Medicare Enrolled
Dr. James Winkley, MD
Anesthesiology · Pinehurst, NC
Practice pattern: Cardiac Surgery
— Surgically focused practice
Low-engagement
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. Winkley 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 →
Are you Dr. Winkley?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Winkley
Dr. James Winkley is an anesthesiology specialist in Pinehurst, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Winkley performed 574 Medicare services across 530 unique beneficiaries.
Between the years covered by Open Payments, Dr. Winkley received a total of $8,965 from 35 pharmaceutical and/or device companies across 137 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Winkley 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 9% volume in NC
$8,965 industry payments
Medicare Practice Summary
Medicare Utilization ↗574
Medicare services
Top 9% in NC for anesthesiology
530
Unique beneficiaries
$86
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~29 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 |
|---|---|---|---|
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
88 | $76 | $1,050 |
| Anesthesia for endoscopic procedure on esophagus, stomach, or upper small bowel Administration of anesthesia during an endoscopic procedure involving the esophagus, stomach, or upper small bowel. |
71 | $55 | $1,845 |
| Anesthesia for large bowel endoscopy Administration of anesthesia during a procedure to examine the large bowel using an endoscope. |
39 | $53 | $1,709 |
| 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. |
36 | $47 | $250 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
29 | $242 | $3,625 |
| Anesthesia for extensive spine surgery Administration of anesthesia during major surgical procedures involving the spine. |
28 | $184 | $5,400 |
| Anesthesia for total knee replacement Administration of anesthesia during a total knee joint replacement procedure. |
27 | $112 | $3,400 |
| Femoral nerve injection with anesthetic and/or steroid An injection of an anesthetic agent and/or steroid into the femoral nerve in the thigh. This procedure delivers medication directly to the nerve. |
27 | $47 | $875 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
23 | $82 | $1,150 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
23 | $95 | $1,327 |
| Brachial plexus injection with anesthetic and/or steroid An injection of an anesthetic agent and/or steroid into the brachial plexus nerve bundle in the arm. |
21 | $51 | $1,000 |
| 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. |
19 | $68 | $375 |
| Anesthesia for total hip replacement Administration of anesthesia during a total hip replacement surgery. This code covers the anesthetic services provided for the procedure. |
18 | $103 | $3,609 |
| Anesthesia for cataract/lens surgery Administration of anesthesia during eye lens surgery. This code covers the anesthetic service provided for the procedure. |
17 | $46 | $1,302 |
| Anesthesia for total shoulder joint replacement This procedure covers the administration of anesthesia during an open or endoscopic total shoulder joint replacement surgery. |
16 | $140 | $4,149 |
| Anesthesia for neck procedure, age 1 year or older Administration of anesthesia for surgical procedures performed on the neck area in patients aged one year or older. |
12 | $57 | $2,039 |
| Anesthesia for endoscopic gallbladder, pancreas, or liver procedure Anesthesia administered during a surgical procedure on the gallbladder, pancreas, or liver that is performed using an endoscope. |
12 | $76 | $2,440 |
| Anesthesia for bowel endoscopy Administration of anesthesia during a procedure to examine the small and large bowel using an endoscope. |
12 | $64 | $2,072 |
| 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. |
12 | $103 | $625 |
| Anesthesia for skin procedures on arms, legs, or front body This code covers anesthesia services provided for surgical procedures performed on the skin of the arms, legs, or anterior trunk. |
11 | $58 | $1,863 |
| Anesthesia for closed chest procedure Administration of anesthesia for a closed surgical procedure involving the chest. |
11 | $89 | $2,748 |
| Anesthesia for upper abdomen procedure Administration of anesthesia for surgical procedures performed on the upper abdomen. |
11 | $140 | $4,207 |
| Anesthesia for urinary system procedure via urethra Administration of anesthesia for a surgical procedure on the urinary system performed through the urethra. |
11 | $51 | $1,698 |
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.
18.5% high complexity
40.6% medium
40.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,965
Total received (2018-2024)
Avg $1,281/year across 7 years
Top 5% in NC for anesthesiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
137
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,103 (56.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,862 (43.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,289
2023
$400
2022
$706
2021
$220
2020
$1,322
2019
$321
2018
$3,708
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$1,347
Nevro Corp.
