Robert Lippitt
Urology · Smithfield, NCNPI 1194869537
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $11,392,319 of the $11,392,369 with a category attached, or 100.0%. Cook Incorporated accounts for 100.0% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2022 at $2,367,283 and has fallen 72.9% since, to $641,436 in 2024. Among urology clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 25 payments — averaging $455,695 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Incorporated$11.4M
- Astellas Pharma US Inc$31
- Urovant Sciences Inc$18
What the payments were for
- Royalty or licence$11,392,319100%
- Food & beverage$490%
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 |
|---|---|---|
| Cook Incorporated | 22 | $11,392,319 |
| Astellas Pharma US Inc | 2 | $31 |
| Urovant Sciences Inc | 1 | $18 |
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.
- NCircle$5,124,159
- Cook Medical Extractors$3,900,878
- NGage$2,367,283
How this compares
$11,392,369 in reported general payments places this provider in the 95th percentile of 434 urology providers in North Carolina.
Other urology in Smithfield
- 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
- Jonathan HamiltonGreenville$224K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.