Payment overview · 2025
General Payments
$24.66
1 reported records · 1 companies
Healthcare provider profile · identity verified
James J Naramore, MD
Allopathic & Osteopathic Physicians|Family Medicine · GILLETTE, WY · NPI 1841280880
Verified facts
What the public records show
CMS Open Payments records show James J Naramore, MD received $24.66 in general payments during 2025 across 1 reported records.
Hologic Sales and Service, LLC accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
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 |
|---|---|---|---|---|---|
| Hologic Sales and Service, LLC | Unresolved — no canonical attribution shown | $24.66 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $24.66 | 1 |
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 |
|---|---|---|---|---|---|
| APTIMA Normalized: aptima |
Device | Hologic Sales and Service, LLC | $24.66 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
None of this doctor’s payer companies has same-entity product evidence that passes the publication threshold. The site does not infer company ownership, affiliates, or generic manufacturers.
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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 503 | 132 |
| Levothyroxine Sodium | Levothyroxine Sodium | 449 | 110 |
| Lisinopril | Lisinopril | 286 | 81 |
| Omeprazole | Omeprazole | 263 | 67 |
| Trazodone Hcl | Trazodone Hcl | 232 | 44 |
| Metformin Hcl | Metformin Hcl | 219 | 57 |
| Hydrochlorothiazide | Hydrochlorothiazide | 216 | 63 |
| Metoprolol Succinate | Metoprolol Succinate | 208 | 51 |
| Tramadol Hcl | Tramadol Hcl | 191 | 40 |
| Losartan Potassium | Losartan Potassium | 189 | 54 |
| Amlodipine Besylate | Amlodipine Besylate | 186 | 55 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 172 | 27 |
| Gabapentin | Gabapentin | 165 | 35 |
| Pantoprazole Sodium | Pantoprazole Sodium | 158 | 43 |
| Tamsulosin Hcl | Tamsulosin Hcl | 146 | 41 |
| Allopurinol | Allopurinol | 126 | 33 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 123 | 33 |
| Zolpidem Tartrate | Zolpidem Tartrate | 122 | 25 |
| Pravastatin Sodium | Pravastatin Sodium | 119 | 33 |
| Metoprolol Tartrate | Metoprolol Tartrate | 117 | 32 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 112 | 32 |
| Meloxicam | Meloxicam | 109 | 36 |
| Duloxetine Hcl | Duloxetine Hcl | 105 | 17 |
| Ozempic | Semaglutide | 99 | 14 |
| Pioglitazone Hcl | Pioglitazone Hcl | 97 | 20 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 95 | 28 |
| Simvastatin | Simvastatin | 92 | 23 |
| Alprazolam | Alprazolam | 88 | 17 |
| Eliquis | Apixaban | 88 | 20 |
| Potassium Chloride | Potassium Chloride | 88 | 22 |
| Furosemide | Furosemide | 85 | 24 |
| Warfarin Sodium | Warfarin Sodium | 79 | 14 |
| Clonazepam | Clonazepam | 78 | 13 |
| Metformin Hcl Er | Metformin Hcl | 77 | 16 |
| Finasteride | Finasteride | 75 | 18 |
| Glimepiride | Glimepiride | 75 | 16 |
| Montelukast Sodium | Montelukast Sodium | 73 | 18 |
| Spironolactone | Spironolactone | 70 | 17 |
| Oxycodone Hcl | Oxycodone Hcl | 69 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 68 | 11 |
| Diazepam | Diazepam | 59 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 59 | 12 |
| Fluticasone Propionate | Fluticasone Propionate | 57 | 23 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 55 | 11 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 54 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 53 | 19 |
| Ibuprofen | Ibuprofen | 53 | 11 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 53 | 15 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 53 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 52 | 12 |
| Ibandronate Sodium | Ibandronate Sodium | 48 | suppressed |
| Januvia | Sitagliptin Phosphate | 46 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 46 | 12 |
| Amitriptyline Hcl | Amitriptyline Hcl | 45 | 11 |
| Azithromycin | Azithromycin | 45 | 34 |
| Doxycycline Hyclate | Doxycycline Hyclate | 45 | 25 |
| Baclofen | Baclofen | 44 | suppressed |
| Synthroid | Levothyroxine Sodium | 42 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 41 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 41 | suppressed |
| Primidone | Primidone | 41 | suppressed |
| Trulicity | Dulaglutide | 40 | suppressed |
| Ezetimibe | Ezetimibe | 39 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 39 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 38 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 38 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 37 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 37 | suppressed |
| Lorazepam | Lorazepam | 36 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 35 | suppressed |
| Famotidine | Famotidine | 34 | suppressed |
| Pregabalin | Pregabalin | 34 | suppressed |
| Carvedilol | Carvedilol | 33 | 12 |
| Enalapril Maleate | Enalapril Maleate | 33 | suppressed |
| Methylprednisolone | Methylprednisolone | 33 | 29 |
