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 J FOWLER

Allopathic & Osteopathic Physicians Otolaryngology

NPI
1891790499
CMS profile
176792
Location
BROWNWOOD, TX

General Payments · PY2018–2024

$3,699.01

  • Reported across 73 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,251.69

21 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 $1,251.69 21

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Medtronic, Inc. $606.76 12
Inspire Medical Systems, Inc. $496.81 5
Balt USA, LLC $91.90 2
Regeneron Healthcare Solutions, Inc. $34.69 1
Smith & Nephew, Inc. $21.53 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $209.63 13
PY2019 $117.31 4
PY2020 $15.39 1
PY2021 $73.81 1
PY2022 $436.57 6
PY2023 $1,594.61 27
PY2024 $1,251.69 21

Payment records · PY2024 (21)

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
Balt USA, LLC $45.02 04/11/2024 Food and Beverage Undisputed 01/23/2026 1154346365 CMS
Balt USA, LLC $46.88 04/11/2024 Food and Beverage Undisputed 01/23/2026 1154346407 CMS
Inspire Medical Systems, Inc. $10.99 05/08/2024 Food and Beverage Undisputed 01/23/2026 1148054584 CMS
Inspire Medical Systems, Inc. $149.75 07/22/2024 Food and Beverage Undisputed 01/23/2026 1148054586 CMS
Inspire Medical Systems, Inc. $36.35 08/12/2024 Food and Beverage Undisputed 01/23/2026 1148054588 CMS
Inspire Medical Systems, Inc. $149.92 09/05/2024 Food and Beverage Undisputed 01/23/2026 1148054590 CMS
Inspire Medical Systems, Inc. $149.80 11/14/2024 Food and Beverage Undisputed 01/23/2026 1148054592 CMS
Medtronic, Inc. $17.26 05/28/2024 Food and Beverage Undisputed 01/23/2026 1119536707 CMS
Medtronic, Inc. $113.02 06/24/2024 Food and Beverage Undisputed 01/23/2026 1119536709 CMS
Medtronic, Inc. $27.72 07/17/2024 Food and Beverage Undisputed 01/23/2026 1119536711 CMS
Medtronic, Inc. $99.75 08/02/2024 Food and Beverage Undisputed 01/23/2026 1119536713 CMS
Medtronic, Inc. $13.27 08/14/2024 Food and Beverage Undisputed 01/23/2026 1119536715 CMS
Medtronic, Inc. $59.75 09/11/2024 Food and Beverage Undisputed 01/23/2026 1119536717 CMS
Medtronic, Inc. $139.79 09/18/2024 Food and Beverage Undisputed 01/23/2026 1119536719 CMS
Medtronic, Inc. $14.98 10/03/2024 Food and Beverage Undisputed 01/23/2026 1119536721 CMS
Medtronic, Inc. $8.83 10/16/2024 Food and Beverage Undisputed 01/23/2026 1119536723 CMS
Medtronic, Inc. $9.22 10/24/2024 Food and Beverage Undisputed 01/23/2026 1119536725 CMS
Medtronic, Inc. $2.85 10/24/2024 Food and Beverage Undisputed 01/23/2026 1119536727 CMS
Medtronic, Inc. $100.32 12/12/2024 Food and Beverage Undisputed 01/23/2026 1119536729 CMS
Regeneron Healthcare Solutions, Inc. $34.69 04/05/2024 Food and Beverage Undisputed 01/23/2026 1114049712 CMS
Smith+Nephew, Inc. $21.53 08/05/2024 Food and Beverage Undisputed 01/23/2026 1149571073 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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