Payment overview · 2025
General Payments
$797.56
27 reported records · 14 companies
Healthcare provider profile · identity verified
James B Garnett, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology · RICHMOND, VA · NPI 1922125053
Verified facts
What the public records show
CMS Open Payments records show James B Garnett, MD received $797.56 in general payments during 2025 across 27 reported records.
Boston Scientific Corporation accounted for 22.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 16 associated products.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported BRILINTA as an associated drug or biological on 993 records involving 512 distinct recipient NPIs. Public Medicare Part D data also shows 29 claims for Brilinta by this doctor in 2024.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 121 claims for Farxiga by this doctor in 2024.
Novartis Pharmaceuticals Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ENTRESTO as an associated drug or biological on 9346 records involving 6254 distinct recipient NPIs. Public Medicare Part D data also shows 150 claims for Entresto 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 |
|---|---|---|---|---|---|
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $181.81 | 22.8% | 7 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $173.47 | 21.8% | 6 | 2025 |
| W. L. Gore & Associates, Inc. | Unresolved — no canonical attribution shown | $103.19 | 12.9% | 1 | 2025 |
| Philips North America LLC | Unresolved — no canonical attribution shown | $93.21 | 11.7% | 3 | 2025 |
| CORDIS US CORP. | Unresolved — no canonical attribution shown | $65.03 | 8.2% | 1 | 2025 |
| Penumbra, Inc. | Unresolved — no canonical attribution shown | $30.79 | 3.9% | 1 | 2025 |
| SCPHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $22.25 | 2.8% | 1 | 2025 |
| CARDIVA MEDICAL, INC. | Unresolved — no canonical attribution shown | $20.90 | 2.6% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $20.16 | 2.5% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $19.45 | 2.4% | 1 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $18.57 | 2.3% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $16.82 | 2.1% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $16.24 | 2.0% | 1 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $15.67 | 2.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $797.56 | 27 |
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 |
|---|---|---|---|---|---|
| GORE CARDIOFORM Septal Occluder Normalized: gore cardioform septal occluder |
Device | W. L. Gore & Associates, Inc. | $103.19 | 1 | 2025 |
Source payment records
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| NAVITOR Normalized: navitor |
Device | Abbott Laboratories | $93.35 | 1 | 2025 |
Source payment records
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| Diagnostic ECG Service Normalized: diagnostic ecg service |
Device | Philips North America LLC | $93.21 | 3 | 2025 |
Source payment records
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| WATCHMAN FLX Normalized: watchman flx |
Device | Boston Scientific Corporation | $92.60 | 6 | 2025 |
Source payment records
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| AVVIGO Guidance System Normalized: avvigo guidance system |
Device | Boston Scientific Corporation | $89.21 | 1 | 2025 |
Source payment records
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| MYNXGRIP Normalized: mynxgrip |
Device | CORDIS US CORP. | $65.03 | 1 | 2025 |
Source payment records
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| Penumbra System Normalized: penumbra system |
Device | Penumbra, Inc. | $30.79 | 1 | 2025 |
Source payment records
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| MITRACLIP Normalized: mitraclip |
Device | Abbott Laboratories | $27.96 | 2 | 2025 |
Source payment records
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| TRICLIP Normalized: triclip |
Device | Abbott Laboratories | $27.31 | 2 | 2025 |
Source payment records
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| THORATEC HEARTMATE 3 LVAS IMPLANT KIT Normalized: thoratec heartmate 3 lvas implant kit |
Device | Abbott Laboratories | $24.85 | 1 | 2025 |
Source payment records
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| FUROSCIX Normalized: furoscix |
Drug | SCPHARMACEUTICALS INC. | $22.25 | 1 | 2025 |
Source payment records
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| CARDIVA VASCADE MVP XL VVCS 10-12F Normalized: cardiva vascade mvp xl vvcs 10 12f |
Device | CARDIVA MEDICAL, INC. | $20.90 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $20.16 | 1 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $19.45 | 1 | 2025 |
Source payment records
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| LOKELMA Normalized: lokelma |
Drug | AstraZeneca Pharmaceuticals LP | $16.24 | 1 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $15.67 | 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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | BRILINTA open payments reported associated product |
CMS Open Payments — General Payments 993 supporting records · 512 recipient NPIs · example record 1206131430 |
Brilinta · 2024 Exact normalized brand match · 1 Part D row |
29 | suppressed by CMS |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
121 | 36 |
| Novartis Pharmaceuticals Corporation Exact reporting entity; no affiliate inference |
2025 | ENTRESTO open payments reported associated product |
CMS Open Payments — General Payments 9346 supporting records · 6254 recipient NPIs · example record 1200004797 |
Entresto · 2024 Exact normalized brand match · 1 Part D row |
150 | 33 |
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 |
|---|---|---|---|
| Metoprolol Succinate | Metoprolol Succinate | 500 | 149 |
| Eliquis | Apixaban | 317 | 72 |
| Atorvastatin Calcium | Atorvastatin Calcium | 316 | 97 |
| Losartan Potassium | Losartan Potassium | 289 | 93 |
| Amlodipine Besylate | Amlodipine Besylate | 239 | 77 |
| Lisinopril | Lisinopril | 210 | 62 |
| Clopidogrel | Clopidogrel Bisulfate | 162 | 53 |
| Entresto | Sacubitril/Valsartan | 150 | 33 |
| Carvedilol | Carvedilol | 143 | 45 |
| Farxiga | Dapagliflozin Propanediol | 121 | 36 |
| Furosemide | Furosemide | 121 | 41 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 120 | 32 |
| Spironolactone | Spironolactone | 105 | 45 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 93 | 38 |
| Xarelto | Rivaroxaban | 91 | 25 |
| Metoprolol Tartrate | Metoprolol Tartrate | 90 | 33 |
| Amiodarone Hcl | Amiodarone Hcl | 84 | 24 |
| Ezetimibe | Ezetimibe | 74 | 20 |
| Hydrochlorothiazide | Hydrochlorothiazide | 72 | 20 |
| Warfarin Sodium | Warfarin Sodium | 67 | 15 |
| Flecainide Acetate | Flecainide Acetate | 49 | 18 |
| Bumetanide | Bumetanide | 48 | 24 |
| Repatha Sureclick | Evolocumab | 44 | 11 |
| Hydralazine Hcl | Hydralazine Hcl | 41 | 15 |
| Nitroglycerin | Nitroglycerin | 39 | 23 |
| Amoxicillin | Amoxicillin | 38 | 25 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 34 | suppressed |
| Atenolol | Atenolol | 32 | suppressed |
| Simvastatin | Simvastatin | 30 | suppressed |
| Brilinta | Ticagrelor | 29 | suppressed |
| Valsartan | Valsartan | 28 | suppressed |
| Prasugrel Hcl | Prasugrel Hcl | 24 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 17 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 17 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 15 | suppressed |
| Lovastatin | Lovastatin | 13 | 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 | $797.56 · 27 records | Boston Scientific Corporation | AVVIGO Guidance System, CARDIVA VASCADE MVP XL VVCS 10-12F, Diagnostic ECG Service, FUROSCIX, GORE CARDIOFORM Septal Occluder, Kerendia, LEQVIO, LOKELMA, MITRACLIP, MYNXGRIP, NAVITOR, Penumbra System, THORATEC HEARTMATE 3 LVAS IMPLANT KIT, TRICLIP, WATCHMAN FLX, Wegovy | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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