Payment overview · 2025
General Payments
$688.46
32 reported records · 12 companies
Healthcare provider profile · identity verified
James Robert Cocco, MD
Allopathic & Osteopathic Physicians|Internal Medicine · SARASOTA, FL · NPI 1629068028
Verified facts
What the public records show
CMS Open Payments records show James Robert Cocco, MD received $688.46 in general payments during 2025 across 32 reported records.
Salix Pharmaceuticals, a division of Bausch Health US, LLC accounted for 19.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 19 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis, Gemtesa.
Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 19 claims for Jardiance by this doctor in 2024.
PFIZER INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 96 claims for Eliquis by this doctor in 2024.
Sumitomo Pharma America, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported GEMTESA as an associated drug or biological on 61692 records involving 22152 distinct recipient NPIs. Public Medicare Part D data also shows 18 claims for Gemtesa by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $135.04 | 19.6% | 6 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $112.56 | 16.4% | 5 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $97.95 | 14.2% | 5 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $88.29 | 12.8% | 4 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $84.42 | 12.3% | 4 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $39.86 | 5.8% | 2 | 2025 |
| Ardelyx, Inc. | Unresolved — no canonical attribution shown | $32.11 | 4.7% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $27.30 | 4.0% | 1 | 2025 |
| Azurity Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $22.67 | 3.3% | 1 | 2025 |
| Sumitomo Pharma America, Inc. | Unresolved — no canonical attribution shown | $19.11 | 2.8% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $15.03 | 2.2% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $14.12 | 2.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $688.46 | 32 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $135.04 | 6 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $97.95 | 5 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $84.42 | 4 | 2025 |
Source payment records
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| KISUNLA Normalized: kisunla |
Drug | Lilly USA, LLC | $65.94 | 3 | 2025 |
Source payment records
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| PAXLOVID Normalized: paxlovid |
Drug | PFIZER INC. | $47.40 | 2 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $39.86 | 2 | 2025 |
Source payment records
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| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $38.88 | 2 | 2025 |
Source payment records
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| IBSRELA Normalized: ibsrela |
Drug | Ardelyx, Inc. | $32.11 | 1 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $27.30 | 1 | 2025 |
Source payment records
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| PENBRAYA Normalized: penbraya |
Biological | PFIZER INC. | $26.28 | 1 | 2025 |
Source payment records
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| PREVNAR 20 Normalized: prevnar 20 |
Biological | PFIZER INC. | $26.28 | 1 | 2025 |
Source payment records
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| TRUMENBA Normalized: trumenba |
Biological | PFIZER INC. | $26.28 | 1 | 2025 |
Source payment records
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| EDARBI Normalized: edarbi |
Drug | Azurity Pharmaceuticals, Inc. | $22.67 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $22.35 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $22.35 | 1 | 2025 |
Source payment records
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| PROLIA Normalized: prolia |
Biological | Amgen Inc. | $20.60 | 1 | 2025 |
Source payment records
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| GEMTESA Normalized: gemtesa |
Drug | Sumitomo Pharma America, Inc. | $19.11 | 1 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $15.03 | 1 | 2025 |
Source payment records
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| VAXNEUVANCE Normalized: vaxneuvance |
Biological | Merck Sharp & Dohme LLC | $14.12 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| ELIQUIS eliquis |
2025 | Eliquis | 2024 | 96 | exact normalized | Medicare Part D |
| GEMTESA gemtesa |
2025 | Gemtesa | 2024 | 18 Beneficiary count suppressed |
exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
19 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 87112 supporting records · 36032 recipient NPIs · example record 1228794063 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
96 | 18 |
| Sumitomo Pharma America, Inc. Exact reporting entity; no affiliate inference |
2025 | GEMTESA open payments reported associated product |
CMS Open Payments — General Payments 61692 supporting records · 22152 recipient NPIs · example record 1176593503 |
Gemtesa · 2024 Exact normalized brand match · 1 Part D row |
18 | suppressed by CMS |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 124 | 35 |
| Levothyroxine Sodium | Levothyroxine Sodium | 98 | 21 |
| Eliquis | Apixaban | 96 | 18 |
| Atorvastatin Calcium | Atorvastatin Calcium | 85 | 27 |
| Lisinopril | Lisinopril | 57 | 16 |
| Amlodipine Besylate | Amlodipine Besylate | 51 | 15 |
| Gabapentin | Gabapentin | 51 | 13 |
| Hydrochlorothiazide | Hydrochlorothiazide | 47 | 13 |
| Metoprolol Succinate | Metoprolol Succinate | 47 | 14 |
| Valsartan | Valsartan | 47 | 13 |
| Losartan Potassium | Losartan Potassium | 45 | 16 |
| Tamsulosin Hcl | Tamsulosin Hcl | 45 | 14 |
| Alprazolam | Alprazolam | 44 | 17 |
| Duloxetine Hcl | Duloxetine Hcl | 43 | suppressed |
| Metformin Hcl | Metformin Hcl | 43 | 12 |
| Montelukast Sodium | Montelukast Sodium | 41 | suppressed |
| Repatha Sureclick | Evolocumab | 41 | suppressed |
| Omeprazole | Omeprazole | 40 | 12 |
| Trazodone Hcl | Trazodone Hcl | 40 | 15 |
| Ipratropium Bromide | Ipratropium Bromide | 37 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 37 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 36 | 15 |
| Tramadol Hcl | Tramadol Hcl | 34 | 15 |
| Allopurinol | Allopurinol | 33 | suppressed |
| Celecoxib | Celecoxib | 30 | suppressed |
| Carvedilol | Carvedilol | 29 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 27 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 26 | suppressed |
| Ezetimibe | Ezetimibe | 26 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 26 | suppressed |
| Pregabalin | Pregabalin | 26 | suppressed |
| Synthroid | Levothyroxine Sodium | 25 | suppressed |
| Xarelto | Rivaroxaban | 25 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 23 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 22 | suppressed |
| Jardiance | Empagliflozin | 19 | suppressed |
| Gemtesa | Vibegron | 18 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 16 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 16 | suppressed |
| Ondansetron Odt | Ondansetron | 16 | suppressed |
| Potassium Chloride | Potassium Chloride | 16 | suppressed |
| Azithromycin | Azithromycin | 15 | 11 |
| Breyna | Budesonide/Formoterol Fumarate | 15 | suppressed |
| Lorazepam | Lorazepam | 15 | suppressed |
| Meloxicam | Meloxicam | 15 | suppressed |
| Nuplazid | Pimavanserin Tartrate | 15 | suppressed |
| Protriptyline Hcl | Protriptyline Hcl | 15 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 14 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 14 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 14 | suppressed |
| Prednisone | Prednisone | 14 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 13 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 13 | suppressed |
| Famotidine | Famotidine | 12 | suppressed |
| Finasteride | Finasteride | 12 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 12 | suppressed |
| Simvastatin | Simvastatin | 12 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 11 | suppressed |
| Estradiol | Estradiol | 11 | suppressed |
| Furosemide | Furosemide | 11 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 11 | suppressed |
| Ramipril | Ramipril | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $688.46 · 32 records | Salix Pharmaceuticals, a division of Bausch Health US, LLC | BREZTRI, EDARBI, ELIQUIS, EVENITY, GEMTESA, IBSRELA, KISUNLA, Kerendia, LEQVIO, MOUNJARO, PAXLOVID, PENBRAYA, PREVNAR 20, PROLIA, TRUMENBA, VAXNEUVANCE, Wegovy, XIFAXAN, ZEPBOUND | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Eliquis play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Lilly USA, LLC?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error