Peter Shedden, MD
Neurological Surgery · The Woodlands, TXNPI 1861464893
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $40,500 of the $45,754 with a category attached, or 88.5%. Spinal Elements, Inc. accounts for 91.8% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2021 at $23,856 and has fallen 98.3% since, to $398 in 2025.
Across 58 payments — averaging $788.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spinal Elements, Inc.$42K
- Orthofix Medical, Inc.$2K
- Medtronic$1K
- Abbott$186
- Zap Surgical Systems, Inc.$160
- Intrinsic Therapeutics$159
- plus $312 from 7 others
What the payments were for
- Consulting fees$40,50089%
- Travel & lodging$2,1935%
- Food & beverage$3,0627%
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 |
|---|---|---|
| Spinal Elements, Inc. | 21 | $41,980 |
| Orthofix Medical, Inc. | 8 | $1,524 |
| Medtronic(2 entities) | 15 | $1,433 |
| Abbott | 2 | $186 |
| Zap Surgical Systems, Inc. | 1 | $160 |
| Intrinsic Therapeutics | 1 | $159 |
| Genesys Orthopedics Systems, L.L.C. | 1 | $143 |
| Elekta, Inc. | 3 | $54 |
| Arbor Pharmaceuticals, Inc. | 2 | $37 |
| Johnson & Johnson | 1 | $32 |
| Surgalign Spine Technologies, Inc. | 1 | $18 |
| Integra Lifesciences Corporation | 1 | $15 |
| CSL Behring | 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.
- KARMA$39,625
- Medical Devices$1,174
- Medical Device$1,121
- 7D Surgical System$1,068
- Mariner$489
- INTELLIS ADAPTIVESTIM$475
- O-ARM-ST$452
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$319
- Meridian$267
- INCEPTIV$163
- ZAP-X MV IMAGER$160
- ZAP-X TREATMENT PLANNING SOFTWARE$160
- ZAP-X TREATMENT DELIVERY SOFTWARE$160
- ZAP-X RADIOSURGERY SYSTEM$160
- PROCLAIM$160
- Binary$143
- M6-C$124
- NEWBRIDGE$124
- ACTIVA PC$120
How this compares
$45,754 in reported general payments places this provider in the 85th percentile of 582 neurological surgery providers in Texas.
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 |
|---|---|---|
| Carbamazepine ErCarbamazepine | 31 | $2,192 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 75 | $683 |
| Methocarbamol | 53 | $229 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 20 | $166 |
| Carbamazepine | 11 | $91 |
| Gabapentin | 18 | $89 |
| Naproxen | 14 | $73 |
| Diazepam | 11 | $61 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in The Woodlands
- Koijan KainthThe Woodlands$1.3M
- Luis DuarteSan Angelo$1.2M
- Douglas FoxAustin$948K
- Richard MeyratDallas$883K
- Adam LewisCorpus Christi$792K
- Arnold VardimanSan Antonio$687K
- Andrew RoeserHouston$660K
- Scott RobertsonRound Rock$606K
- Sabatino BiancoArlington$564K
- Rebecca StachniakPlano$561K
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.