Physician profile
Ralph Duane Cook
NPI 1689602161
$1,975.39
in general payments reported to CMS, 2019-2025
13 companies · $263 in 2025
The $263 reported for 2025 was less than what a typical Thoracic Surgery (Cardiothoracic Vascular Surgery) provider received nationally (typical 2025 total: $796).
See the full distribution for Thoracic Surgery (Cardiothoracic Vascular Surgery)
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $141 · 2020: $29.43 · 2021: $563 · 2022: $207 · 2023: $185 · 2024: $588 · 2025: $263.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $939 · Travel and Lodging: $96.05.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $939.20 |
| Travel and Lodging | $96.05 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Abiomed | $623.30 | 2023-2025 | Impella |
| Edwards Lifesciences Corporation | $445.85 | 2022-2025 | Sapien 3 Ultra Resilia |
| Stryker Corporation | $332.99 | 2019-2021 | |
| Abbott Laboratories | $260.19 | 2021-2022 | |
| Terumo Cardiovascular Systems Corporation | $91.95 | 2019 | |
| Atricure, INC. | $55.92 | 2021-2024 | |
| Artivion, INC. | $53.23 | 2024-2025 | Bioglue Surgical Adhesive, On-X Aortic Heart Valve With Conform-X Sewing Ring and Extended Holder, Cryovalve Sg Pulmonary Human Heart Valve |
| Pacira Pharmaceuticals Incorporated | $24.75 | 2025 | Exparel |
| Medtronic, INC. | $24.28 | 2024 | Corevalve Evolut R |
| Reel Surgical, INC. | $18.98 | 2024 | |
| E.R. Squibb & Sons, L.L.C. | $15.94 | 2021 | |
| Ethicon US, LLC | $14.64 | 2020 | |
| Guard Medical INC. | $13.37 | 2024 | Npseal Large |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Ralph Cook listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.