Physician profile
Ralph E Layman
NPI 1437249992
$62,483.81
in general payments reported to CMS, 2019-2025
12 companies · $2,047 in 2025
The $2,047 reported for 2025 was more than what 82% of Surgery providers received nationally (typical 2025 total: $281).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $10K · 2020: $115 · 2021: $17K · 2022: $10K · 2023: $22K · 2024: $333 · 2025: $2,047.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Education: $20K · Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program: $3,500 · Food and Beverage: $1,143 · Gift: $177.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Education | $20,000.00 |
| Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program | $3,500.00 |
| Food and Beverage | $1,143.25 |
| Gift | $176.78 |
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 |
|---|---|---|---|
| Intuitive Surgical, INC. | $61,671.82 | 2019-2025 | Da Vinci Surgical System, Da Vinci Sp |
| Davol INC. | $264.06 | 2019-2021 | |
| Ethicon US, LLC | $191.91 | 2019-2021 | |
| Astrazeneca Pharmaceuticals Lp | $152.18 | 2023-2024 | Andexxa |
| Depuy Synthes Sales INC. | $37.36 | 2022-2025 | Matrixrib |
| Z-Medica, LLC | $32.87 | 2019 | |
| Integra Lifesciences Corporation | $31.37 | 2024 | Integra, Integra Dermal Regeneration Template, Surgimend |
| Lifenet Health | $29.99 | 2025 | Theragenesis Wound Matrix |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $24.16 | 2020 | |
| Werfen USA LLC | $20.19 | 2023 | |
| Teleflex LLC | $16.05 | 2022 | |
| Medtronic Vascular, INC. | $11.85 | 2019 |
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 Layman 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.