Physician profile

James M Randle

Neurological Surgery · Nacogdoches, TX

NPI 1457460370

$252,529.51

in general payments reported to CMS, 2019-2025

6 companies · $8,206 in 2025

The $8,206 reported for 2025 was more than what 84% of Neurological Surgery providers received nationally (typical 2025 total: $604).

Payments by year

General payments by program year, as reported to CMS.

What the payments were for

Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.

View as a table
Payment typeAmount (2023-2025)
Royalty Or License$44,479.44
Consulting Fee$41,500.00
Food and Beverage$911.05

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.

CompanyGeneral paymentsYearsTop products
The Institute of Musculoskeletal Science and Education $209,140.91 2019-2023 Spira
Ctl Medical Corporation $41,852.74 2022-2025 Spinal, Raphael Pedicle Screw System
Wenzel Spine, INC. $1,475.49 2021-2025 Varilift, Varilift
Nuvasive, INC. $29.62 2019
Depuy Synthes Sales INC. $17.07 2023 Cranioplastic
Stryker Corporation $13.68 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.

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Payment summary

James M Randle

$252,529.51

in general payments reported 2019-2025

Years
2019-2025
Top company
The Institute of Musculoskeletal Science and Education
Context
The $8,206 reported for 2025 was more than what 84% of Neurological Surgery providers received nationally (typical 2025 total: $604).

https://glasscript.com/doctor/632339/james-m-randle

Source: CMS Open Payments, program years 2019-2025. Payments are legal and often routine.

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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.