Physician profile
James Noto
NPI 1245641430
$4,399.34
in general payments reported to CMS, 2019-2025
38 companies · $225 in 2025
The $225 reported for 2025 was less than what a typical Neurology (Psychiatry & Neurology) provider received nationally (typical 2025 total: $454).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $151 · 2020: $172 · 2021: $1,279 · 2022: $1,425 · 2023: $723 · 2024: $423 · 2025: $225.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $1,247 · Education: $125.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $1,246.61 |
| Education | $125.37 |
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. | $1,380.11 | 2021-2025 | |
| Teva Pharmaceuticals USA, INC. | $359.01 | 2019-2023 | Ajovy |
| Alexion Pharmaceuticals, INC. | $325.62 | 2019-2023 | Ultomiris, Soliris |
| Amgen INC. | $301.57 | 2020-2022 | |
| Eisai INC. | $204.07 | 2019-2022 | |
| Biogen, INC. | $196.15 | 2021-2023 | Vumerity, Plegridy, Tysabri |
| Novartis Pharmaceuticals Corporation | $186.15 | 2021-2024 | |
| Biohaven Pharmaceuticals, INC. | $139.41 | 2021 | |
| Acadia Pharmaceuticals INC | $117.08 | 2019-2023 | Nuplazid |
| Csl Behring | $111.59 | 2022-2023 | Hizentra |
| Avion Pharmaceuticals | $103.78 | 2022 | |
| Amneal Pharmaceuticals LLC | $102.11 | 2021-2022 | |
| Lilly USA, LLC | $87.32 | 2019-2022 | |
| Allergan, INC. | $82.88 | 2020-2022 | |
| Genzyme Corporation | $77.01 | 2021-2022 |
Show all 38 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Kyowa Kirin, INC. | $57.62 | 2021-2022 | |
| Lundbeck LLC | $50.11 | 2021-2022 | |
| Novo Nordisk INC | $44.22 | 2019 | |
| Sk Life Science, INC. | $39.31 | 2021 | |
| Neurocrine Biosciences, INC. | $36.44 | 2022 | |
| Janssen Pharmaceuticals, INC | $34.44 | 2022 | |
| Biohaven Pharmaceutical Holding Company LTD. | $33.96 | 2022 | |
| Pfizer INC. | $33.29 | 2023-2024 | |
| Supernus Pharmaceuticals, INC. | $31.88 | 2021 | |
| Livanova USA, INC. | $30.44 | 2023 | Vns Therapy Sentiva Model 1000 Generator |
| Ge Healthcare | $29.92 | 2022 | |
| Argenx US, INC. | $27.88 | 2023 | Vyvgart |
| Sunovion Pharmaceuticals INC. | $26.03 | 2022 | |
| Greenwich Biosciences, INC. | $21.23 | 2021 | |
| Mdd US Operations, LLC | $20.83 | 2021 | |
| Neurelis, INC. | $18.42 | 2021 | |
| Alnylam Pharmaceuticals INC. | $15.86 | 2024 | Givlaari |
| Otsuka America Pharmaceutical, INC. | $14.14 | 2023 | Nuedexta |
| Catalyst Pharmaceuticals, INC. | $12.71 | 2021 | |
| Impel Pharmaceuticals INC. | $12.16 | 2022 | |
| Aprecia Pharmaceuticals, LLC | $12.00 | 2021 | |
| Braemar Manufacturing, LLC | $11.46 | 2019 | |
| Tanabe Pharma America, INC. | $11.13 | 2021 |
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 Noto 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.