Carson Cunningham, MD
Surgery · Cape Girardeau, MONPI 1861477218
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (45.0%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 32 manufacturers reported payments, led by Intuitive Surgical at 49.6% of the total. Reporting peaked in 2020 at $3,092 and has fallen 93.7% since, to $194 in 2025.
Across 96 payments — averaging $92.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- W. L. Gore & Associates, Inc.$922
- Medical Device Business Services, Inc.$824
- Johnson & Johnson$677
- Davol Inc.$295
- Medtronic$186
- plus $2K from 26 others
What the payments were for
- Consulting fees$571%
- Travel & lodging$1,21714%
- Food & beverage$3,62441%
- Education$4,00045%
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 |
|---|---|---|
| Intuitive Surgical | 17 | $4,415 |
| W. L. Gore & Associates, Inc. | 12 | $922 |
| Medical Device Business Services, Inc. | 3 | $824 |
| Johnson & Johnson | 11 | $677 |
| Davol Inc. | 6 | $295 |
| Medtronic | 2 | $186 |
| Boston Scientific | 5 | $180 |
| Zimmer Biomet | 2 | $138 |
| AbbVie(2 entities) | 8 | $136 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $121 |
| Covidien LP | 3 | $120 |
| Solventum Corporation | 2 | $103 |
| Reprise Biomedical, Inc. | 1 | $94 |
| Polynovo North America LLC | 1 | $77 |
| Pacira Pharmaceuticals Incorporated | 3 | $70 |
| Organogenesis Inc. | 1 | $60 |
| Z-medica, LLC | 1 | $57 |
| Acera Surgical, Inc. | 1 | $55 |
| Fujifilm Healthcare Americas Corporation | 1 | $55 |
| Micro-tech Endoscopy USA, Inc. | 1 | $50 |
| KCI USA, Inc. | 2 | $47 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $39 |
| Baudax Bio Inc. | 1 | $23 |
| Merck | 1 | $22 |
| Integra Lifesciences Corporation | 1 | $22 |
| Acelrx Pharmaceuticals, Inc. | 1 | $20 |
| Baxter Healthcare | 1 | $19 |
| Myriad Genetic Laboratories, Inc. | 1 | $18 |
| TELA Bio, Inc. | 1 | $16 |
| Heron Therapeutics, Inc. | 1 | $14 |
| Medela LLC | 1 | $12 |
| Endo Pharmaceuticals Inc. | 1 | $11 |
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.
- Da Vinci Surgical System$3,000
- DAVINCI XI$1,000
- LINX Reflux Management System$824
- GORE BIO-A Tissue Reinforcement$621
- EndoFlip$131
- SpyGlass Discover$125
- SILIQ$121
- ONEXTON$121
- ALTRENO$121
- BRYHALI$121
- Echelon Flex$100
How this compares
$8,898 in reported general payments places this provider in the 80th percentile of 612 surgery providers in Missouri.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Tramadol Hcl | 88 | $156 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $98 |
Paid to pharmacies, not to this prescriber.
Other surgery in Cape Girardeau
- Nicholas BostonCape Girardeau$24K
- James ScottSaint Louis$307K
- Omar GuerraSaint Louis$249K
- John TannColumbia$216K
- Mark DrakeSaint Louis$212K
- Adeel KhanSaint Louis$204K
- Michael AwadSaint Louis$176K
- Patricia HodginsFenton$145K
- Laurie PunchSaint Louis$141K
- Jeffrey BlatnikSaint Louis$134K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.