Shane Cook, MD
Hand Surgery · Des Moines, IANPI 1831483536
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (58.0%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Wardlow Enterprises accounts for 74.7% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2019 at $1,476 and has fallen 82.5% since, to $258 in 2025.
Across 34 payments — averaging $109.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Wardlow Enterprises$3K
- Arthrex$356
- Axogen$292
- Stryker$141
- Integra Lifesciences Corporation$24
- Smith+Nephew$24
- plus $106 from 6 others
What the payments were for
- Travel & lodging$68018%
- Food & beverage$88324%
- Education$2,15858%
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 |
|---|---|---|
| Wardlow Enterprises | 7 | $2,778 |
| Arthrex | 10 | $356 |
| Axogen | 3 | $292 |
| Stryker | 6 | $141 |
| Integra Lifesciences Corporation | 1 | $24 |
| Smith+Nephew | 1 | $24 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
| Polynovo North America LLC | 1 | $21 |
| Vertex | 1 | $21 |
| AbbVie | 1 | $18 |
| Orthofix Medical, Inc. | 1 | $12 |
| Novo Nordisk | 1 | $11 |
How this compares
$3,721 in reported general payments places this provider in the 70th percentile of 24 hand 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 |
|---|---|---|
| Diclofenac Sodium | 22 | $233 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $123 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Des Moines
- John HeinemanDes Moines$4K
- Tyson CobbDavenport$155K
- Melissa Young-SzalayWest Des Moines$16K
- Betsey BeanAmes$13K
- Brock ReiterAnkeny$9K
- Peter ChimentiCedar Rapids$5K
- Joseph BuckwalterIowa City$4K
- Jonathan WinstonBettendorf$3K
- Jeffrey RodgersWest Des Moines$2K
- Ericka LawlerNorth Liberty$2K
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.