Timothy Chuter
Surgery · San Francisco, CANPI 1023074283
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $8,805,414 of the $8,806,246 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. 2025 is the largest year on record at $1,691,702, 3.6 times the $471,196 reported in 2019. Among surgery clinicians in CA 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 34 payments — averaging $259,007 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Incorporated$8.8M
- Cook Medical LLC$611
- Silk Road Medical, Inc.$221
Across 14 payments — averaging $9744.52 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.
- Cook Research Incorporated$136K
What the payments were for
- Royalty or licence$8,805,414100%
- Food & beverage$8320%
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 | 27 | $8,805,414 |
| Cook Medical LLC | 6 | $611 |
| Silk Road Medical, Inc. | 1 | $221 |
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
$8,806,246 in reported general payments places this provider in the 95th percentile of 2,363 surgery providers in California.
Other surgery in San Francisco
- Shane BurchSan Francisco$500K
- Charles EichlerSan Francisco$310K
- Michael AlvaradoSan Francisco$201K
- Scott HansenSan Francisco$186K
- Santiago HorganSan Diego$2.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Siew-Ming LeeFresno$1.3M
- Beemen KhalilPalo Alto$1.1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.