Loren James, MD
Orthopaedic Surgery · Prattville, ALNPI 1386807626
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (44.2%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Prime Surgical, LLC accounts for 77.0% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2019 at $1,253 and has fallen 94.7% since, to $66 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in AL, where the typical reported total is $2,073.
Across 14 payments — averaging $109.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Prime Surgical, LLC$1K
- Encore Medical, LP$123
- Johnson & Johnson$49
- Bioventus LLC$29
- Pacira Therapeutics, Inc.$23
- Convatec Inc.$23
- plus $105 from 6 others
What the payments were for
- Travel & lodging$50333%
- Food & beverage$35323%
- Education$67744%
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 |
|---|---|---|
| Prime Surgical, LLC | 2 | $1,180 |
| Encore Medical, LP | 1 | $123 |
| Johnson & Johnson | 1 | $49 |
| Bioventus LLC | 2 | $29 |
| Pacira Therapeutics, Inc. | 1 | $23 |
| Convatec Inc. | 1 | $23 |
| Conmed Corporation | 1 | $21 |
| Trice Medical, Inc. | 1 | $20 |
| Stryker | 1 | $19 |
| Solventum Corporation | 1 | $16 |
| Amgen | 1 | $16 |
| Atland Pharmaceuticals, LLC | 1 | $14 |
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.
- DJO SURGICAL$123
How this compares
$1,533 in reported general payments places this provider in the 40th percentile of 319 orthopaedic surgery providers in Alabama.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 37 | $420 |
| Ondansetron OdtOndansetron | 36 | $234 |
| Celecoxib | 12 | $213 |
| Tramadol Hcl | 12 | $32 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Prattville
- Jeffrey DugasBirmingham$11.5M
- Benton EmblomBirmingham$3M
- Herrick SiegelBirmingham$1.2M
- Paul CanaleDaphne$609K
- Kenneth MooreBirmingham$342K
- Joseph SherrillBirmingham$221K
- Jonathan QuadeBirmingham$217K
- Lawrence LemakVestavia$216K
- Ginger BryantBirmingham$209K
- Marcus RothermichBirmingham$207K
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.