| Atenolol | Atenolol | 32 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 32 | suppressed |
| Celecoxib | Celecoxib | 31 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 29 | suppressed |
| Amoxicillin | Amoxicillin | 28 | 21 |
| Bupropion Hcl Sr | Bupropion Hcl | 28 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 28 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 28 | suppressed |
| Ondansetron Odt | Ondansetron | 28 | 11 |
| Prednisone | Prednisone | 27 | 11 |
| Propranolol Hcl | Propranolol Hcl | 27 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 27 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 27 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 26 | suppressed |
| Lansoprazole | Lansoprazole | 25 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 25 | suppressed |
| Ramipril | Ramipril | 25 | suppressed |
| Estradiol | Estradiol | 24 | suppressed |
| Nifedipine Er | Nifedipine | 24 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 22 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 22 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 22 | suppressed |
| Aripiprazole | Aripiprazole | 21 | suppressed |
| Glipizide Er | Glipizide | 21 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 21 | suppressed |
| Varenicline Tartrate | Varenicline Tartrate | 21 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 20 | 16 |
| Betamethasone Valerate | Betamethasone Valerate | 20 | 15 |
| Cephalexin | Cephalexin | 20 | 15 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 20 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 20 | suppressed |
| Methimazole | Methimazole | 20 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 19 | suppressed |
| Eszopiclone | Eszopiclone | 19 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 19 | suppressed |
| Memantine Hcl | Memantine Hcl | 19 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 19 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 19 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 19 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 19 | suppressed |
| Calcitonin-Salmon | Calcitonin,salmon,synthetic | 18 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 18 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 18 | 17 |
| Bupropion Xl | Bupropion Hcl | 17 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 17 | suppressed |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 17 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 17 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 17 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 16 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 16 | suppressed |
| Premarin | Estrogens, Conjugated | 16 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 16 | suppressed |
| Acyclovir | Acyclovir | 15 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 15 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 15 | suppressed |
| Gemfibrozil | Gemfibrozil | 15 | suppressed |
| Hydromorphone Hcl | Hydromorphone Hcl | 15 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 15 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 15 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 14 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 13 | suppressed |
| Carbamazepine | Carbamazepine | 13 | suppressed |
| Chlorthalidone | Chlorthalidone | 13 | suppressed |
| Glipizide | Glipizide | 13 | suppressed |
| Levetiracetam | Levetiracetam | 13 | suppressed |
| Linzess | Linaclotide | 13 | suppressed |
| Modafinil | Modafinil | 13 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 13 | suppressed |
| Nabumetone | Nabumetone | 13 | suppressed |
| Buprenorphine | Buprenorphine | 12 | suppressed |
| Butalbital-Aspirin-Caffeine | Butalbital/Aspirin/Caffeine | 12 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 12 | suppressed |
| Mounjaro | Tirzepatide | 12 | suppressed |
| Mupirocin | Mupirocin | 12 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 12 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 12 | suppressed |
| Triazolam | Triazolam | 12 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 12 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 12 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 11 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Bumetanide | Bumetanide | 11 | suppressed |
| Bydureon Bcise | Exenatide Microspheres | 11 | suppressed |
| Gentamicin Sulfate | Gentamicin Sulfate | 11 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 11 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 11 | suppressed |
| Sucralfate | Sucralfate | 11 | suppressed |
| Vilazodone Hcl | Vilazodone Hcl | 11 | suppressed |
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 | $24.66 · 1 records | Hologic Sales and Service, LLC | APTIMA | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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