Who Paid My Doc
James Fish
Orthopaedic Surgery of the Spine Smyrna, TN Doctor of Osteopathy
NPI 1821046459 CMS profile 127649
300 Stonecrest Blvd Ste 230, Smyrna, TN 37167
General payments
$6,146
Research payments
$3,000
Ownership & investment interest
$782,400
Through program year 2025, James Fish of Smyrna, TN is reported in the CMS Open Payments database as having received $6,146 across 109 general payments and $3,000 in research payments paid to them. They also declared ownership or investment interests valued at $782,400 across 4 holdings.
No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.
General payments for this record sit in the 45th percentile of Orthopaedic Surgery of the Spine profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
12 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $1,109 | 28 | |
| 2024 | General | $1,385 | 24 | |
| 2024 | Research | $3,000 | 10 | |
| 2023 | General | $1,249 | 18 | |
| 2022 | General | $1,105 | 9 | |
| 2021 | General | $689 | 7 | |
| 2020 | General | $237 | 6 | |
| 2019 | General | $371 | 17 | |
| 2022 | Ownership | $238,000 | 1 | |
| 2021 | Ownership | $184,400 | 1 | |
| 2020 | Ownership | $180,000 | 1 | |
| 2019 | Ownership | $180,000 | 1 |
Beside peers
- James Fish
- Orthopaedic Surgery of the Spine median
- Middle half of Orthopaedic Surgery of the Spine
- National median
In program year 2025, general payments to James Fish were reported at $1,109. Among 1,704 Orthopaedic Surgery of the Spine profiles paid that year, the median was $2,061 and the middle half received between $347 and $14,651.
Show as a table
| Year | James Fish | Orthopaedic Surgery of the Spine median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $371 | $2,106 | $337–$18,608 | $163 |
| 2020 | $237 | $1,213 | $156–$15,082 | $114 |
| 2021 | $689 | $1,834 | $271–$15,617 | $132 |
| 2022 | $1,105 | $2,015 | $320–$17,036 | $149 |
| 2023 | $1,249 | $1,925 | $336–$14,599 | $160 |
| 2024 | $1,385 | $2,110 | $341–$12,483 | $164 |
| 2025 | $1,109 | $2,061 | $347–$14,651 | $169 |
Breakdown
A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.
Prescribing to Medicare patients
Part D · data year 2024 · 14 drugsPart D claims
1,552
Drug cost
$18,056
Branded share of claims
24%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | Brand | 291 | $4,124 | |
| Lidocaine | Generic | 36 | $3,097 | |
| Gabapentin | Generic | 246 | $2,479 | |
| Diclofenac Sodium | Generic | 100 | $1,592 | |
| Methylprednisolone | Generic | 151 | $1,218 | |
| Celecoxib | Generic | 26 | $1,194 | |
| Meloxicam | Generic | 261 | $903 | |
| Pregabalin | Generic | 80 | $849 | |
| Tizanidine Hcl | Generic | 59 | $781 | |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | Brand | 81 | $510 |
The 10 drugs with the highest cost, of 14 counted.
Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 18,934 Part D prescribers listed as Orthopedic Surgery; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 45 billing codesPaid by Medicare
$129,280
Medicare patients
156
Services billed
2,054
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 75% | |
| Arthritis | 75% | |
| Depression | 35% | |
| Diabetes | 30% | |
| Ischemic heart disease | 28% | |
| Chronic kidney disease | 28% | |
| Osteoporosis | 18% | |
| Heart failure | 17% |
| Drug given in the clinic | Where | Patients | Services | Paid by Medicare |
|---|---|---|---|---|
| Injection, dexamethasone sodium phosphate, 1 mg J1100 | Office | 11 | 1,248 | $100 |
Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.
Payments and prescribing
3 products · payments 2024Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.
| Product | Paid by | Related payments | Part D claims | Part B services |
|---|---|---|---|---|
| Tymlos |
|
$18 | — | — |
| EVENITY |
|
$15 | — | — |
| Prolia |
|
$15 | — | — |
A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.
Records
119 reportedEvery payment, record by record
Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.
Other Orthopaedic Surgery of the Spine in Tennessee
Lawrence Babat
Orthopaedic Surgery of the Spine · Nashville, TN
Raymond Gardocki
Orthopaedic Surgery of the Spine · Nashville, TN
Samuel Schroerlucke
Orthopaedic Surgery of the Spine · Memphis, TN
James Jolley
Orthopaedic Surgery of the Spine · Chattanooga, TN
John Burleson
Orthopaedic Surgery of the Spine · Smyrna, TN
Michael McNamara
Orthopaedic Surgery of the Spine · Franklin, TN
Related records
Orthopaedic Surgery of the Spine in Tennessee
Practitioners in the same specialty and state, ranked by reported value.
All Orthopaedic Surgery of the Spine
Everyone recorded under this specialty, nationwide.
Doctors in Tennessee
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
What this means
U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.
An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.
Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.