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 E FLEMING

Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery of the Spine

NPI
1952326159
CMS profile
179922
Location
CHILLICOTHE, OH

General Payments · PY2018–2024

$122,298.97

  • Reported across 320 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$7,136.71

17 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
Consulting Fee $5,400.00 1
Food and Beverage $1,218.29 14
Travel and Lodging $518.42 2

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
SI-BONE, INC. $6,587.33 11
DePuy Synthes Sales Inc. $136.61 1
Arteriocyte Medical Systems, Inc. $128.46 1
Nevro Corp. $110.12 1
BIOCOMPOSITES INC $101.69 1
Arthrex, Inc. $57.17 1
Orthofix Medical, Inc. $15.33 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,750.63 22
PY2019 $9,920.99 49
PY2020 $15,253.57 48
PY2021 $54,417.40 98
PY2022 $12,640.28 46
PY2023 $21,179.39 40
PY2024 $7,136.71 17

Payment records · PY2024 (17)

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
Arteriocyte Medical Systems, Inc. $128.46 04/18/2024 Food and Beverage Undisputed 01/23/2026 1126613355 CMS
Arthrex, Inc. $57.17 04/13/2024 Food and Beverage Undisputed 01/23/2026 1146565522 CMS
BIOCOMPOSITES INC $101.69 05/08/2024 Food and Beverage Undisputed 01/23/2026 1146433872 CMS
DePuy Synthes Sales Inc. $136.61 03/14/2024 Food and Beverage Undisputed 01/23/2026 1077880964 CMS
Nevro Corp. $110.12 06/21/2024 Food and Beverage Undisputed 01/23/2026 1130735177 CMS
Orthofix Medical, Inc. $15.33 10/22/2024 Food and Beverage Undisputed 01/23/2026 1127604505 CMS
SI-BONE, INC. $45.99 01/05/2024 Food and Beverage Undisputed 01/23/2026 1120058426 CMS
SI-BONE, INC. $25.16 01/18/2024 Food and Beverage Undisputed 01/23/2026 1120058428 CMS
SI-BONE, INC. $83.42 05/02/2024 Food and Beverage Undisputed 01/23/2026 1120068636 CMS
SI-BONE, INC. $5,400.00 05/17/2024 Consulting Fee Undisputed 01/23/2026 1120074728 CMS
SI-BONE, INC. $268.00 05/17/2024 Travel and Lodging Undisputed 01/23/2026 1120074730 CMS
SI-BONE, INC. $250.42 05/17/2024 Travel and Lodging Undisputed 01/23/2026 1120074732 CMS
SI-BONE, INC. $162.16 06/13/2024 Food and Beverage Undisputed 01/23/2026 1120065333 CMS
SI-BONE, INC. $162.63 07/29/2024 Food and Beverage Undisputed 01/23/2026 1120063294 CMS
SI-BONE, INC. $26.76 09/23/2024 Food and Beverage Undisputed 01/23/2026 1120048623 CMS
SI-BONE, INC. $159.95 12/05/2024 Food and Beverage Undisputed 01/23/2026 1120057377 CMS
SI-BONE, INC. $2.84 12/30/2024 Food and Beverage Undisputed 01/23/2026 1120057361 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.