Payment overview · 2025
General Payments
$47,735.88
46 reported records · 11 companies
Healthcare provider profile · identity verified
James N Palmer, MD
Allopathic & Osteopathic Physicians|Otolaryngology · PHILADELPHIA, PA · NPI 1447287339
Verified facts
What the public records show
CMS Open Payments records show James N Palmer, MD received $47,735.88 in general payments during 2025 across 46 reported records.
Optinose US, Inc. accounted for 74.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 14 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Xhance.
Optinose US, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Xhance as an associated drug or biological on 10863 records involving 5058 distinct recipient NPIs. Public Medicare Part D data also shows 38 claims for Xhance by this doctor in 2024.
Paratek Pharmaceuticals, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported XHANCE as an associated drug or biological on 2604 records involving 2200 distinct recipient NPIs. Public Medicare Part D data also shows 38 claims for Xhance by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Optinose US, Inc. | Unresolved — no canonical attribution shown | $35,450.14 | 74.3% | 9 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$10,499.53 | 22.0% | 19 | 2025 |
| Integra LifeSciences Corporation | Unresolved — no canonical attribution shown | $580.94 | 1.2% | 6 | 2025 |
| 3-D Matrix, Inc. | Unresolved — no canonical attribution shown | $495.55 | 1.0% | 1 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $148.26 | 0.3% | 1 | 2025 |
| Janssen Research & Development, LLC | Unresolved — no canonical attribution shown | $142.07 | 0.3% | 2 | 2025 |
| Neurent Medical Limited | Unresolved — no canonical attribution shown | $140.71 | 0.3% | 2 | 2025 |
| Stryker Corporation | Unresolved — no canonical attribution shown | $104.36 | 0.2% | 3 | 2025 |
| Regeneron Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $84.28 | 0.2% | 1 | 2025 |
| Paratek Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $49.54 | 0.1% | 1 | 2025 |
| Ethicon US, LLC | Unresolved — no canonical attribution shown | $40.50 | 0.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Consulting Fee | $35,000.00 | 3 |
| Travel and Lodging | $10,505.32 | 10 |
| Food and Beverage | $2,230.56 | 33 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| XHANCE Normalized: xhance |
Drug | Optinose US, Inc., Paratek Pharmaceuticals, Inc. | $35,499.68 | 10 | 2025 |
Source payment records
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| ACCLARENT AERA Normalized: acclarent aera |
Device | Integra LifeSciences Corporation | $580.94 | 6 | 2025 |
Source payment records
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| INSPIRA AIR Normalized: inspira air |
Device | Integra LifeSciences Corporation | $580.94 | 6 | 2025 |
Source payment records
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| RELIEVA SPINPLUS NAV Normalized: relieva spinplus nav |
Device | Integra LifeSciences Corporation | $580.94 | 6 | 2025 |
Source payment records
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| TruDi Probe Normalized: trudi probe |
Device | Integra LifeSciences Corporation | $580.94 | 6 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | Regeneron Healthcare Solutions, Inc., Regeneron Pharmaceuticals, Inc. | $232.54 | 2 | 2025 |
Source payment records
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| NEUROMARK Radiofrequency Console Normalized: neuromark radiofrequency console |
Device | Neurent Medical Limited | $140.71 | 2 | 2025 |
Source payment records
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| NEUROMARK System Normalized: neuromark system |
Device | Neurent Medical Limited | $140.71 | 2 | 2025 |
Source payment records
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| SCOPIS ENT Normalized: scopis ent |
Device | Stryker Corporation | $79.99 | 2 | 2025 |
Source payment records
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| STRAIGHTSHOT Normalized: straightshot |
Device | Medtronic, Inc. | $43.03 | 2 | 2025 |
Source payment records
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| Echelon; Endopath Normalized: echelon endopath |
Device | Ethicon US, LLC | $40.50 | 1 | 2025 |
Source payment records
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| Harmonic Normalized: harmonic |
Device | Ethicon US, LLC | $40.50 | 1 | 2025 |
Source payment records
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| XPRESS LOPROFILE Normalized: xpress loprofile |
Device | Stryker Corporation | $24.37 | 1 | 2025 |
Source payment records
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| PROPEL Normalized: propel |
Device | Medtronic, Inc. | $23.31 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| XHANCE xhance |
2025 | Xhance | 2024 | 38 | exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Optinose US, Inc. Exact reporting entity; no affiliate inference |
2025 | Xhance open payments reported associated product |
CMS Open Payments — General Payments 10863 supporting records · 5058 recipient NPIs · example record 1163252000 |
Xhance · 2024 Exact normalized brand match · 1 Part D row |
38 | 17 |
| Paratek Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | XHANCE open payments reported associated product |
CMS Open Payments — General Payments 2604 supporting records · 2200 recipient NPIs · example record 1181734372 |
Xhance · 2024 Exact normalized brand match · 1 Part D row |
38 | 17 |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Prednisone | Prednisone | 105 | 76 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 47 | 37 |
| Levofloxacin | Levofloxacin | 42 | 38 |
| Xhance | Fluticasone Propionate | 38 | 17 |
| Ipratropium Bromide | Ipratropium Bromide | 35 | 18 |
| Omeprazole | Omeprazole | 35 | 17 |
| Mupirocin | Mupirocin | 34 | 12 |
| Montelukast Sodium | Montelukast Sodium | 26 | suppressed |
| Azithromycin | Azithromycin | 21 | 12 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 19 | 15 |
| Clindamycin Hcl | Clindamycin Hcl | 16 | 15 |
| Acetazolamide Er | Acetazolamide | 13 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 12 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 12 | 11 |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $47,735.88 · 46 records | Optinose US, Inc. | ACCLARENT AERA, DUPIXENT, Echelon; Endopath, Harmonic, INSPIRA AIR, NEUROMARK Radiofrequency Console, NEUROMARK System, PROPEL, RELIEVA SPINPLUS NAV, SCOPIS ENT, STRAIGHTSHOT, TruDi Probe, XHANCE, XPRESS LOPROFILE | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Xhance play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Optinose US, Inc.?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error