Serono, Inc.Rebif | $39,472 | $176,06417 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $574 | $150,30114 claims |
| NovartisMayzent | $390,286 | $108,79113 claims |
| E.r. Squibb & Sons, L.L.C.Zeposia | $34,268 | $99,14211 claims |
| UCB, Inc.Vimpat, Neupro | $55,585 | $29,37830 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 210 neurology providers in Kentucky.
Other neurology in Lexington
- Gregory JichaLexington$7.1M
- John SlevinLexington$984K
- Nicole EvermanLexington$834K
- Zabeen MahuwalaLexington$694K
- Toufic FakhouryLexington$326K
- Jagannadha AvasaralaLexington$177K
- Edward KasarskisLexington$121K
- Meriem Bensalem-OwenLexington$65K
- Zain GuduruLexington$39K
- Fred OdagoLexington$28K
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.