James Shurlow, DO
Surgery · Grayling, MINPI 1437383023
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (42.7%), food and beverage and gifts — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 90.9% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2022 at $547 and has fallen 93.0% since, to $38 in 2024. That places this record below the midpoint for surgery clinicians in MI, where the typical reported total is $1,459.
Across 14 payments — averaging $71.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$913
- Conmed Corporation$23
- Johnson & Johnson$20
- Exact Sciences$18
- Olympus America Inc.$17
- Kowa Pharmaceuticals America, Inc.$14
What the payments were for
- Travel & lodging$42943%
- Food & beverage$37738%
- Gifts$19820%
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 | 9 | $913 |
| Conmed Corporation | 1 | $23 |
| Johnson & Johnson | 1 | $20 |
| Exact Sciences | 1 | $18 |
| Olympus America Inc. | 1 | $17 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
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.
How this compares
$1,005 in reported general payments places this provider in the 40th percentile of 1,081 surgery providers in Michigan.
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 |
|---|---|---|
| Sucralfate | 26 | $995 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 24 | $282 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $178 |
| Omeprazole | 24 | $153 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $86 |
| Azithromycin | 13 | $81 |
| Neomycin Sulfate | 14 | $72 |
| Ondansetron Hcl | 11 | $34 |
Paid to pharmacies, not to this prescriber.
Other surgery in Grayling
- Robert BartlettAnn Arbor$859K
- Matthew FourmanMonroe$492K
- Bruce McIntoshRochester Hills$435K
- Jon SchramZeeland$261K
- Eric DaviesBrighton$258K
- Robert LyonsYpsilanti$196K
- Joel StrehlTraverse City$170K
- John LimClinton Township$141K
- Bellal JosephDetroit$114K
- Anthony IaccoBeverly Hills$114K
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.