Physician profile
James Randolph Smith
NPI 1124052410
$808.98
in general payments reported to CMS, 2019-2025
9 companies · none reported in 2025
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2022: $256 · 2023: $257 · 2024: $296.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $553.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $553.19 |
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 |
|---|---|---|---|
| Abbvie INC. | $349.77 | 2023-2024 | Teflaro, Avycaz |
| Novartis Pharmaceuticals Corporation | $195.69 | 2022-2023 | |
| Janssen Pharmaceuticals, INC | $99.19 | 2022 | |
| Alexion Pharmaceuticals, INC. | $56.02 | 2022-2023 | Ultomiris |
| Astellas Pharma US INC | $29.52 | 2023 | Cresemba |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $21.31 | 2023 | Xifaxan |
| Merck Sharp & Dohme LLC | $19.98 | 2024 | Recarbrio, Zerbaxa, Dificid |
| E.R. Squibb & Sons, L.L.C. | $19.16 | 2023 | Camzyos |
| Gilead Sciences, INC. | $18.34 | 2022 |
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 Smith 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.