IndustryPayments

JAMES GRAMLING

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner BIRMINGHAM, AL NPI 1366842015

Browse related groups: Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner AL Lilly USA, LLC All categories

General Payments — all program years on this page

$4,028.31

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 210
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $2,006.27 across 96 records · disputed records: 0

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

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $2,006.2796

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entityAmountRecords
Lilly USA, LLC $305.0217
Acerta Pharma LLC $299.729
PFIZER INC. $245.7613
Novo Nordisk AS $236.2515
GlaxoSmithKline, LLC. $188.396
Sumitomo Pharma America, Inc. $168.458
Boehringer Ingelheim Pharmaceuticals, Inc. $72.374
Otsuka America Pharmaceutical, Inc. $70.583
Amgen Inc. $62.043
ABBVIE INC. $49.343
Astellas Pharma US Inc $48.552
Teva Pharmaceuticals USA, Inc. $41.222
Xeris Pharmaceuticals, Inc. $39.742
Phathom Pharmaceuticals, Inc. $33.381
Bayer HealthCare Pharmaceuticals Inc. $32.312
Salix Pharmaceuticals, a division of Bausch Health US, LLC $28.962
SHIELD THERAPEUTICS INC $23.881
DEXCOM, INC. $23.091
Antares Pharma, Inc. $19.801
Takeda Pharmaceuticals U.S.A., Inc. $17.421

By program year

Program yearAmountRecords
2021 $189.807
2022 $775.0042
2023 $1,057.2465
2024 $2,006.2796

Records — PY2024 (96)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1086308445 Bayer Healthcare Pharmaceuticals Inc. $15.87 11/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086370943 Bayer Healthcare Pharmaceuticals Inc. $16.44 06/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100235348 Novo Nordisk Inc $23.34 03/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100238518 Novo Nordisk Inc $13.12 07/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100249288 Novo Nordisk Inc $17.61 05/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100307689 Novo Nordisk Inc $18.42 09/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100310983 Novo Nordisk Inc $8.42 03/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100328300 Novo Nordisk Inc $13.79 10/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100333828 Novo Nordisk Inc $1.96 03/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100365243 Novo Nordisk Inc $13.33 08/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100444013 Novo Nordisk Inc $23.01 09/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100455894 Novo Nordisk Inc $8.54 06/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100539684 Novo Nordisk Inc $17.52 06/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100565346 Novo Nordisk Inc $18.68 11/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100594341 Novo Nordisk Inc $18.91 08/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100595801 Novo Nordisk Inc $17.14 10/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100597361 Novo Nordisk Inc $22.46 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104428409 AstraZeneca Pharmaceuticals LP $121.82 06/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104470282 AstraZeneca Pharmaceuticals LP $19.83 09/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104505546 AstraZeneca Pharmaceuticals LP $52.44 01/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104582066 AstraZeneca Pharmaceuticals LP $13.82 04/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104714493 AstraZeneca Pharmaceuticals LP $18.59 10/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104767246 AstraZeneca Pharmaceuticals LP $18.59 05/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105480463 AstraZeneca Pharmaceuticals LP $15.91 08/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105597609 AstraZeneca Pharmaceuticals LP $21.40 07/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105639776 AstraZeneca Pharmaceuticals LP $17.32 03/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107243959 ABBVIE INC. $15.99 07/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107243961 ABBVIE INC. $20.28 08/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107243963 ABBVIE INC. $13.07 10/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1115676435 Amgen Inc. $21.41 08/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1115676443 Amgen Inc. $26.12 10/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116270145 GlaxoSmithKline, LLC. $19.09 12/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116518664 GlaxoSmithKline, LLC. $140.34 10/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116531560 GlaxoSmithKline, LLC. $10.03 09/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116600079 GlaxoSmithKline, LLC. $15.84 07/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116668114 GlaxoSmithKline, LLC. $1.30 07/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116706777 GlaxoSmithKline, LLC. $1.79 05/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117566414 Amgen Inc. $14.51 10/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117982608 Boehringer Ingelheim Pharmaceuticals, Inc. $13.07 10/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117982610 Boehringer Ingelheim Pharmaceuticals, Inc. $16.96 12/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117982612 Boehringer Ingelheim Pharmaceuticals, Inc. $17.41 04/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117982614 Boehringer Ingelheim Pharmaceuticals, Inc. $24.93 10/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119082934 Otsuka America Pharmaceutical, Inc. $19.83 01/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119082936 Otsuka America Pharmaceutical, Inc. $25.60 03/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119082938 Otsuka America Pharmaceutical, Inc. $25.15 04/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131910944 PFIZER INC. $19.74 02/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131911613 PFIZER INC. $18.97 01/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131912409 PFIZER INC. $17.26 01/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131914101 PFIZER INC. $14.26 04/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131916929 PFIZER INC. $18.91 05/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131919375 PFIZER INC. $20.79 04/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131919987 PFIZER INC. $22.37 05/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131920759 PFIZER INC. $18.90 02/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131923019 PFIZER INC. $17.47 04/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131938341 PFIZER INC. $18.71 08/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131940793 PFIZER INC. $18.02 08/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131946054 PFIZER INC. $20.03 06/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1132122642 PFIZER INC. $20.33 10/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135642316 Lilly USA, LLC $15.98 08/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135642318 Lilly USA, LLC $11.47 04/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135642320 Lilly USA, LLC $20.42 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135654197 Lilly USA, LLC $21.75 05/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135654199 Lilly USA, LLC $23.12 02/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135654201 Lilly USA, LLC $20.69 06/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135654203 Lilly USA, LLC $12.60 07/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135672722 Lilly USA, LLC $22.34 05/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135687178 Lilly USA, LLC $22.21 06/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135687180 Lilly USA, LLC $19.88 08/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135687182 Lilly USA, LLC $20.52 09/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135687184 Lilly USA, LLC $23.96 08/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135689978 Lilly USA, LLC $15.98 02/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135689980 Lilly USA, LLC $17.24 03/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135689982 Lilly USA, LLC $16.75 01/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135707106 Lilly USA, LLC $0.46 04/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135707108 Lilly USA, LLC $19.65 04/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1137755358 Takeda Pharmaceuticals U.S.A., Inc. $17.42 05/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139503651 Astellas Pharma US Inc $25.26 04/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139518069 Astellas Pharma US Inc $23.29 07/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1144627792 Xeris Pharmaceuticals, Inc. $18.67 03/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1144627794 Xeris Pharmaceuticals, Inc. $21.07 03/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146506410 Antares Pharma, Inc. $19.80 12/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148963588 Sumitomo Pharma America, Inc. $19.64 05/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148963590 Sumitomo Pharma America, Inc. $23.55 06/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148963592 Sumitomo Pharma America, Inc. $18.40 07/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148963594 Sumitomo Pharma America, Inc. $24.73 08/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148963596 Sumitomo Pharma America, Inc. $15.19 09/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148963598 Sumitomo Pharma America, Inc. $21.00 10/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148963600 Sumitomo Pharma America, Inc. $21.44 11/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148963602 Sumitomo Pharma America, Inc. $24.50 12/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150149299 SHIELD THERAPEUTICS INC $23.88 10/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151169350 Phathom Pharmaceuticals, Inc. $33.38 04/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151577371 Teva Pharmaceuticals USA, Inc. $24.92 05/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151577375 Teva Pharmaceuticals USA, Inc. $16.30 07/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153364092 Dexcom, Inc. $23.09 05/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153453383 Salix Pharmaceuticals, a division of Bausch Health US, LLC $13.26 10/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153614910 Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.70 06/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.