Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

RALPH DUANE COOK

Allopathic & Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI
1689602161
CMS profile
1037444
Location
LEESBURG, FL

General Payments · PY2018–2024

$2,193.32

  • Reported across 57 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$587.74

14 records · 0 disputed

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

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. 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 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $491.69 13
Travel and Lodging $96.05 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
ABIOMED $459.54 8
Artivion, Inc. $26.27 1
Medtronic, Inc. $24.28 1
ATRICURE, INC. $24.07 1
Edwards Lifesciences Corporation $21.23 1
Fones Marketing Management, Inc. $18.98 1
Guard Medical Inc. $13.37 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $480.75 12
PY2019 $141.19 2
PY2020 $29.43 2
PY2021 $562.95 17
PY2022 $206.57 5
PY2023 $184.69 5
PY2024 $587.74 14

Payment records · PY2024 (14)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABIOMED $10.50 01/25/2024 Food and Beverage Undisputed 01/23/2026 1142232642 CMS
ABIOMED $127.09 07/15/2024 Food and Beverage Undisputed 01/23/2026 1142232706 CMS
ABIOMED $26.30 08/28/2024 Food and Beverage Undisputed 01/23/2026 1142232720 CMS
ABIOMED $34.32 09/10/2024 Food and Beverage Undisputed 01/23/2026 1142232732 CMS
ABIOMED $96.05 09/23/2024 Travel and Lodging Undisputed 01/23/2026 1142232756 CMS
ABIOMED $32.13 10/16/2024 Food and Beverage Undisputed 01/23/2026 1142232754 CMS
ABIOMED $34.42 11/11/2024 Food and Beverage Undisputed 01/23/2026 1142232804 CMS
ABIOMED $98.73 11/13/2024 Food and Beverage Undisputed 01/23/2026 1142232802 CMS
Artivion, Inc. $26.27 06/05/2024 Food and Beverage Undisputed 01/23/2026 1145789925 CMS
ATRICURE, INC. $24.07 07/17/2024 Food and Beverage Undisputed 01/23/2026 1132900656 CMS
Edwards Lifesciences Corporation $21.23 12/05/2024 Food and Beverage Undisputed 01/23/2026 1138765940 CMS
Guard Medical Inc. $13.37 10/30/2024 Food and Beverage Undisputed 01/23/2026 1154467165 CMS
Medtronic, Inc. $24.28 08/29/2024 Food and Beverage Undisputed 01/23/2026 1119434499 CMS
Reel Surgical, Inc. $18.98 12/02/2024 Food and Beverage Undisputed 01/23/2026 1095770318 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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