David Cook, MD
Urology · Lenoir, NCNPI 1497717987
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,851 of the $3,408 with a category attached, or 83.7%. It is spread thinly across 28 manufacturers, the largest accounting for just 17.2% — the pattern of someone who eats at a lot of different presentations.
Across 132 payments — averaging $25.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$586
- Procept Biorobotics Corporation$530
- Endo USA, Inc.$415
- Endo Pharmaceuticals Inc.$372
- Johnson & Johnson$313
- Bayer$197
- plus $996 from 22 others
Across 4 payments — averaging $2566.54 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.
- Janssen Research & Development, LLC$10K
What the payments were for
- Travel & lodging$46714%
- Food & beverage$2,85184%
- Education$562%
- Gifts$341%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Intuitive Surgical | 10 | $586 |
| Procept Biorobotics Corporation | 4 | $530 |
| Endo USA, Inc. | 20 | $415 |
| Endo Pharmaceuticals Inc. | 24 | $372 |
| Johnson & Johnson | 15 | $313 |
| Bayer | 11 | $197 |
| Axogen | 2 | $164 |
| AbbVie(2 entities) | 8 | $150 |
| Merck | 3 | $86 |
| Astellas Pharma US Inc | 5 | $79 |
| Sumitomo Pharma America, Inc. | 2 | $61 |
| Ferring Pharmaceuticals Inc. | 4 | $60 |
| Olympus America Inc. | 3 | $50 |
| Pfizer | 3 | $44 |
| Myovant Sciences Inc. | 2 | $38 |
| Boston Scientific | 2 | $38 |
| Neotract Inc. | 1 | $30 |
| Davol Inc. | 2 | $29 |
| Laborie Medical Technologies Corp. | 1 | $23 |
| Teleflex LLC | 1 | $20 |
| TEI Medical Inc. | 1 | $19 |
| Ambu Inc. | 2 | $19 |
| Axonics, Inc. | 1 | $17 |
| Cook Medical LLC | 1 | $16 |
| Photocure Inc | 1 | $15 |
| Urogen Pharma, Inc. | 1 | $14 |
| Travere Therapeutics, Inc. | 1 | $13 |
| Smith+Nephew | 1 | $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.
How this compares
$3,408 in reported general payments places this provider in the 55th percentile of 434 urology providers in North Carolina.
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 |
|---|---|---|
| ErleadaApalutamide | 17 | $258,604 |
| Abiraterone Acetate | 44 | $182,899 |
| MyrbetriqMirabegron | 52 | $31,160 |
| Tamsulosin Hcl | 341 | $2,722 |
| Estradiol | 35 | $2,282 |
| Finasteride | 136 | $1,469 |
| Solifenacin Succinate | 39 | $988 |
| NitrofurantoinNitrofurantoin Macrocrystal | 49 | $903 |
| Methenamine Hippurate | 15 | $781 |
| Testosterone Cypionate | 27 | $563 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 26 | $312 |
| Oxybutynin Chloride | 37 | $308 |
| Cephalexin | 51 | $242 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 55 | $152 |
| Prednisone | 27 | $131 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Johnson & JohnsonErleada | $313 | $258,60417 claims |
| Astellas Pharma US IncMyrbetriq | $79 | $31,16052 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 55th percentile of 434 urology providers in North Carolina.
Other urology in Lenoir
- Robert LippittSmithfield$11.4M
- Michael KennellyCharlotte$1.3M
- John KasparRaleigh$1.1M
- Judd MoulDurham$1M
- Daniel GeorgeDurham$1M
- Scott MacdiarmidGreensboro$774K
- Glenn PremingerDurham$736K
- Michael LipkinDurham$293K
- Culley CarsonChapel Hill$275K
- Aaron LentzRaleigh$251K
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.