Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

James Thacker

Pain Medicine Huntsville, AL Medical Doctor

NPI 1962564476 CMS profile 533207

185 Chateau Drive, Suite 302, Huntsville, AL 35801

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General payments

$12,648

414 records reported · program years 2019–2025

Research payments

$600

Paid to them · 1 record reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, James Thacker of Huntsville, AL is reported in the CMS Open Payments database as having received $12,648 across 414 general payments and $600 in research payments paid to them.

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 85th percentile of Pain Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

8 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $4,100 21
2025 Research $600 1
2024 General $1,726 48
2023 General $2,401 87
2022 General $857 60
2021 General $817 48
2020 General $1,140 57
2019 General $1,606 93

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • James Thacker
  • Pain Medicine median
  • Middle half of Pain Medicine
  • National median

In program year 2025, general payments to James Thacker were reported at $4,100. Among 2,779 Pain Medicine profiles paid that year, the median was $458 and the middle half received between $124 and $1,401.

Show as a table
Year James Thacker Pain Medicine median Middle half National median
2019 $1,606 $498 $126–$1,682 $163
2020 $1,140 $284 $80–$910 $114
2021 $817 $399 $112–$1,219 $132
2022 $857 $455 $137–$1,484 $149
2023 $2,401 $484 $128–$1,495 $160
2024 $1,726 $498 $131–$1,540 $164
2025 $4,100 $458 $124–$1,401 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Atland Pharmaceuticals, LLC $4,029 3 payments
  2. Scilex Pharmaceuticals Inc. $1,755 110 payments
  3. Collegium Pharmaceutical, Inc. $1,337 91 payments
  4. Galt Pharmaceuticals, LLC $670 1 payment
  5. Protega Pharmaceutials LLC $663 27 payments
  6. Salix Pharmaceuticals, a division of Bausch Health US, LLC $662 46 payments
  7. Curonix LLC $492 6 payments
  8. Indivior Inc. $463 12 payments
  9. Daiichi Sankyo Inc. $239 9 payments
  10. Arbor Pharmaceuticals, Inc. $229 14 payments
  11. Other $2,109 95 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $8,281 407 payments
  2. Consulting Fee $3,500 1 payment
  3. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $500 1 payment
  4. Travel and Lodging $367 3 payments
  5. Gift $0 2 payments
Products named General payments · program years 2019–2025
  1. ORPHENADRINE CITRATE, ASPIRIN AND CAFFEINE $4,029 3 payments
  2. TOLMETIN SODIUM $3,529 2 payments
  3. ZTLido $1,355 80 payments
  4. XTAMPZA $1,337 91 payments
  5. Orphengesic Forte $670 1 payment
  6. RELISTOR Gastroenterology $589 41 payments
  7. ROXYBOND $584 22 payments
  8. RELISTOR Gastroenterology $521 33 payments
  9. PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A $492 6 payments
  10. SUBLOCADE $271 7 payments
  11. Other $3,901 184 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Research payments came from Research payments · program years 2019–2025
  1. Atland Pharmaceuticals, LLC $600 1 payment

Prescribing to Medicare patients

Part D · data year 2024 · 64 drugs

Part D claims

10,729

Median for Interventional Pain Management: 1,220

Drug cost

$799,557

Median for Interventional Pain Management: $39,344

Branded share of claims

34.7%

Median for Interventional Pain Management: 34.8%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Xtampza Er Oxycodone Myristate Brand 217 $142,864
Relistor Methylnaltrexone Bromide Brand 27 $86,645
Nucynta Tapentadol Hcl Brand 52 $78,835
Orphenadrine-Aspirin-Caffeine Orphenadrine/Aspirin/Caffeine Brand 20 $53,392
Movantik Naloxegol Oxalate Brand 98 $40,812
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 1,257 $40,046
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 981 $33,037
Linzess Linaclotide Brand 56 $28,624
Ztlido Lidocaine Brand 76 $27,362
Nucynta Er Tapentadol Hcl Brand 13 $26,316

The 10 drugs with the highest cost, of 64 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 1,476 Part D prescribers listed as Interventional Pain Management; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 31 billing codes

Paid by Medicare

$148,142

Of which drugs: $8,754

Medicare patients

196

Average age 66

Services billed

6,313

112 women, 84 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 75%
Depression 42%
Diabetes 33%
Ischemic heart disease 31%
COPD 29%
Chronic kidney disease 21%
Heart failure 18%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420 Office 13 15 $14

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

First 5 of 7 products · payments 2024

Two 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.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
ORPHENADRINE CITRATE, ASPIRIN AND CAFFEINE
  • Atland Pharmaceuticals, LLC $500
$500 — —
ZTLido
  • Scilex Pharmaceuticals Inc. $273
$273 76 —
XTAMPZA
  • Collegium Pharmaceutical, Inc. $175
$175 217 —
RELISTOR
  • Salix Pharmaceuticals, a division of Bausch Health US, LLC $102
$102 27 —
SUBLOCADE
  • Indivior Inc. $79
$79 — —

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.

See all 7 in the dashboard with a free account

Records

415 reported

Every 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 Pain Medicine in Alabama

Related records

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.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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