Medicare Enrolled
Dr. James Patton, MD
Neurology · Asheville, NC
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Patton from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Patton
Dr. James Patton is a neurology specialist in Asheville, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Patton performed 88,510 Medicare services across 1,952 unique beneficiaries.
Between the years covered by Open Payments, Dr. Patton received a total of $187,855 from 105 pharmaceutical and/or device companies across 1098 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Patton is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 0% volume in NC
$187,855 industry payments
Medicare Practice Summary
Medicare Utilization ↗88,510
Medicare services
Top 0% in NC for neurology
1,952
Unique beneficiaries
$7
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~4,426 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
71,700 | $5 | $18 |
| Botox injection (Xeomin), per unit An injection of incobotulinumtoxin A, a botulinum toxin type A product, administered in a quantity of one unit. |
14,000 | $4 | $15 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
760 | $82 | $347 |
| Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 346 | $56 | $219 |
| Chemical nerve block for neck muscles Injection of a chemical agent to paralyze specific muscles on the side of the neck, excluding the voice box. |
227 | $120 | $668 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
223 | $53 | $244 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
197 | $117 | $485 |
| Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity | 115 | $67 | $250 |
| Chemical nerve block for facial paralysis Injection of a chemical agent to paralyze specific nerves or muscles on the side of the face. |
110 | $127 | $644 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
106 | $116 | $449 |
| Chemical nerve block injection, 1-4 muscles An injection of a chemical agent to paralyze specific muscles in an arm or leg. This procedure targets one to four muscles in the first extremity treated. |
93 | $94 | $399 |
| New patient office visit, complex (60-74 min) | 87 | $148 | $594 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
74 | $95 | $379 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
73 | $73 | $347 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
71 | $8 | $20 |
| Electronic analysis of implanted neurostimulator Electronic evaluation of an implanted brain, spinal cord, or peripheral nerve stimulator device. |
45 | $13 | $183 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
44 | $102 | $409 |
| Chemical nerve block injection, 5+ arm/leg muscles Injection of a chemical agent to paralyze five or more muscles in the first extremity treated. |
43 | $112 | $470 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
38 | $25 | $140 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
33 | $70 | $272 |
| Brain stimulator programming, first 15 minutes Electronic analysis of an implanted brain, spinal cord, or peripheral neurostimulator generator. This service includes programming the brain stimulator by a qualified health professional for the first 15 minutes. |
32 | $31 | $668 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
29 | $39 | $150 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
19 | $51 | $245 |
| Nerve conduction studies, 5-6 tests A series of 5 to 6 tests that measure how well nerves send electrical signals. The procedure evaluates nerve function and helps identify damage or dysfunction. |
18 | $95 | $400 |
| Prolonged office E/M service, first 15 minutes This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service. |
14 | $23 | $88 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
13 | $37 | $142 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.1% high complexity
97.6% medium
2.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$187,855
Total received (2018-2024)
Avg $26,836/year across 7 years
Top 4% in NC for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
105
Companies
1,098
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$152,936 (81.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$20,521 (10.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$14,398 (7.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,770
2023
$3,142
2022
$7,797
2021
$18,194
2020
$33,327
2019
$68,382
2018
$54,243
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
MDD US Operations, LLC
$738
UCB, Inc.
$199
ABBVIE INC.
$135
Biogen, Inc.
$115
CATALYST PHARMACEUTICALS, INC.
$108
Neurocrine Biosciences, Inc.
$102
Amgen Inc.
$92
Alexion Pharmaceuticals, Inc.
$77
Neurelis, Inc.
$75
Averitas Pharma Inc.
$74
ARGENX US, INC.
$73
SK Life Science, Inc.
$69
JAZZ PHARMACEUTICALS INC.
$69
REVANCE THERAPEUTICS, INC.
$63
TG Therapeutics, Inc.
$59
PFIZER INC.
$58
Teva Pharmaceuticals USA, Inc.
$57
Ipsen Biopharmaceuticals, Inc
$49
ACADIA Pharmaceuticals Inc
$45
Lilly USA, LLC
$43
Amneal Pharmaceuticals LLC
$41
E.R. Squibb & Sons, L.L.C.
$40
Sumitomo Pharma America, Inc.
$39
Nevro Corp.
$37
AstraZeneca Pharmaceuticals LP
$32
Acorda Therapeutics, Inc
$28
Eisai Inc.
