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

Covered recipient · General Payments record

JANET L JAMES

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1225171432
CMS profile
10770993
Location
SYLVA, NC

General Payments · PY2021–2024

$4,767.44

  • Reported across 253 records
  • CMS publication 2026-06-30

Latest program year · PY2024

$596.18

20 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 $596.18 20

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Otsuka America Pharmaceutical, Inc. $168.99 3
PFIZER INC. $122.68 2
Acerta Pharma LLC $69.87 4
Lilly USA, LLC $69.21 3
Axsome Therapeutics, Inc. $61.37 2
ABBVIE INC. $51.17 3
Amgen Inc. $19.68 1
IRONWOOD PHARMACEUTICALS, INC $19.35 1
Currax Pharmaceuticals LLC $13.86 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,433.40 77
PY2022 $1,449.18 89
PY2023 $1,288.68 67
PY2024 $596.18 20

Payment records · PY2024 (20)

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

Program year 2024 202120222023 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
ABBVIE INC. $23.51 01/17/2024 Food and Beverage Undisputed 06/30/2026 1107394165 CMS
ABBVIE INC. $14.06 02/22/2024 Food and Beverage Undisputed 06/30/2026 1107394167 CMS
ABBVIE INC. $13.60 03/21/2024 Food and Beverage Undisputed 06/30/2026 1107394169 CMS
Amgen Inc. $19.68 02/13/2024 Food and Beverage Undisputed 06/30/2026 1115759733 CMS
AstraZeneca Pharmaceuticals LP $17.17 01/25/2024 Food and Beverage Undisputed 06/30/2026 1105341471 CMS
AstraZeneca Pharmaceuticals LP $19.24 02/15/2024 Food and Beverage Undisputed 06/30/2026 1104678835 CMS
AstraZeneca Pharmaceuticals LP $18.45 02/29/2024 Food and Beverage Undisputed 06/30/2026 1105546211 CMS
AstraZeneca Pharmaceuticals LP $15.01 03/14/2024 Food and Beverage Undisputed 06/30/2026 1104327584 CMS
Axsome Therapeutics, Inc. $28.75 01/18/2024 Food and Beverage Undisputed 06/30/2026 1148365667 CMS
Axsome Therapeutics, Inc. $32.62 03/07/2024 Food and Beverage Undisputed 06/30/2026 1148365669 CMS
Currax Pharmaceuticals LLC $13.86 01/29/2024 Food and Beverage Undisputed 06/30/2026 1089521994 CMS
IRONWOOD PHARMACEUTICALS, INC $19.35 01/08/2024 Food and Beverage Undisputed 06/30/2026 1153712377 CMS
Lilly USA, LLC $26.77 02/23/2024 Food and Beverage Undisputed 06/30/2026 1135689532 CMS
Lilly USA, LLC $25.08 03/06/2024 Food and Beverage Undisputed 06/30/2026 1135689530 CMS
Lilly USA, LLC $17.36 05/17/2024 Food and Beverage Undisputed 06/30/2026 1135709444 CMS
Otsuka America Pharmaceutical, Inc. $21.67 01/23/2024 Food and Beverage Undisputed 06/30/2026 1119103414 CMS
Otsuka America Pharmaceutical, Inc. $125.00 02/20/2024 Food and Beverage Undisputed 06/30/2026 1119103416 CMS
Otsuka America Pharmaceutical, Inc. $22.32 02/20/2024 Food and Beverage Undisputed 06/30/2026 1119103418 CMS
PFIZER INC. $19.10 03/28/2024 Food and Beverage Undisputed 06/30/2026 1131652389 CMS
PFIZER INC. $103.58 05/23/2024 Food and Beverage Undisputed 06/30/2026 1131652393 CMS

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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_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.