Paul Dunlavy, DO
Surgery · Des Moines, IANPI 1598028797
Payments from drug & device makers
What this record shows
This record is dominated by education: $12,000 of the $18,373 with a category attached, or 65.3%. Intuitive Surgical accounts for 99.6% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2023 at $12,550 and has fallen 97.7% since, to $284 in 2024. Among surgery clinicians in IA 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 46 payments — averaging $399.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$18K
- Davol Inc.$47
- Johnson & Johnson$17
- Boston Scientific$17
What the payments were for
- Travel & lodging$4,73626%
- Food & beverage$1,4678%
- Education$12,00065%
- Gifts$1701%
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 | 42 | $18,292 |
| Davol Inc. | 2 | $47 |
| Johnson & Johnson | 1 | $17 |
| Boston Scientific | 1 | $17 |
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$17,494
How this compares
$18,373 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 62 | $402 |
Paid to pharmacies, not to this prescriber.
Other surgery in Des Moines
- Dennis WhitmerDes Moines$40K
- Mark SmolikDes Moines$25K
- Christopher BellDes Moines$18K
- Chad BuhsDes Moines$16K
- Cameron WagnerDes Moines$16K
- Juan MiraDes Moines$15K
- Jacob WeaselDes Moines$14K
- Michael ValliereDes Moines$14K
- Nathan MohrDes Moines$9K
- Krista HainesDes Moines$8K
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.