Physician profile
James Downey
NPI 1821438037
$266.68
in general payments reported to CMS, 2019-2025
11 companies · $18.79 in 2025
The $18.79 reported for 2025 was less than what a typical Pediatrics provider received nationally (typical 2025 total: $96.93).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $167 · 2021: $24.53 · 2024: $56.24 · 2025: $18.79.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $75.03.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $75.03 |
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. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Merck Sharp & Dohme LLC | $48.63 | 2021-2025 | Vaxneuvance, Gardasil 9, Rotateq |
| Shire North American Group INC | $44.30 | 2019 | |
| Tris Pharma INC | $32.71 | 2019 | |
| Glaxosmithkline, LLC. | $29.71 | 2019 | |
| Otsuka America Pharmaceutical, INC. | $23.99 | 2019 | |
| Verrica Pharmaceuticals INC. | $22.58 | 2024 | Ycanth |
| Alk-Abello, INC | $16.54 | 2024 | Grastek, Ragwitek, Odactra |
| Vertical Pharmaceuticals, LLC | $14.39 | 2019 | |
| Ultragenyx Pharmaceutical INC. | $11.81 | 2021 | |
| Pfizer INC. | $11.13 | 2019 | |
| Sobi, INC | $10.89 | 2019 |
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.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw James Downey 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.