Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

JAMES M GUILER

Allopathic & Osteopathic Physicians Obstetrics & Gynecology

NPI
1104816388
CMS profile
321802
Location
LEXINGTON, KY

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2021 · Entire year

$19,804.10

55 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2021 · entire year · sorted by reported total

Nature of paymentAmountRecords
Education $16,000.00 4
Travel and Lodging $1,871.33 14
Food and Beverage $1,622.77 33
Gift $310.00 4

By paying entity

PY2021 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 55 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

JAMES M GUILER

NPI 1104816388 · CMS profile ID 321802

Allopathic & Osteopathic Physicians / Obstetrics & Gynecology

LEXINGTON, KY

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 55 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1104816388?year=2021&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
JAMES M GUILER, NPI 1104816388, CMS profile ID 321802. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 55 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1104816388?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
APA 7
IndustryPayments. (2026). JAMES M GUILER, NPI 1104816388, CMS profile ID 321802. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 55 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1104816388?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
Bluebook
JAMES M GUILER, NPI 1104816388, CMS profile ID 321802, IndustryPayments, General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 55 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202. https://industrypayments.org/provider/npi-1104816388?year=2021&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2021

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2021 · Physicians and non-physician practitioners · CMS publication 2026-06-30

55 matching records · $19,804.10 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 55 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 55.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Caldera Medical, Inc $75.0012/20/2021 Gift No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839831659 CMS
Caldera Medical, Inc $100.0012/20/2021 Gift No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839831663 CMS
Axonics, Inc. $17.0912/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 840577031 CMS
Avion Pharmaceuticals $17.6412/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 845411119 CMS
AbbVie Inc. $15.4011/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 794690761 CMS
Caldera Medical, Inc $11.4911/10/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839831681 CMS
AbbVie Inc. $20.9110/26/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 794690757 CMS
AbbVie Inc. $16.0210/18/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 794690753 CMS
Avion Pharmaceuticals $16.6610/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 845411117 CMS
Bayer HealthCare Pharmaceuticals Inc. $15.5810/11/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 789084319 CMS
Astellas Pharma US Inc $11.0809/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 821347685 CMS
AbbVie Inc. $20.6109/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 794690749 CMS
AbbVie Inc. $25.2109/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 794690745 CMS
Lupin Inc. $20.8009/17/2021 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026 796725937 CMS
Pacira Pharmaceuticals Incorporated $45.5209/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 849469249 CMS
Bayer HealthCare Pharmaceuticals Inc. $12.3909/02/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 789134761 CMS
AbbVie Inc. $13.6208/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 794690741 CMS
Axonics, Inc. $40.0008/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 840577061 CMS
Axonics, Inc. $69.4508/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 840577063 CMS
Axonics, Inc. $30.0808/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 840577065 CMS
Axonics, Inc. $235.2008/21/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 840577069 CMS
Axonics, Inc. $52.4408/20/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 840577067 CMS
AbbVie Inc. $26.9608/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 794690737 CMS
Caldera Medical, Inc $160.3707/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839831673 CMS
Intuitive Surgical, Inc. $300.0007/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853952639 CMS
Intuitive Surgical, Inc. $4,000.0007/09/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853952641 CMS
Intuitive Surgical, Inc. $117.6007/07/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853949293 CMS
Intuitive Surgical, Inc. $310.8007/06/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853949295 CMS
Intuitive Surgical, Inc. $19.0006/29/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853823699 CMS
Intuitive Surgical, Inc. $45.3206/29/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853870365 CMS
Intuitive Surgical, Inc. $23.9706/29/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853870379 CMS
Intuitive Surgical, Inc. $622.6706/29/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853890801 CMS
Bayer HealthCare Pharmaceuticals Inc. $15.6406/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 789112809 CMS
Caldera Medical, Inc $74.1306/16/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839831667 CMS
Intuitive Surgical, Inc. $150.0006/16/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853938259 CMS
Intuitive Surgical, Inc. $4,000.0006/16/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853938265 CMS
Astellas Pharma US Inc $14.2406/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 821347679 CMS
Intuitive Surgical, Inc. $129.4206/11/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853888069 CMS
Bayer HealthCare Pharmaceuticals Inc. $14.5306/10/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 789187241 CMS
Intuitive Surgical, Inc. $6.0006/09/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853888075 CMS
Intuitive Surgical, Inc. $150.0006/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853935365 CMS
Intuitive Surgical, Inc. $4,000.0006/09/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853938261 CMS
Intuitive Surgical, Inc. $134.8506/03/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853888049 CMS
Intuitive Surgical, Inc. $150.0006/02/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853938263 CMS
Intuitive Surgical, Inc. $4,000.0006/02/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853938267 CMS
Intuitive Surgical, Inc. $6.0006/01/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853888061 CMS
Intuitive Surgical, Inc. $162.0605/19/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853888039 CMS
Intuitive Surgical, Inc. $6.0005/07/2021 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 853888031 CMS
Allergan, Inc. $13.7504/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 792792365 CMS
Caldera Medical, Inc $16.6303/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 839831677 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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
PY2025 $271.42 15

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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.