Has Joseph Cox, MD received payments from drug or device companies?

Yes. Drug and device makers reported $122,789 in general payments to Joseph Cox, MD across 116 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Joseph Cox, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Joseph Cox, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Joseph Cox, MD

Neurological Surgery · Oklahoma City, OKNPI 1013117688

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (44.2%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Integrity Implants Inc. at 36.5% of the total. Reporting peaked in 2021 at $29,463 and has fallen 89.0% since, to $3,230 in 2025. Among neurological surgery clinicians in OK with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$122,789in general payments, 2019–2025

Across 116 payments — averaging $1058.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Integrity Implants Inc.$45K
Integrity Implants Inc. Dba Accelus$36K
Spinal Elements, Inc.$21K
Nanohive Medical LLC$18K
Nexxt Spine LLC$3K
Alphatec Spine, Inc$265
plus $628 from 9 others

$9,911in research payments, 2019–2025

Across 5 payments — averaging $1982.28 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.

Spinal Elements, Inc.$10K

What the payments were for

Royalty or licence$52,02142%
Consulting fees$54,25044%
Travel & lodging$13,17611%
Food & beverage$3,2973%
Gifts$440%

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
Integrity Implants Inc.	65	$44,787
Integrity Implants Inc. Dba Accelus	15	$35,982
Spinal Elements, Inc.	9	$21,096
Nanohive Medical LLC	8	$17,500
Nexxt Spine LLC	6	$2,531
Alphatec Spine, Inc	1	$265
Curiteva, Inc.	1	$230
Globus Medical	3	$179
Viiv Healthcare Company	1	$67
Baxter Healthcare	2	$34
Stryker	1	$33
Intrinsic Therapeutics	1	$30
Si-bone, Inc.	1	$26
Medtronic	1	$15
Orthofix Medical, Inc.	1	$13

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.

LineSider$58,594
FlareHawk$19,994
Hive Standalone ALIF$16,500
KARMA$7,250
Mag+$5,750
IRB$4,000
Provenda$3,500
Nexxt Spine Product Portfolio$2,438
Smart Sensor$1,000
Medical Device$501
AccelCore$500

How this compares

$122,789 in reported general payments places this provider in the 90th percentile of 80 neurological surgery providers in Oklahoma.

See all neurological surgery providers in Oklahoma →

Medicare billing

Part B allowed, 2024

$358,583

Medicare patients

294

Services billed

1,136

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	107	$1,456
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	84	$1,148
Gabapentin	89	$965
Cyclobenzaprine Hcl	14	$423
Methylprednisolone	57	$360
Oxycodone Hcl	36	$290
Tizanidine Hcl	20	$214
Pregabalin	12	$210
Methocarbamol	23	$204
Hydromorphone Hcl	21	$127
Meloxicam	27	$121

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Oklahoma City

Brian SnellOklahoma City$3.7M
Fadi NasrOklahoma City$1.6M
Robert TibbsOklahoma City$537K
Michael HahnOklahoma City$267K
Isaac KarikariOklahoma City$137K
Hakeem ShakirOklahoma City$63K
Robert WieneckeOklahoma City$40K
Muhammad JanjuaOklahoma City$33K
Caple SpenceOklahoma City$31K
Andrew ConnerOklahoma City$28K

See the full list for Oklahoma →

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.

Is this you, or does something look wrong? →