Shannon Engel, DPM
Podiatrist · St. Joseph, MONPI 1649220302
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 71 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Stryker at 46.7% of the total. Reporting peaked in 2019 at $705 and has fallen 53.2% since, to $330 in 2025.
Across 71 payments — averaging $34.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Mimedx Group, Inc.$437
- Tenex Health Inc.$292
- Amgen$158
- Smith+Nephew$141
- Melinta Therapeutics, LLC$70
- plus $224 from 9 others
What the payments were for
- Food & beverage$2,483100%
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 |
|---|---|---|
| Stryker(2 entities) | 11 | $1,159 |
| Mimedx Group, Inc. | 16 | $437 |
| Tenex Health Inc. | 2 | $292 |
| Amgen | 20 | $158 |
| Smith+Nephew | 2 | $141 |
| Melinta Therapeutics, LLC | 5 | $70 |
| Zyla Life Sciences, Inc. | 5 | $69 |
| Integra Lifesciences Corporation | 3 | $55 |
| Vertex | 1 | $21 |
| KCI USA, Inc. | 1 | $18 |
| Paratek Pharmaceuticals, Inc. | 1 | $17 |
| Organogenesis Inc. | 1 | $15 |
| Zimmer Biomet | 1 | $14 |
| Assertio Therapeutics, Inc. | 1 | $11 |
| Prugen, Inc. Pharmaceuticals | 1 | $4 |
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.
- CARTIVA$301
- CARTIVA SYNTHETIC CARTILAGE IMPLANT$296
- AUGMENT INJECTABLE$287
- PROPHECY$147
- GRAFIX PL$125
- Stravix$125
How this compares
$2,483 in reported general payments places this provider in the 60th percentile of 105 podiatrist providers in Missouri.
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 |
|---|---|---|
| Gabapentin | 177 | $2,169 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 140 | $1,141 |
| Ammonium Lactate | 41 | $998 |
| Diclofenac Sodium | 47 | $978 |
| Ciclopirox | 21 | $807 |
| Cephalexin | 130 | $759 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 87 | $648 |
| Celecoxib | 24 | $575 |
| Terbinafine Hcl | 45 | $499 |
| Doxycycline Hyclate | 37 | $482 |
| Pregabalin | 36 | $456 |
| CiclopiroxCiclopirox Olamine | 39 | $414 |
| Tramadol Hcl | 99 | $308 |
| Prednisone | 66 | $276 |
| Mupirocin | 16 | $123 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in St. Joseph
- William DukeJefferson City$54K
- Kiera Benge-SheaSaint Louis$28K
- Thomas BoldryLiberty$19K
- Ryan FrankIndependence$15K
- Neil ErmitanoSaint Louis$14K
- John HarnessOverland$14K
- Brittany StaplesCreve Coeur$13K
- Daniel NarowitzSaint Louis$12K
- Jay MoradiaSaint Louis$11K
- Ellen ColganWarrenton$10K
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.