Has Ralph Cook, MD received payments from drug or device companies?

Yes. Drug and device makers reported $8,021 in general payments to Ralph Cook, MD across 32 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Ralph Cook, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Ralph Cook, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Ralph Cook, MD

Sports Medicine · Falmouth, MANPI 1619366333

Payments from drug & device makers

What this record shows

This record is dominated by education: $6,075 of the $8,021 with a category attached, or 75.7%. 7 manufacturers reported payments, led by Smith+Nephew at 42.5% of the total.

$8,021in general payments, 2019–2025

Across 32 payments — averaging $250.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Smith+Nephew$3K
Arthrex$1K
Gotham Surgical Solutions & Devices, Inc.$1K
Paladin Technology Solutions$1K
Medtronic$341
Stryker$306
plus $127 from 1 others

What the payments were for

Travel & lodging$1,20015%
Food & beverage$7469%
Education$6,07576%

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
Smith+Nephew	4	$3,410
Arthrex	21	$1,429
Gotham Surgical Solutions & Devices, Inc.	2	$1,207
Paladin Technology Solutions	1	$1,200
Medtronic	1	$341
Stryker	2	$306
Johnson & Johnson	1	$127

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.

NA$253
NANOTACK FLEX$157
SALVATION$149
VAPR$127

How this compares

$8,021 in reported general payments places this provider in the 70th percentile of 138 sports medicine providers in Massachusetts.

See all sports medicine providers in Massachusetts →

Medicare billing

Part B allowed, 2024

$147,601

Medicare patients

372

Services billed

2,056

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
Celecoxib	12	$559
Meloxicam	161	$360
Diclofenac Sodium	13	$147
Oxycodone Hcl	14	$56

Paid to pharmacies, not to this prescriber.

Other sports medicine in Falmouth

Brian BusconiWorcester$684K
Thomas WuerzWaltham$464K
Elizabeth MatzkinBoston$182K
Thomas GillDedham$168K
Xinning LiBoston$109K
Joseph CzarneckiWoburn$93K
Sarav ShahBrighton$90K
Miho TanakaBoston$89K
James OholleranPeabody$82K
Kai MithoeferDed Ham$64K

See the full list for Massachusetts →

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.

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