$27
Celgene Corporation
$25
SCILEX PHARMACEUTICALS INC.
$24
Alnylam Pharmaceuticals Inc.
$24
Ultragenyx Pharmaceutical Inc.
$23
GE HEALTHCARE
$23
MITSUBISHI TANABE PHARMA AMERICA, INC.
$22
Merz Pharmaceuticals, LLC
$22
Sandoz Inc.
$21
Otsuka America Pharmaceutical, Inc.
$15
ANI Pharmaceuticals, Inc.
$14
Medtronic, Inc.
$13
Top 3 companies account for 38.7% of 2024 payments
All-time payments by company (2018-2024) ›
Biogen, Inc.
$57,713
EMD Serono, Inc.
$23,897
GENZYME CORPORATION
$23,305
Allergan Inc.
$17,879
Acorda Therapeutics, Inc
$17,816
Allergan, Inc.
$17,676
Kyowa Kirin, Inc.
$9,685
ABBVIE INC.
$6,659
MDD US Operations, LLC
$853
Novartis Pharmaceuticals Corporation
$761
UCB, Inc.
$734
Teva Pharmaceuticals USA, Inc.
$660
Supernus Pharmaceuticals, Inc.
$611
Amgen Inc.
$529
Alexion Pharmaceuticals, Inc.
$475
ACADIA Pharmaceuticals Inc
$404
Neurocrine Biosciences, Inc.
$344
Sunovion Pharmaceuticals Inc.
$330
PFIZER INC.
$327
JAZZ PHARMACEUTICALS INC.
$273
Eisai Inc.
$265
SK Life Science, Inc.
$265
Lilly USA, LLC
$244
Lundbeck LLC
$232
Avanir Pharmaceuticals, Inc.
$219
Amneal Pharmaceuticals LLC
$207
CSL Behring
$202
Greenwich Biosciences, Inc.
$196
Genentech USA, Inc.
$191
Adamas Pharmaceuticals, Inc.
$185
Neurelis, Inc.
$176
CATALYST PHARMACEUTICALS, INC.
$175
Celgene Corporation
$162
Merz Pharmaceuticals, LLC
$156
Alnylam Pharmaceuticals Inc.
$153
Merz North America, Inc.
$151
Janssen Pharmaceuticals, Inc
$150
AbbVie Inc.
$147
Averitas Pharma Inc.
$144
E.R. Squibb & Sons, L.L.C.
$138
EISAI INC.
$131
Ipsen Biopharmaceuticals, Inc
$131
Grifols USA, LLC
$127
ARGENX US, INC.
$115
Abbott Laboratories
$113
Horizon Therapeutics plc
$105
Sumitomo Pharma America, Inc.
$102
MITSUBISHI TANABE PHARMA AMERICA, INC.
$101
Medtronic USA, Inc.
$100
UPSHER-SMITH LABORATORIES LLC
$90
Mallinckrodt Enterprises LLC
$86
US WorldMeds, LLC
$81
Jazz Pharmaceuticals Inc.
$80
Biohaven Pharmaceuticals, Inc.
$74
Catalyst Pharmaceuticals, Inc.
$67
Scilex Pharmaceuticals Inc.
$65
BOSTON SCIENTIFIC CORPORATION
$65
REVANCE THERAPEUTICS, INC.
$63
Mallinckrodt LLC
$63
TG Therapeutics, Inc.
$59
Mallinckrodt Hospital Products Inc.
$59
InSightec,Inc
$57
AQUESTIVE THERAPEUTICS, INC.
$56
Biohaven Pharmaceutical Holding Company Ltd.
$55
Impax Laboratories, Inc.
$54
Banner Life Sciences, LLC
$47
Xeris Pharmaceuticals, Inc.
$45
Cala Health, Inc.
$43
Piramal Critical Care
$42
ANI Pharmaceuticals, Inc.
$41
TG THERAPEUTICS, INC.
$41
GRT US Holding, Inc.
$41
Boston Scientific Corporation
$37
Nevro Corp.
$37
Upsher-Smith Laboratories LLC
$36
Otsuka America Pharmaceutical, Inc.
$36
Exeltis, USA Inc.
$34
Pernix Therapeutics Holdings, Inc.
$33
Merck Sharp & Dohme Corporation
$33
AstraZeneca Pharmaceuticals LP
$32
Bayer HealthCare Pharmaceuticals Inc.
