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James C Vestal
Urology · Arlington, TX · NPI 1770579161
One page to bring to your appointment. Every figure is as reported to CMS by drug and device makers. Payments are legal and often routine; this is context for a conversation, not a verdict.
What was reported
$290,170.67
in general payments reported to CMS, 2019-2025 · $78K in 2025
The $78K reported for 2025 was more than what 99% of Urology providers received nationally (typical 2025 total: $631).
Who reported paying
General payments only, top 6 by amount.
- Janssen Biotech, INC. $178,299.08
- Bayer Healthcare Pharmaceuticals INC. $32,187.21
- Genzyme Corporation $24,680.17
- Astrazeneca Pharmaceuticals LP $14,145.15
- Dendreon Pharmaceuticals LLC $8,912.52
- Ferring Pharmaceuticals INC. $6,173.47
Drugs and devices associated with these payments
Erleada Carvykti Rybrevant Nubeqa Akeega Imfinzi Provenge Adstiladrin Padcev Lynparza Truqap Jelmyto
Association is not allocation: a product listed here means a payment was associated with it, not that money was paid to promote it. Detail covers 2023-2025.
Questions you might ask
- I saw James Vestal 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.
Notes
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.
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