Alfred Cook, MD
Orthopaedic Surgery · The Villages, FLNPI 1861650145
Payments from drug & device makers
Across 112 payments — averaging $1976.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- FX Shoulder Solutions, Inc$216K
- Smith+Nephew$3K
- Next Science LLC$679
- CGG Medical Inc$349
- Bone Support Inc.$116
- Bioventus LLC$114
- plus $1K from 24 others
Across 3 payments — averaging $112,129 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- FX Shoulder Solutions, Inc$336K
What the payments were for
- Royalty or licence$156,84171%
- Consulting fees$26,84512%
- Speaking & faculty fees$13,5676%
- Travel & lodging$17,7888%
- Food & beverage$5,4782%
- Education$8980%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| FX Shoulder Solutions, Inc | 25 | $216,430 |
| Smith+Nephew | 29 | $2,678 |
| Next Science LLC | 4 | $679 |
| CGG Medical Inc | 5 | $349 |
| Bone Support Inc. | 1 | $116 |
| Bioventus LLC | 5 | $114 |
| Zimmer Biomet | 2 | $108 |
| Orthogenrx Inc. | 6 | $103 |
| Microport Orthopedics Inc | 2 | $100 |
| Dynasplint Systems Inc. | 1 | $92 |
| Johnson & Johnson(2 entities) | 3 | $77 |
| Biedermann Motech, Inc. | 1 | $77 |
| Amgen | 3 | $42 |
| Davol Inc. | 2 | $42 |
| Embody, Inc. | 3 | $41 |
| Fidia Pharma USA Inc. | 2 | $41 |
| Convatec Inc. | 2 | $37 |
| Pacira Pharmaceuticals Incorporated | 2 | $37 |
| Globus Medical | 1 | $36 |
| Pacira Therapeutics, Inc. | 2 | $30 |
| Boston Scientific | 1 | $26 |
| Daiichi Sankyo Inc. | 1 | $24 |
| Stryker | 1 | $21 |
| Catalyst Orthoscience | 1 | $20 |
| Avanos Medical | 1 | $20 |
| Vericel Corporation | 1 | $18 |
| Nalu Medical, Inc. | 1 | $16 |
| Ossur Americas, Inc. | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Kinex Medical Company LLC | 2 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- FX V 135 stem$46,637
- B1130S0HO170460|SHOULDER INNOVATIONS TSA$6,350
- B1132N2SN064401|SHOULDER INNOVATIONS HUMERAL SHORT STEM SYSTEM$6,067
- B1132N2HE210561|SHOULDER INNOVATIONS HUMERAL SHORT STEM SYSTEM$1,843
- Bioinductive Implant with Arthroscopic Delivery System - Medium$1,543
- Firstpass$956
- Xperience$598
- BlastX$598
- SurgX$461
- Bone Anchors with Arthroscopic Delivery System$237
- LENS 4K$133
- CERAMENTBONE VOID FILLER$116
- FOOTPRINT$110
How this compares
$221,416 in reported general payments places this provider in the 90th percentile of 1,263 orthopaedic surgery providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 246 | $3,735 |
| Methylprednisolone | 473 | $3,391 |
| Meloxicam | 558 | $2,217 |
| Ondansetron Hcl | 133 | $1,484 |
| Tramadol Hcl | 155 | $843 |
| Celecoxib | 41 | $771 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 47 | $560 |
| Ibuprofen | 16 | $413 |
| Ondansetron OdtOndansetron | 18 | $357 |
| Cephalexin | 70 | $340 |
| Hydromorphone Hcl | 21 | $182 |
| Gabapentin | 12 | $177 |
| Cyclobenzaprine Hcl | 25 | $154 |
| Amoxicillin | 43 | $88 |
| Diazepam | 17 | $28 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in The Villages
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$35M
- Mark FrankleTemple Terrace$31.4M
- David WatsonTemple Terrace$21M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Martin RocheFt. Lauderdale$7.3M
- Robert SantrockFernandina Beach$7.3M
- Steven LyonsTampa$6.8M
- Derek CuffVenice$6.6M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.