Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

MICHAEL ALEXANDER SYWAK

Allopathic & Osteopathic Physicians Surgery Vascular Surgery

NPI
1003104639
CMS profile
6578470
Location
COOKEVILLE, TN

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$1,492.94

73 records · 0 disputed

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,492.94 73

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Medtronic, Inc. $498.59 29
W. L. Gore & Associates, Inc. $467.38 16
BOSTON SCIENTIFIC CORPORATION $266.13 21
Aroa Biosurgery Incorporated $113.77 2
Penumbra, Inc. $66.67 1
ShockWave Medical, Inc $36.82 2
Cook Medical LLC $24.19 1
Inari Medical, Inc. $19.39 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $2,203.04 26
PY2020 $520.61 15
PY2021 $825.65 32
PY2022 $1,456.51 51
PY2023 $2,615.59 79
PY2024 $2,700.36 79
PY2025 $1,492.94 73

Payment records · PY2025 (73)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Medtronic, Inc. $23.62 12/23/2025 Food and Beverage No dispute reported 06/30/2026 1219868204 CMS
Medtronic, Inc. $23.16 12/22/2025 Food and Beverage No dispute reported 06/30/2026 1219868202 CMS
W. L. Gore & Associates, Inc. $13.64 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1220958295 CMS
Medtronic, Inc. $30.70 12/12/2025 Food and Beverage No dispute reported 06/30/2026 1219868206 CMS
Boston Scientific Corporation $7.07 12/01/2025 Food and Beverage No dispute reported 06/30/2026 1181288498 CMS
Boston Scientific Corporation $5.87 11/21/2025 Food and Beverage No dispute reported 06/30/2026 1181288494 CMS
Shockwave Medical, Inc $14.72 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1173957423 CMS
Boston Scientific Corporation $8.58 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1181288496 CMS
Medtronic, Inc. $14.25 11/14/2025 Food and Beverage No dispute reported 06/30/2026 1219868200 CMS
Boston Scientific Corporation $19.45 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1181288492 CMS
W. L. Gore & Associates, Inc. $9.44 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1220958297 CMS
W. L. Gore & Associates, Inc. $26.62 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1220958275 CMS
Medtronic, Inc. $11.42 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1219868194 CMS
Medtronic, Inc. $16.25 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1219868196 CMS
Cook Medical LLC $24.19 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1208756833 CMS
Boston Scientific Corporation $12.54 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1181288490 CMS
Medtronic, Inc. $7.63 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1219868208 CMS
W. L. Gore & Associates, Inc. $64.23 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1220958273 CMS
Medtronic, Inc. $12.01 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1219868198 CMS
Medtronic, Inc. $32.03 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1219868192 CMS
Medtronic, Inc. $6.53 10/03/2025 Food and Beverage No dispute reported 06/30/2026 1219868188 CMS
Medtronic, Inc. $21.60 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1219868190 CMS
W. L. Gore & Associates, Inc. $7.70 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1220958271 CMS
Medtronic, Inc. $18.22 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1219868186 CMS
Penumbra, Inc. $66.67 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1212104348 CMS
Medtronic, Inc. $13.10 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1219868184 CMS
W. L. Gore & Associates, Inc. $18.62 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1220958251 CMS
W. L. Gore & Associates, Inc. $139.52 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1220958259 CMS
Boston Scientific Corporation $23.38 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1181288484 CMS
Medtronic, Inc. $26.97 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1219868182 CMS
Boston Scientific Corporation $19.10 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1181288488 CMS
Medtronic, Inc. $9.76 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1219868180 CMS
Medtronic, Inc. $19.55 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1219868178 CMS
Aroa Biosurgery Incorporated $40.12 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1252810474 CMS
Boston Scientific Corporation $7.58 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1181288482 CMS
Boston Scientific Corporation $11.52 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1181288480 CMS
Medtronic, Inc. $11.09 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1219868176 CMS
Medtronic, Inc. $8.41 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1219868174 CMS
Aroa Biosurgery Incorporated $73.65 06/20/2025 Food and Beverage No dispute reported 06/30/2026 1252810470 CMS
Boston Scientific Corporation $7.66 06/19/2025 Food and Beverage No dispute reported 06/30/2026 1181288476 CMS
Boston Scientific Corporation $7.63 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1181288472 CMS
W. L. Gore & Associates, Inc. $30.19 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1220958219 CMS
Boston Scientific Corporation $9.34 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1181288486 CMS
Boston Scientific Corporation $26.37 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1181288474 CMS
Medtronic, Inc. $22.56 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1219868172 CMS
Boston Scientific Corporation $9.34 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1181288470 CMS
Medtronic, Inc. $27.17 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1219868170 CMS
Medtronic, Inc. $9.03 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1219868168 CMS
Boston Scientific Corporation $21.27 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1181288468 CMS
Boston Scientific Corporation $16.45 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1181288478 CMS
W. L. Gore & Associates, Inc. $8.29 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1220958207 CMS
Shockwave Medical, Inc $22.10 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1173957429 CMS
W. L. Gore & Associates, Inc. $12.72 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1220958211 CMS
W. L. Gore & Associates, Inc. $33.48 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1220958203 CMS
Medtronic, Inc. $9.39 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1219868166 CMS
Medtronic, Inc. $8.32 04/08/2025 Food and Beverage No dispute reported 06/30/2026 1219868164 CMS
Medtronic, Inc. $29.94 03/31/2025 Food and Beverage No dispute reported 06/30/2026 1219868162 CMS
Boston Scientific Corporation $17.74 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1181288466 CMS
Medtronic, Inc. $8.62 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1219868160 CMS
W. L. Gore & Associates, Inc. $8.80 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1220958191 CMS
Boston Scientific Corporation $9.74 03/05/2025 Food and Beverage No dispute reported 06/30/2026 1212218332 CMS
Medtronic, Inc. $26.38 03/05/2025 Food and Beverage No dispute reported 06/30/2026 1219868156 CMS
Boston Scientific Corporation $7.58 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1212218330 CMS
W. L. Gore & Associates, Inc. $26.84 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1220958193 CMS
Medtronic, Inc. $12.71 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1219868158 CMS
Medtronic, Inc. $8.53 02/06/2025 Food and Beverage No dispute reported 06/30/2026 1219868154 CMS
Medtronic, Inc. $29.64 02/04/2025 Food and Beverage No dispute reported 06/30/2026 1219868152 CMS
W. L. Gore & Associates, Inc. $13.13 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1220958175 CMS
Inari Medical, Inc. $19.39 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1248575125 CMS
W. L. Gore & Associates, Inc. $8.50 01/17/2025 Food and Beverage No dispute reported 06/30/2026 1220958173 CMS
W. L. Gore & Associates, Inc. $45.66 01/11/2025 Food and Beverage No dispute reported 06/30/2026 1220958177 CMS
Boston Scientific Corporation $10.05 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1181288464 CMS
Boston Scientific Corporation $7.87 01/06/2025 Food and Beverage No dispute reported 06/30/2026 1212218328 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Plain
MICHAEL ALEXANDER SYWAK, NPI 1003104639. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1003104639.
APA 7
IndustryPayments. (2026). MICHAEL ALEXANDER SYWAK, NPI 1003104639 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1003104639
Bluebook
MICHAEL ALEXANDER SYWAK, NPI 1003104639, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1003104639.

Source: Centers for Medicare & Medicaid Services, Open Payments.