$382
SPR Therapeutics, Inc
$226
Curonix LLC
$144
Merck Sharp & Dohme LLC
$43
Azurity Pharmaceuticals, Inc.
$38
Collegium Pharmaceutical, Inc.
$34
Abbott Laboratories
$30
VERTEX PHARMACEUTICALS INCORPORATED
$25
Takeda Pharmaceuticals U.S.A., Inc.
$19
Top 3 companies account for 85.4% of 2024 payments
All-time payments by company (2018-2024) ›
Biogen, Inc.
$2,853
Nevro Corp.
$1,958
Boston Scientific Corporation
$1,362
Becton, Dickinson and Company
$960
SPR Therapeutics, Inc
$226
Nuvectra Corporation
$208
Curonix LLC
$159
Relievant Medsystems, Inc.
$154
Abbott Laboratories
$146
Vertos Medical, Inc.
$144
EMD Serono, Inc.
$129
Merck Sharp & Dohme LLC
$86
Collegium Pharmaceutical, Inc.
$53
Stimwave Technologies Incorporated
$44
Medtronic, Inc.
$42
Azurity Pharmaceuticals, Inc.
$38
Chiesi USA, Inc.
$34
Daiichi Sankyo Inc.
$34
Medtronic USA, Inc.
$26
Purdue Pharma L.P.
$26
VERTEX PHARMACEUTICALS INCORPORATED
$25
SI-BONE, Inc.
$24
Masimo Corporation
$22
US WorldMeds, LLC
$22
ABBVIE INC.
$21
Trevena, Inc.
$20
BOSTON SCIENTIFIC CORPORATION
$20
Takeda Pharmaceuticals U.S.A., Inc.
$19
PFIZER INC.
$19
Edwards Lifesciences Corporation
$18
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$18
EAGLE PHARMACEUTICALS, INC.
$15
Zyla Life Sciences, Inc.
$15
Merck Sharp & Dohme Corporation
$13
Arbor Pharmaceuticals, Inc.
$13
Top 3 companies account for 68.8% of all-time payments
Associated products mentioned in payments ›
Algovita · BARHEMSYS · BOTOX · BRIDION · Belbuca · CLEVIPREX · ETERNA · HORIZANT · HYQVIA · Horizant · INSPIRIS RESILIA aortic valve · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · LYRICA · Lucemyra/Lofexidine · MAVENCLAD · Mavenclad · Morphabond ER · Olinvyk · Omnia · PLEGRIDY · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · Proclaim Family of SCS IPGs · Proclaim IPG · RELISTOR · SET and rainbow SET · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SYMPROIC · SYNCHROMED · Senza · Senza Spinal Cord Stimulation System · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion Indirect Decompression System · VECTRIS · WaveWriter Alpha Prime 16 · mild Device Kit
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 →
Most payments (57%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for anesthesiology in NC.
Geographic Context
Anesthesiologists within 10 mi
31
Per 100K population
30.1
County median income
$82,837
Nearest hospital
FIRSTHEALTH MOORE REGIONAL HOSPITAL
0.0 mi
0.0 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. Winkley is a cardiac surgery specialist, with above-average Medicare volume (top 9% in NC), with low-engagement industry engagement in the top 5% 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. Winkley experienced with injection into lower spine canal with imaging guidance?
Based on Medicare claims data, Dr. Winkley performed 88 injection into lower spine canal with imaging guidance 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. Winkley receive payments from pharmaceutical companies?
Yes. Dr. Winkley received a total of $8,965 from 35 companies across 137 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. Winkley's costs compare to other anesthesiologists in Pinehurst?
Dr. Winkley's average Medicare payment per service is $86. 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. Winkley) 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 →
Explore related providers
Same specialty & city
Anesthesiologists in Pinehurst
Browse anesthesiologists in Pinehurst ranked by procedure volume and transparency data.
Highest volume
Top Anesthesiologists in NC
Anesthesiologists ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Anesthesiologists in NC
Which NC anesthesiologists receive the most from drug and device companies.
By company
Biogen, Inc. Payments to Doctors
See all physicians who received payments from Biogen, Inc.
By company
Nevro Corp. Payments to Doctors
See all physicians who received payments from Nevro Corp.
By company
Boston Scientific Corporation Payments to Doctors
See all physicians who received payments from Boston Scientific Corporation.
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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology