Janet James
Payments from drug & device makers
Across 253 payments — averaging $18.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$993
- Amgen$414
- Otsuka America Pharmaceutical, Inc.$387
- Lilly USA, LLC$386
- Novo Nordisk$330
- AstraZeneca$304
- plus $2K from 22 others
What the payments were for
- Food & beverage$4,767100%
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 |
|---|---|---|
| AbbVie | 50 | $993 |
| Amgen | 21 | $414 |
| Otsuka America Pharmaceutical, Inc. | 13 | $387 |
| Lilly USA, LLC | 24 | $386 |
| Novo Nordisk | 22 | $330 |
| AstraZeneca | 20 | $304 |
| Pfizer | 14 | $296 |
| Novartis | 17 | $277 |
| Biohaven Pharmaceuticals, Inc. | 2 | $190 |
| Merck | 12 | $184 |
| Takeda Pharmaceuticals U.S.A., Inc. | 10 | $163 |
| Bayer | 9 | $160 |
| Ironwood Pharmaceuticals, Inc | 5 | $90 |
| Axsome Therapeutics, Inc. | 3 | $86 |
| Indivior Inc. | 5 | $78 |
| Mylan Specialty L.p. | 4 | $70 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $65 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $59 |
| Exact Sciences | 2 | $35 |
| Almatica Pharma LLC | 2 | $35 |
| Corium, LLC | 2 | $34 |
| Johnson & Johnson | 2 | $27 |
| Idorsia Pharmaceuticals US Inc | 2 | $26 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $23 |
| Upsher-smith Laboratories LLC | 1 | $17 |
| Abbott | 1 | $14 |
| Currax Pharmaceuticals LLC | 1 | $14 |
| Eisai Inc. | 1 | $12 |
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.
- REXULTI$125
- NURTEC ODT$116
- ABRYSVO$104
How this compares
$4,767 in reported general payments places this provider in the 90th percentile of 4,522 family providers in North Carolina.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 19 | $3,422 |
| Metoprolol Succinate | 14 | $197 |
| Atorvastatin Calcium | 12 | $99 |
Paid to pharmacies, not to this prescriber.
Other family in Sylva
- Leslie ByrneFayetteville$482K
- Michele CerraRaleigh$332K
- Anne LakeArchdale$306K
- Carrie PettitRaleigh$298K
- Nicole RothmanDurham$268K
- Meredith LeaYanceyville$253K
- Jennifer GibbsRaleigh$216K
- Juanita PerkinsDurham$213K
- Teresa DossWilmington$137K
- Debra ScottCharlotte$129K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.