Physician profile
David Nigel Armstrong
NPI 1720046089
$1,236,457.57
in general payments reported to CMS, 2019-2025
25 companies · $93K in 2025
The $93K reported for 2025 was more than what 99% of Colon & Rectal Surgery providers received nationally (typical 2025 total: $317).
Payments by year
General and research payments by program year, as reported to CMS.
General payments by year: 2019: $201K · 2020: $187K · 2021: $191K · 2022: $173K · 2023: $140K · 2024: $252K · 2025: $93K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Royalty Or License: $484K · Food and Beverage: $963 · Consulting Fee: $530.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Royalty Or License | $483,567.72 |
| Food and Beverage | $962.72 |
| Consulting Fee | $530.00 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Research payments are listed separately below. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Cook Incorporated | $677,679.83 | 2019-2025 | Cook |
| Rti Surgical, INC | $321,821.12 | 2024-2025 | |
| Cook Biotech Incorporated | $206,530.54 | 2021-2023 | Biodesign |
| Wilson Cook Medical Incorporated | $28,671.23 | 2022-2023 | Cook |
| Convatec INC. | $530.00 | 2023 | |
| Medtronic, INC. | $312.23 | 2023-2025 | Interstim |
| Myriad Genetic Laboratories, INC. | $143.22 | 2023 | Precisetumor |
| Merck Sharp & Dohme LLC | $120.93 | 2023-2025 | Keytruda, Lynparza |
| Janssen Biotech, INC. | $99.95 | 2022 | |
| Ethicon US, LLC | $89.33 | 2019-2022 | |
| Davol INC. | $73.38 | 2019-2025 | Arista |
| Axonics, INC. | $54.42 | 2023 | Axonics |
| La Jolla Pharmaceutical Company | $47.14 | 2023-2024 | Xerava |
| Regeneron Healthcare Solutions, INC. | $46.21 | 2023 | Libtayo |
| Dilon Technologies, INC. | $34.18 | 2023-2024 | Hemoblast Bellows |
Show all 25 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Baxter Healthcare | $33.23 | 2020-2022 | |
| Sirtex Medical INC | $27.56 | 2024 | Sir-Spheres Microspheres |
| Csl Behring | $23.24 | 2024 | Hizentra |
| Daiichi Sankyo INC. | $21.90 | 2024 | Enhertu |
| Hologic Sales and Service, LLC | $19.88 | 2024 | Localizer, Trunode |
| Astrazeneca Pharmaceuticals Lp | $18.70 | 2024 | Lynparza |
| Innovation Technologies INC | $18.19 | 2024 | Irrisept |
| Integra Lifesciences Corporation | $16.90 | 2024 | Integra, Omnigraft, Surgimend |
| Intuitive Surgical, INC. | $12.95 | 2019 | |
| Cook Medical LLC | $11.31 | 2019 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
Research and ownership
$11,392.00 in research payments reported 2019-2025. Research payments are often institution-directed and tied to clinical trials: they are reported under a clinician's name but frequently go to a hospital or research organization, and usually reflect participation in medical research.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw David Armstrong listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.