James Winkley, MD
Anesthesiology · Pinehurst, NCNPI 1467400432
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,738 of the $6,456 with a category attached, or 73.4%. 33 manufacturers reported payments, led by Boston Scientific at 24.0% of the total. Among anesthesiology 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 137 payments — averaging $47.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- Nevro Corp.$1K
- BD$960
- SPR Therapeutics, Inc$368
- Globus Medical$365
- MML US, Inc.$194
- plus $2K from 27 others
What the payments were for
- Speaking & faculty fees$96015%
- Travel & lodging$67410%
- Food & beverage$4,73873%
- Education$841%
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 |
|---|---|---|
| Boston Scientific | 16 | $1,550 |
| Nevro Corp. | 42 | $1,433 |
| BD | 1 | $960 |
| SPR Therapeutics, Inc | 3 | $368 |
| Globus Medical | 8 | $365 |
| MML US, Inc. | 1 | $194 |
| Curonix LLC | 8 | $183 |
| Relievant Medsystems, Inc. | 1 | $154 |
| Vertos Medical, Inc. | 5 | $144 |
| EMD Serono, Inc. | 7 | $129 |
| Abbott | 4 | $117 |
| Stryker | 1 | $115 |
| Merck | 8 | $113 |
| Collegium Pharmaceutical, Inc. | 5 | $92 |
| Medtronic(2 entities) | 3 | $56 |
| Vertex | 2 | $52 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $45 |
| Stimwave Technologies Incorporated | 1 | $44 |
| Biogen | 2 | $40 |
| Azurity Pharmaceuticals, Inc. | 2 | $38 |
| Chiesi USA, Inc. | 3 | $34 |
| Si-bone, Inc. | 1 | $24 |
| Valinor Pharma, LLC | 1 | $23 |
| Masimo Corporation | 1 | $22 |
| MDD US Operations, LLC | 1 | $22 |
| AbbVie | 1 | $21 |
| Trevena, Inc. | 1 | $20 |
| Daiichi Sankyo Inc. | 1 | $18 |
| Edwards Lifesciences | 1 | $18 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $18 |
| Eagle Pharmaceuticals, Inc. | 1 | $15 |
| Zyla Life Sciences, Inc. | 1 | $15 |
| Arbor Pharmaceuticals, Inc. | 1 | $13 |
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
$6,456 in reported general payments places this provider in the 95th percentile of 1,149 anesthesiology 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 |
|---|---|---|
| OxycontinOxycodone Hcl | 24 | $17,523 |
| Dimethyl Fumarate | 12 | $2,239 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 32 | $1,323 |
| Oxycodone Hcl | 36 | $881 |
| Gabapentin | 55 | $674 |
| Morphine Sulfate ErMorphine Sulfate | 25 | $550 |
| Morphine Sulfate | 26 | $542 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $528 |
| Pregabalin | 17 | $386 |
| Amitriptyline Hcl | 12 | $137 |
| Tizanidine Hcl | 11 | $44 |
| Tramadol Hcl | 11 | $44 |
| Trazodone Hcl | 12 | $34 |
Paid to pharmacies, not to this prescriber.
Other anesthesiology in Pinehurst
- Jeffrey GadsdenDurham$821K
- Gerald MaccioliRaleigh$330K
- Loran SolimanCharlotte$306K
- Jerrold LevyDurham$305K
- Alicia WarlickDurham$127K
- William BullockDurham$126K
- Karthik RaghunathanDurham$123K
- Scott RunyonDurham$123K
- Edward LewisHendersonville$118K
- Florin OrzaCharlotte$115K
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.