Robert Cunningham
Surgery · Council Bluffs, IANPI 1104268838
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (42.5%), education and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 63.0% of it on its own, with 17 other manufacturers making up the rest. Among surgery clinicians in IA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 120 payments — averaging $184.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$14K
- Davol Inc.$2K
- Medical Device Business Services, Inc.$2K
- W. L. Gore & Associates, Inc.$2K
- Medtronic$2K
- BD$567
- plus $880 from 12 others
What the payments were for
- Consulting fees$3051%
- Speaking & faculty fees$1,4617%
- Travel & lodging$9,42043%
- Food & beverage$3,95718%
- Education$7,00032%
- Gifts$140%
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 | 60 | $13,968 |
| Davol Inc. | 8 | $1,950 |
| Medical Device Business Services, Inc. | 7 | $1,633 |
| W. L. Gore & Associates, Inc. | 3 | $1,595 |
| Medtronic | 17 | $1,564 |
| BD | 6 | $567 |
| Analog Devices Inc. | 1 | $305 |
| Johnson & Johnson | 2 | $148 |
| Baxter Healthcare | 2 | $109 |
| Lilly USA, LLC | 4 | $71 |
| Conmed Corporation | 1 | $63 |
| Integra Lifesciences Corporation | 2 | $51 |
| Endo Pharmaceuticals Inc. | 2 | $29 |
| Ambu Inc. | 1 | $26 |
| Hologic Sales And Service, LLC | 1 | $25 |
| Hollister Incorporated | 1 | $18 |
| Heron Therapeutics, Inc. | 1 | $18 |
| Vertex | 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.
- DAVINCI XI$7,000
- Da Vinci Surgical System$5,483
- Phasix Mesh$2,210
- Echelon Flex$1,700
- Product in Development$1,461
- ProGrip$1,088
- GORE ENFORM Preperitoneal Biomaterial$134
- Enseal X1$125
- LigaSure$123
How this compares
$22,157 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Pantoprazole Sodium | 17 | $492 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $156 |
| Ondansetron OdtOndansetron | 13 | $84 |
| Ibuprofen | 15 | $58 |
Paid to pharmacies, not to this prescriber.
Other surgery in Council Bluffs
- Patrick AhrensCouncil Bluffs$27K
- Teresa LamastersWest Des Moines$188K
- Christopher HealeyWaterloo$140K
- Vincent ReidCedar Rapids$103K
- Dennis WhitmerDes Moines$40K
- Jason KeoninSpencer$39K
- Isaac HintonBettendorf$32K
- 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.