Physician profile

James M Francis

Nephrology (Internal Medicine) · Lexington, KY

NPI 1508878349

$2,913.41

in general payments reported to CMS, 2019-2025

26 companies · $1,026 in 2025

The $1,026 reported for 2025 was more than what 78% of Nephrology (Internal Medicine) providers received nationally (typical 2025 total: $311).

See the full distribution for Nephrology (Internal Medicine)

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)
Food and Beverage$2,171.74
Education$274.11

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
Fresenius USA Marketing, INC. $544.30 2021-2025 Velphoro, Velphoro, Korsuva
Amgen INC. $335.28 2020-2025 Krystexxa, Tavneos
Travere Therapeutics, INC. $247.47 2023-2025
Astrazeneca Pharmaceuticals LP $240.42 2020-2025 Farxiga, Lokelma
Novartis Pharmaceuticals Corporation $186.01 2023-2025
Otsuka America Pharmaceutical, INC. $152.31 2019-2025 Jynarque
Aurinia Pharma U.S., INC. $151.02 2024-2025 Lupkynis
Opko Pharmaceuticals, LLC $146.84 2023-2025 Rayaldee
Mallinckrodt Hospital Products INC. $146.68 2023-2025 Acthar, Terlivaz
Alexion Pharmaceuticals, INC. $138.69 2023-2024 Ultomiris
Bayer Healthcare Pharmaceuticals INC. $101.99 2022-2025
Calliditas Therapeutics US INC. $94.00 2023-2025 Tarpeyo
Nxstage Medical, INC. $72.44 2019
Novo Nordisk INC $61.83 2023-2025 Rybelsus, Ozempic
Lilly USA, LLC $53.93 2024-2025 Jardiance
Show all 26 companies
CompanyGeneral paymentsYearsTop products
Inari Medical, INC. $40.18 2023 Ct Thrombectomy System Kit, Flowtriever Catheter, S
Ultragenyx Pharmaceutical INC. $29.75 2023
Applied Medical Resources Corporation $29.42 2022
Glaxosmithkline, LLC. $26.42 2023 Jesduvroq, Benlysta
Ardelyx, INC. $22.35 2025 Ibsrela
Vifor Pharma, INC. $21.26 2025 Veltassa
Boston Scientific Corporation $16.06 2019
Boehringer Ingelheim Pharmaceuticals, INC. $15.15 2024 Jardiance
Bard Peripheral Vascular, INC. $14.52 2022
Horizon Therapeutics Plc $13.25 2023 Krystexxa
Xeris Pharmaceuticals, INC. $11.84 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:

These are normal questions. A good clinician will welcome them.

Share this page

Payment summary

James M Francis

$2,913.41

in general payments reported 2019-2025

Years
2019-2025
Top company
Fresenius USA Marketing, INC.
Context
The $1,026 reported for 2025 was more than what 78% of Nephrology (Internal Medicine) providers received nationally (typical 2025 total: $311).

https://glasscript.com/doctor/67782/james-m-francis

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

Keep an eye on this page

Get an email when the next June refresh changes this page. No account needed.

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.