Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

JAMES M GUILER

Allopathic & Osteopathic Physicians Obstetrics & Gynecology

NPI
1104816388
CMS profile
321802
Location
LEXINGTON, KY

General Payments · PY2018–2024

$25,734.36

  • Reported across 327 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$412.37

18 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $412.37 18

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Gynesonics, Inc. $157.80 5
Sumitomo Pharma America, Inc. $135.02 6
Axonics Modulation Technologies, Inc. $53.40 3
PFIZER INC. $29.38 2
Ardelyx, Inc. $21.88 1
Medtronic, Inc. $14.89 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $929.02 63
PY2019 $2,429.37 68
PY2020 $293.21 11
PY2021 $19,804.10 55
PY2022 $983.18 75
PY2023 $883.11 37
PY2024 $412.37 18

Payment records · PY2024 (18)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Ardelyx, Inc. $21.88 05/14/2024 Food and Beverage Undisputed 01/23/2026 1146683181 CMS
Axonics, Inc. $19.72 04/09/2024 Food and Beverage Undisputed 01/23/2026 1142365325 CMS
Axonics, Inc. $14.36 05/01/2024 Food and Beverage Undisputed 01/23/2026 1142365343 CMS
Axonics, Inc. $19.32 06/13/2024 Food and Beverage Undisputed 01/23/2026 1142365353 CMS
Gynesonics, Inc. $29.95 01/11/2024 Food and Beverage Undisputed 01/23/2026 1128622253 CMS
Gynesonics, Inc. $36.31 03/25/2024 Food and Beverage Undisputed 01/23/2026 1128622255 CMS
Gynesonics, Inc. $23.68 06/11/2024 Food and Beverage Undisputed 01/23/2026 1128622257 CMS
Gynesonics, Inc. $26.05 11/12/2024 Food and Beverage Undisputed 01/23/2026 1128622259 CMS
Gynesonics, Inc. $41.81 12/17/2024 Food and Beverage Undisputed 01/23/2026 1128622261 CMS
Medtronic, Inc. $14.89 12/12/2024 Food and Beverage Undisputed 01/23/2026 1117065820 CMS
PFIZER INC. $15.60 05/13/2024 Food and Beverage Undisputed 01/23/2026 1131644984 CMS
PFIZER INC. $13.78 10/14/2024 Food and Beverage Undisputed 01/23/2026 1131644988 CMS
Sumitomo Pharma America, Inc. $27.03 02/07/2024 Food and Beverage Undisputed 01/23/2026 1148859666 CMS
Sumitomo Pharma America, Inc. $21.63 03/05/2024 Food and Beverage Undisputed 01/23/2026 1148859668 CMS
Sumitomo Pharma America, Inc. $19.45 07/30/2024 Food and Beverage Undisputed 01/23/2026 1148859670 CMS
Sumitomo Pharma America, Inc. $17.86 09/24/2024 Food and Beverage Undisputed 01/23/2026 1148859672 CMS
Sumitomo Pharma America, Inc. $19.42 09/30/2024 Food and Beverage Undisputed 01/23/2026 1148859674 CMS
Sumitomo Pharma America, Inc. $29.63 12/12/2024 Food and Beverage Undisputed 01/23/2026 1148859676 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.