Physician profile
James E Fleming
NPI 1952326159
$128,247.41
in general payments reported to CMS, 2019-2025
21 companies · $7,593 in 2025
The $7,593 reported for 2025 was more than what a typical Orthopaedic Surgery of The Spine provider received nationally (typical 2025 total: $2,116).
Payments by year
General and research payments by program year, as reported to CMS.
General payments by year: 2019: $9,921 · 2020: $15K · 2021: $54K · 2022: $13K · 2023: $21K · 2024: $7,243 · 2025: $7,593.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Consulting Fee: $29K · Travel and Lodging: $3,571 · Food and Beverage: $3,195.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Consulting Fee | $29,250.00 |
| Travel and Lodging | $3,570.60 |
| Food and Beverage | $3,194.57 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Research payments are listed separately below. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Si-Bone, INC. | $122,117.65 | 2019-2025 | |
| Medtronic, INC. | $1,787.34 | 2021-2024 | Catalyft Pl Expandable Interbody System |
| Medical Device Business Services, INC. | $1,701.01 | 2020-2021 | |
| Depuy Synthes Sales INC. | $680.80 | 2020-2025 | Teligen |
| Nevro Corp. | $440.05 | 2021-2024 | Senza |
| Medtronic USA, INC. | $378.17 | 2019-2020 | |
| Boston Scientific Corporation | $133.59 | 2025 | General - Therapies |
| Intrinsic Therapeutics | $130.65 | 2022 | |
| Arteriocyte Medical Systems, INC. | $128.46 | 2024 | Magellan |
| Biocomposites INC | $101.69 | 2024 | |
| Augmedics INC. | $96.04 | 2021 | |
| Lifenet Health | $89.46 | 2025 | Allograft Vmis Delivery System |
| 7d Surgical INC. | $78.00 | 2020 | |
| Smith+Nephew, INC. | $76.78 | 2022 | |
| Orthofix Medical, INC. | $71.83 | 2021-2024 | Spinal-Stim |
Show all 21 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Abbott Laboratories | $71.58 | 2021-2025 | Eterna |
| Arthrex, INC. | $57.17 | 2024 | Arthrex |
| Choice Spine, LLC | $45.58 | 2019 | |
| Trice Medical, INC. | $27.48 | 2021 | |
| Neurocrine Biosciences, INC. | $20.04 | 2025 | |
| Stryker Corporation | $14.04 | 2020 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
Research and ownership
$7,600.00 in research payments reported 2019-2025. Research payments are often institution-directed and tied to clinical trials: they are reported under a clinician's name but frequently go to a hospital or research organization, and usually reflect participation in medical research.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw James Fleming listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.