Cygnus Dual
Payments companies reported to CMS as associated with Cygnus Dual. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Cygnus Dual, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Cygnus Dual
These are the largest totals companies reported as associated with Cygnus Dual. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Thomas Zwick | Miami, FL | Foot & Ankle Surgery | $27,239.05 |
| Daniel Kapp | West Palm Beach, FL | Plastic Surgery | $17,897.35 |
| Carrie Frame | Charleston, WV | Foot & Ankle Surgery | $16,622.50 |
| Robert Clemency III | Schererville, IN | Foot & Ankle Surgery | $16,258.52 |
| John Torregrosa | Miami, FL | Podiatrist | $7,749.61 |
| Kayla Humenansky | Columbia, SC | Plastic Surgery | $2,540.00 |
| Thomas Koehler | The Dalles, OR | Medical | $2,086.66 |
| Tara Lawless | Lexington, NE | Nurse Practitioner | $1,806.95 |
| Kayla Poncek | Rhinelander, WI | Nurse Practitioner | $1,675.78 |
| Ralph Fairchild | Wausau, WI | Vascular Surgery | $1,622.41 |
Prescribed Cygnus Dual?
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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.