Medicare Enrolled
Dr. Alfred Cook, M.D.
Orthopedic Surgery · The Villages, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Cook from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Cook
Dr. Alfred Cook is an orthopedic surgery specialist in The Villages, FL, with 17 years of NPI registration. Based on federal Medicare data, Dr. Cook performed 8,877 Medicare services across 4,816 unique beneficiaries.
Between the years covered by Open Payments, Dr. Cook received a total of $154,117 from 40 pharmaceutical and/or device companies across 113 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Cook is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 17 years in practice
▲ Top 7% volume in FL
$154,117 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 104085 | Clear | January 31, 2027 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗8,877
Medicare services
Top 7% in FL for orthopedic surgery
4,816
Unique beneficiaries
$67
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~522 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
2,061 | $91 | $372 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
1,523 | $52 | $218 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
1,462 | $9 | $37 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
891 | $25 | $99 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
366 | $76 | $329 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
321 | $20 | $98 |
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
310 | $17 | $85 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
310 | $67 | $263 |
| Orthovisc intra-articular injection An injection of hyaluronan or its derivative into a joint space to provide lubrication and cushioning. |
262 | $101 | $372 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
224 | $34 | $133 |
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
222 | $28 | $107 |
| Group therapy session A therapeutic session conducted with multiple patients simultaneously. This code covers the provision of therapy services in a group setting. |
154 | $11 | $52 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
111 | $40 | $151 |
| Total shoulder joint prosthetic repair Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function. |
59 | $1,166 | $4,378 |
| Arthroscopic shoulder debridement A minimally invasive procedure to remove damaged or excess tissue from the shoulder joint using a small camera and instruments inserted through tiny incisions. |
55 | $176 | $1,792 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
50 | $27 | $106 |
| Shoulder tendon incision A surgical procedure involving an incision into a shoulder tendon. |
47 | $252 | $1,862 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
46 | $137 | $512 |
| Repair of chronic torn shoulder rotator cuff Surgical repair of a long-standing tear in the shoulder's rotator cuff tendons to restore function and reduce pain. |
39 | $692 | $2,581 |
| Removal of both knee cartilages using an endoscope | 34 | $451 | $1,699 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
34 | $124 | $488 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
30 | $1 | $3 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
28 | $44 | $183 |
| Elbow X-ray, minimum 3 views An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures. |
25 | $20 | $94 |
| Hand nerve release or relocation A surgical procedure to release or reposition a nerve in the hand. |
24 | $336 | $1,332 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
24 | $103 | $386 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
22 | $28 | $117 |
| Partial removal of knee joint lining using an endoscope This procedure involves the partial removal of the knee joint lining using an endoscope. It is a surgical intervention performed within the knee joint. |
20 | $74 | $1,500 |
| Evaluation for physical therapy, typically 30 minutes | 20 | $78 | $291 |
| Shoulder rotator cuff repair with collar bone decompression Surgical repair of a complete tear in the shoulder's rotator cuff tendons. The procedure also includes releasing pressure on the collar bone. |
18 | $593 | $2,949 |
| Closed treatment of broken top of upper arm bone Non-surgical setting of a fracture at the upper end of the humerus. The bone is realigned without an incision. |
17 | $268 | $1,006 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
16 | $94 | $352 |
| Partial collarbone removal via endoscope This procedure involves the surgical removal of a portion of the collarbone (clavicle) using an endoscope, a small camera inserted through a tiny incision to guide the surgeon. |
15 | $260 | $2,045 |
| Incision of shoulder multiple tendons through same incision | 13 | $302 | $2,250 |
| Arthroscopic shoulder surgery for bone shaving and ligament repair A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament. |
13 | $140 | $524 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
11 | $33 | $134 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.1% high complexity
37.2% medium
62.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$154,117
Total received (2018-2024)
Avg $22,017/year across 7 years
Top 9% in FL for orthopedic surgery
40
Companies
113
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$113,884 (73.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$34,332 (22.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,901 (3.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$50,821
2023
$46,849
2022
$6,701
2021
$14,635
2020
$12,701
2019
$14,246
2018
$8,164
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
FX Shoulder USA, Inc
$99,859
FX Shoulder Solutions, Inc
$48,357
Smith+Nephew, Inc.
