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

RALPH A BOUCHER

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1134156912
CMS profile
1192533
Location
DALY CITY, CA

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

$1,125.72

39 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 $1,125.72 39

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $683.85 44
PY2020 $575.75 40
PY2021 $609.64 37
PY2022 $678.60 34
PY2023 $907.39 38
PY2024 $1,095.79 45
PY2025 $1,125.72 39

Payment records · PY2025 (39)

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
Chiesi USA, Inc. $28.05 12/12/2025 Food and Beverage No dispute reported 06/30/2026 1242157159 CMS
PFIZER INC. $24.23 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1229384591 CMS
CORDIS US CORP. $17.46 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1237401776 CMS
Amgen Inc. $27.75 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1228328480 CMS
Chiesi USA, Inc. $25.10 10/10/2025 Food and Beverage No dispute reported 06/30/2026 1242157157 CMS
AGEPHA Pharma FZ LLC $15.28 10/03/2025 Food and Beverage No dispute reported 06/30/2026 1178784517 CMS
Boston Scientific Corporation $18.21 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1181172154 CMS
PFIZER INC. $19.84 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1229498676 CMS
Chiesi USA, Inc. $20.60 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1242157155 CMS
Merck Sharp & Dohme LLC $20.55 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1238174717 CMS
Novartis Pharmaceuticals Corporation $19.17 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1200109545 CMS
PFIZER INC. $19.54 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1229156072 CMS
Merck Sharp & Dohme LLC $17.74 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1238119814 CMS
Chiesi USA, Inc. $19.59 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1242157153 CMS
PFIZER INC. $21.55 07/23/2025 Food and Beverage No dispute reported 06/30/2026 1228981494 CMS
Chiesi USA, Inc. $21.37 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1242157151 CMS
Novartis Pharmaceuticals Corporation $28.17 07/11/2025 Food and Beverage No dispute reported 06/30/2026 1200109541 CMS
Shockwave Medical, Inc $2.37 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1173869462 CMS
Chiesi USA, Inc. $15.91 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1242157149 CMS
Shockwave Medical, Inc $31.46 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1173869478 CMS
PFIZER INC. $20.16 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1231664887 CMS
PFIZER INC. $13.63 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1231708515 CMS
Novo Nordisk Inc $22.92 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1188762621 CMS
PFIZER INC. $21.03 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1228884149 CMS
Chiesi USA, Inc. $20.25 04/11/2025 Food and Beverage No dispute reported 06/30/2026 1242157147 CMS
Shockwave Medical, Inc $36.91 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1173869470 CMS
Stryker Corporation $21.02 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1249027638 CMS
ABIOMED $144.75 03/15/2025 Food and Beverage No dispute reported 06/30/2026 1174418912 CMS
Chiesi USA, Inc. $16.62 03/14/2025 Food and Beverage No dispute reported 06/30/2026 1242157145 CMS
Merck Sharp & Dohme LLC $21.28 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1238222718 CMS
Novartis Pharmaceuticals Corporation $23.85 03/07/2025 Food and Beverage No dispute reported 06/30/2026 1200109521 CMS
Boston Scientific Corporation $34.36 02/15/2025 Food and Beverage No dispute reported 06/30/2026 1181172152 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $13.94 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1173668283 CMS
Shockwave Medical, Inc $28.92 01/22/2025 Food and Beverage No dispute reported 06/30/2026 1173869458 CMS
Boston Scientific Corporation $98.99 01/18/2025 Food and Beverage No dispute reported 06/30/2026 1181172150 CMS
Shockwave Medical, Inc $128.60 01/18/2025 Food and Beverage No dispute reported 06/30/2026 1173869473 CMS
Medtronic, Inc. $22.01 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1219931398 CMS
Chiesi USA, Inc. $8.75 01/10/2025 Food and Beverage No dispute reported 06/30/2026 1242157143 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $13.79 01/03/2025 Food and Beverage No dispute reported 06/30/2026 1173668285 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
RALPH A BOUCHER, NPI 1134156912. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1134156912.
APA 7
IndustryPayments. (2026). RALPH A BOUCHER, NPI 1134156912 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1134156912
Bluebook
RALPH A BOUCHER, NPI 1134156912, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1134156912.

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