Justin Cox
Surgical · Cookeville, TNNPI 1285006635
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,815 of the $3,516 with a category attached, or 80.0%. 31 manufacturers reported payments, led by Smith+Nephew at 37.9% of the total. Reporting peaked in 2022 at $1,449 and has fallen 73.4% since, to $385 in 2025. Among surgical clinicians in TN 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.
Across 134 payments — averaging $26.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$1K
- Intuitive Surgical$702
- AbbVie$189
- Avita Medical Americas, LLC$150
- Regeneron Healthcare Solutions, Inc.$143
- Organogenesis Inc.$110
- plus $888 from 25 others
What the payments were for
- Travel & lodging$70220%
- Food & beverage$2,81580%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Smith+Nephew | 73 | $1,334 |
| Intuitive Surgical | 5 | $702 |
| AbbVie | 5 | $189 |
| Avita Medical Americas, LLC | 2 | $150 |
| Regeneron Healthcare Solutions, Inc. | 2 | $143 |
| Organogenesis Inc. | 5 | $110 |
| Johnson & Johnson(2 entities) | 4 | $105 |
| Sanara Medtech Inc. | 1 | $97 |
| Boston Scientific | 5 | $87 |
| Tactile Systems Technology Inc | 4 | $72 |
| Hologic Sales And Service, LLC | 2 | $63 |
| Medtronic | 4 | $60 |
| Merit Medical Systems Inc | 3 | $41 |
| Convatec Inc. | 1 | $32 |
| W. L. Gore & Associates, Inc. | 1 | $28 |
| Surmodics, Inc. | 2 | $28 |
| Merck | 1 | $27 |
| Surgical Specialties Corporation (US), Inc. (dba Corza Medical) | 1 | $23 |
| Davol Inc. | 1 | $21 |
| Ambu Inc. | 1 | $21 |
| GE HealthCare | 1 | $20 |
| Lemaitre Vascular, Inc. | 1 | $19 |
| Trevena, Inc. | 1 | $18 |
| Lifenet Health | 1 | $18 |
| Innocoll Pharmaceuticals Limited | 1 | $18 |
| Bolton Medical Inc | 1 | $16 |
| KCI USA, Inc. | 1 | $16 |
| Cagent Vascular Inc | 1 | $16 |
| Endogastric Solutions, Inc | 1 | $16 |
| Access Pro Medical, LLC | 1 | $13 |
| Olympus America 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.
- Da Vinci Surgical System$664
- GRAFIX PL$110
- Stravix$110
- STRAVIX PL$110
- Oasis$110
- RECELL$104
- Cohealyx$104
- PERMEADERM$104
- LIBTAYO$103
How this compares
$3,516 in reported general payments places this provider in the 90th percentile of 206 surgical providers in Tennessee.
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 |
|---|---|---|
| Fluorouracil | 12 | $890 |
| Doxycycline Hyclate | 21 | $250 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $236 |
| Triamcinolone Acetonide | 16 | $64 |
| Cephalexin | 14 | $60 |
Paid to pharmacies, not to this prescriber.
Other surgical in Cookeville
- Stephen DevriesNashville$57K
- Elizabeth HaggertyNashville$9K
- Jennie ClarkKnoxville$5K
- Lacy ConryBartlett$5K
- Caleb StephensJohnson City$5K
- Christopher DalbyKnoxville$4K
- Shelby VogelHermitage$4K
- Madison BarryMemphis$4K
- Cami EricksonMurfreesboro$4K
- Charlotte ShyFranklin$4K
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.