John Keech, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Iowa City, IANPI 1770685604
Payments from drug & device makers
What this record shows
This record is dominated by education: $11,500 of the $14,083 with a category attached, or 81.7%. Intuitive Surgical accounts for 98.4% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2023 at $12,878 and has fallen 98.6% since, to $181 in 2025.
Across 29 payments — averaging $485.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$14K
- Zimmer Biomet$106
- Conmed Corporation$47
- ERBE USA Inc$31
- Medtronic$26
- Atricure, Inc.$15
Across 1 payment — averaging $6.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Merck$6
What the payments were for
- Travel & lodging$1,90314%
- Food & beverage$6805%
- Education$11,50082%
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 | 21 | $13,858 |
| Zimmer Biomet | 4 | $106 |
| Conmed Corporation | 1 | $47 |
| ERBE USA Inc | 1 | $31 |
| Medtronic | 1 | $26 |
| Atricure, Inc. | 1 | $15 |
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.
- DAVINCI XI$11,500
- Da Vinci Surgical System$2,162
How this compares
$14,083 in reported general payments places this provider in the 80th percentile of 48 thoracic surgery (cardiothoracic vascular surgery) providers in Iowa.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Iowa →
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.
Other thoracic surgery (cardiothoracic vascular surgery) in Iowa City
- Mohammad BashirIowa City$28K
- Anthony PanosIowa City$21K
- Adnan Al AyoubiIowa City$14K
- Sharon LarsonIowa City$12K
- Kalpaj ParekhIowa City$10K
- Anthony SwatekIowa City$10K
- Evgeny ArshavaIowa City$4K
- Arun SinghalIowa City$4K
- Jeffrey EverettIowa City$3K
- Albert PaiIowa City$2K
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.