$2,335
Fx Shoulder Solutions, Inc
$1,200
Next Science LLC
$541
Cgg Medical Inc
$213
Orthogenrx Inc.
$146
CGG Medical Inc
$136
Bone Support Inc.
$116
Lima USA, Inc.
$112
Bioventus LLC
$109
MicroPort Orthopedics Inc
$100
Dynasplint Systems Inc.
$92
Biedermann Motech, Inc.
$77
Ethicon US, LLC
$60
DePuy Synthes Sales Inc.
$55
Zimmer Biomet Holdings, Inc.
$47
Amgen Inc.
$42
Davol Inc.
$42
Embody, Inc.
$41
FIDIA PHARMA USA INC.
$41
Pacira Pharmaceuticals Incorporated
$37
Globus Medical, Inc.
$36
Acumed LLC
$30
Boston Scientific Corporation
$26
ERMI Inc.
$25
Daiichi Sankyo Inc.
$24
AXOGEN
$24
Stryker Corporation
$21
Smith & Nephew, Inc.
$21
Catalyst OrthoScience
$20
Avanos Medical
$20
ConvaTec Inc.
$19
Vericel Corporation
$18
Nalu Medical, Inc.
$16
Pacira Therapeutics, Inc.
$16
Kowa Pharmaceuticals America, Inc.
$14
Flexion Therapeutics, Inc.
$14
Kinex Medical Company LLC
$6
KINEX MEDICAL COMPANY LLC
$6
Top 3 companies account for 97.7% of total payments
Associated products mentioned in payments ›
AQUACEL AG+ EXTRA · Archer CSR Total Shoulder System · AxoGuard Nerve Protector · B1130S0HO170460|SHOULDER INNOVATIONS TSA · B1132N2HE210561|SHOULDER INNOVATIONS HUMERAL SHORT STEM SYSTEM · B1132N2SN064401|SHOULDER INNOVATIONS HUMERAL SHORT STEM SYSTEM · Bioinductive Implant with Arthroscopic Delivery System - Medium · Bone Anchors with Arthroscopic Delivery System · CERAMENTBONE VOID FILLER · COLLAGENASE SANTYL · Channel Drain · Clavicle Plates · Clavicular Fracture Fixation · Continuous Passive Motion Device · DUROLANE · Double Pump RF · Durolane · Dynasplint · EBI Bone Healing System · EVENITY · Exogen Ultrasound Bone Healing System · Exparel · FIRSTPASS · FLOW 50/90 · FOOTPRINT · FX V 135 stem · GenVisc 850 · Hyalgan · LENS 4K · MACI · MONOVISC · MPO Medial Pivot Knee · Nalu Neurostimulation System · NuDyn · ORTHOMAP · Pico 14 · Progel · Proximal Humerus Plating System · R3 · REGENETEN · SMR · STRATAFIX · Seglentis · Supartz · SurgX · TFN ADVANCED · TRIVISC SODIUM HYALURONATE · TWINFIX · TriVisc sodium hyaluronate · Turalio · WaveWriter Alpha Prime 16 · Xperience · Zilretta
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 9% for orthopedic surgery in FL.
Equivalent to $1,736 per 100 Medicare services performed
Geographic Context
Orthopedic surgeons within 10 mi
43
Per 100K population
10.8
County median income
$69,956
Nearest hospital
VILLAGES REGIONAL HOSPITAL, THE
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Cook is a clinical cardiology specialist, with above-average Medicare volume (top 7% in FL), with mixed engagement industry engagement in the top 9% of FL peers, with 17 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Cook experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Cook performed 2,061 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Cook receive payments from pharmaceutical companies?
Yes. Dr. Cook received a total of $154,117 from 40 companies across 113 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Cook's costs compare to other orthopedic surgeons in The Villages?
Dr. Cook's average Medicare payment per service is $67. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Cook) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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