$30
Takeda Pharmaceuticals U.S.A., Inc.
$27
Axsome Therapeutics, Inc.
$26
Strongbridge US INC.
$25
SCILEX PHARMACEUTICALS INC.
$24
Ultragenyx Pharmaceutical Inc.
$23
GE HEALTHCARE
$23
Octapharma USA, Inc.
$23
AbbVie, Inc.
$23
Aprecia Pharmaceuticals, LLC
$22
Corium, LLC
$22
Avion Pharmaceuticals
$22
Sandoz Inc.
$21
Mylan Specialty L.P.
$19
NEUROPACE, INC.
$19
HOSPIRA, INC.
$18
Bausch Health US, LLC
$17
Akcea Therapeutics, Inc.
$17
Saol Therapeutics Inc.
$15
ASSERTIO THERAPEUTICS, Inc.
$14
Medtronic, Inc.
$13
Promius Pharma LLC
$13
SANOFI-AVENTIS U.S. LLC
$12
Assertio Therapeutics, Inc.
$12
Mylan Pharmaceuticals Inc.
$12
Top 3 companies account for 55.8% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ACTIVA · ADUHELM · AFINITOR · AIMOVIG · AJOVY · AMPYRA · AMVUTTRA · AMYVID · APOKYN · APTIOM · AUBAGIO · AUSTEDO · Adlarity · Aimovig · Austedo XR · BAFIERTAM · BELSOMRA · BOTOX · BOTOX - NEUROLOGY · BOTOX THERAPEUTIC · BRIUMVI · Betaseron · Briviact · CALA TRIO · CAMBIA · COMIRNATY · COPAXONE · DAXXIFY · DUOPA · DYSPORT · Dhivy · Dojolvi · Duopa · Dysport · EMGALITY · EPIDIOLEX · Enspryng · Epidiolex · Exablate · FIRDAPSE · FYCOMPA · Fintepla · Fycompa · GABLOFEN · GENERAL DBS · GILENYA · GLATIRAMER ACETATE · GOCOVRI · Gamunex-C · General - DBS · Glatiramer Acetate · Gocovri · Hizentra · INBRIJA · INFINITY · INGREZZA · INTELLIS ADAPTIVESTIM · Infinity DBS Pulse Generators · KESIMPTA · KEVEYIS · KISUNLA · KYNMOBI · LEMTRADA · LINZESS · LYRICA · Leqembi · MAVENCLAD · MAYZENT · MIGRANAL · MYOBLOC · Mavenclad · NAMZARIC · NEXVIAZYME · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nayzilam · Nuedexta · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONFI · ONPATTRO · OXTELLAR XR · Ongentys · Ozanimod · PANZYGA · PLEGRIDY · POMPE - DISEASE · PURIFIED CORTROPHIN GEL · Ponvory · Proclaim IPG · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · QUTENZA · Qutenza · RADICAVA · REXULTI · RNS Neurostimulator Kit · RYTARY · Radicava · Rebif · SILENOR · SKYCLARYS · SOLIRIS · SPINRAZA · SUNOSI · SYMPAZAN · SYNCHROMED · Senza · Soliris · Spritam · Sunosi · TECFIDERA · TEGSEDI · TOSYMRA · TROKENDI XR · TYSABRI · Trintellix · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VERCISE · VIIBRYD · VRAYLAR · VUMERITY · VYEPTI · VYVGART · VYVGART HYTRULO · Vimpat · WAINUA · XADAGO · XEOMIN · XYREM · XYWAV · Xadago · Xembify · Xeomin · ZEMBRACE SYMTOUCH · ZEPOSIA · ZOHYDRO ER · ZTLido · Zilbrysq · Zipsor
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (81%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in neurology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 4% for neurology in NC.
Geographic Context
Neurologists within 10 mi
31
Per 100K population
11.4
County median income
$70,578
Nearest hospital
MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE
3.7 mi
3.7 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Patton is a mixed practice specialist, with above-average Medicare volume (top 0% in NC), with speaking/promotional industry engagement in the top 4% of NC peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Patton experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Patton performed 71,700 botox injection, per unit services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Patton receive payments from pharmaceutical companies?
Yes. Dr. Patton received a total of $187,855 from 105 companies across 1,098 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Patton's costs compare to other neurologists in Asheville?
Dr. Patton's average Medicare payment per service is $7. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Patton) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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