Mark Shreve, MD
Hand Surgery · Oklahoma City, OKNPI 1043453103
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 18 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Pylant Medical at 48.5% of the total. Reporting peaked in 2019 at $420 and has fallen 62.8% since, to $156 in 2025. That places this record below the midpoint for hand surgery clinicians in OK, where the typical reported total is $3,824.
Across 18 payments — averaging $47.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pylant Medical$417
- Skeletal Dynamics Inc$84
- Arthrex$77
- Stryker$70
- Endo Pharmaceuticals Inc.$51
- Johnson & Johnson$51
- plus $108 from 5 others
What the payments were for
- Food & beverage$859100%
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 |
|---|---|---|
| Pylant Medical | 5 | $417 |
| Skeletal Dynamics Inc | 1 | $84 |
| Arthrex | 1 | $77 |
| Stryker | 2 | $70 |
| Endo Pharmaceuticals Inc. | 3 | $51 |
| Johnson & Johnson | 1 | $51 |
| Dynasplint Systems Inc. | 1 | $28 |
| Innovation Technologies Inc | 1 | $25 |
| P Bar Medical LLC | 1 | $21 |
| Integra Lifesciences Corporation | 1 | $21 |
| Vertex | 1 | $14 |
How this compares
$859 in reported general payments places this provider in the 30th percentile of 26 hand surgery providers in Oklahoma.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 118 | $809 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 62 | $583 |
| Doxycycline Hyclate | 11 | $172 |
| Ibuprofen | 12 | $144 |
| Meloxicam | 17 | $45 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Oklahoma City
- Clayton NelsonOklahoma City$22K
- David RushOklahoma City$15K
- Brian ChenowethOklahoma City$11K
- Thomas LehmanOklahoma City$5K
- Yuri LansingerOklahoma City$5K
- Richard RuffinOklahoma City$4K
- Ashley CogarOklahoma City$3K
- Shawhin ShahriariOklahoma City$2K
- Greg HalkoOklahoma City$2K
- Harold YocumOklahoma City$743
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.