Mahmod El-Tayash, MD
Surgery · Grinnell, IANPI 1730594060
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (50.0%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Medtronic accounts for 67.7% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $7,204, more than ten times the $28 reported in 2022.
Across 43 payments — averaging $232.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$7K
- Intuitive Surgical$3K
- Davol Inc.$100
- BD$54
- Convatec Inc.$22
- Solventum Corporation$17
- plus $28 from 2 others
What the payments were for
- Speaking & faculty fees$5,00050%
- Travel & lodging$3,29833%
- Food & beverage$95910%
- Education$7507%
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 |
|---|---|---|
| Medtronic | 24 | $6,776 |
| Intuitive Surgical | 12 | $3,010 |
| Davol Inc. | 1 | $100 |
| BD | 2 | $54 |
| Convatec Inc. | 1 | $22 |
| Solventum Corporation | 1 | $17 |
| Johnson & Johnson | 1 | $14 |
| Phathom Pharmaceuticals, 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.
- Signia$5,000
- Da Vinci Surgical System$2,194
- LigaSure$1,271
- DAVINCI XI$750
- Phasix Mesh$100
How this compares
$10,007 in reported general payments places this provider in the 85th percentile of 331 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Sucralfate | 28 | $743 |
| Pantoprazole Sodium | 32 | $104 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $56 |
| Metoclopramide Hcl | 16 | $45 |
Paid to pharmacies, not to this prescriber.
Other surgery in Grinnell
- Teresa LamastersWest Des Moines$188K
- Christopher HealeyWaterloo$140K
- Vincent ReidCedar Rapids$103K
- Dennis WhitmerDes Moines$40K
- Jason KeoninSpencer$39K
- Isaac HintonBettendorf$32K
- Patrick AhrensCouncil Bluffs$27K
- Maggie Limoges-DaviesClinton$26K
- Scott HinzeWaterloo$25K
- Mark SmolikDes Moines$25K
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.