Thomas Shultz, MD
Obstetrics & Gynecology · Springfield, MONPI 1073630109
Payments from drug & device makers
What this record shows
This record is dominated by education: $699,000 of the $1,052,645 with a category attached, or 66.4%. Intuitive Surgical accounts for 94.8% of it on its own, with 11 other manufacturers making up the rest. Among obstetrics & gynecology clinicians in MO 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 1,306 payments — averaging $806.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$998K
- Medical Device Business Services, Inc.$41K
- Johnson & Johnson$9K
- Heron Therapeutics, Inc.$4K
- Coopersurgical, Inc.$217
- Medtronic$134
- plus $330 from 6 others
What the payments were for
- Consulting fees$52,0605%
- Speaking & faculty fees$137,80013%
- Travel & lodging$127,33112%
- Food & beverage$36,4543%
- Education$699,00066%
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 | 1,241 | $998,338 |
| Medical Device Business Services, Inc. | 27 | $41,074 |
| Johnson & Johnson(2 entities) | 4 | $8,722 |
| Heron Therapeutics, Inc. | 15 | $3,830 |
| Coopersurgical, Inc. | 3 | $217 |
| Medtronic | 3 | $134 |
| Mayne Pharma Commercial LLC | 4 | $83 |
| Conmed Corporation | 1 | $63 |
| Hologic Sales And Service, LLC | 3 | $50 |
| Astellas Pharma US Inc | 3 | $48 |
| Teleflex LLC | 1 | $45 |
| Baxter Healthcare | 1 | $42 |
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$958,104
- VISTASEAL$29,374
- DA VINCI SP$29,300
- STRATAFIX$21,970
- SURGICEL Family of Absorbable Hemostats$14,950
- SURGIFLO Hemostatic Matrix Family of Products$14,950
- SURGICEL NU-KNIT$6,630
- EVARREST$3,900
- HTX-011$3,480
- EVICEL Fibrin Sealant (Human)$3,250
- SURGIFLO Hemostatic Matrix$3,120
- Uterine Manipulators & Injectors$145
How this compares
$1,052,645 in reported general payments places this provider in the 95th percentile of 750 obstetrics & gynecology 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 |
|---|---|---|
| PremarinEstrogens, Conjugated | 55 | $30,613 |
| Estradiol | 97 | $1,876 |
| Estradiol (Twice Weekly)Estradiol | 14 | $1,713 |
| LyllanaEstradiol | 13 | $1,338 |
| Estradiol (Once Weekly)Estradiol | 13 | $862 |
| Medroxyprogesterone Acetate | 26 | $172 |
| Acyclovir | 11 | $52 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Springfield
- Varun SankuratriSpringfield$10K
- Becky LynnSaint Louis$231K
- Timothy HallIndependence$172K
- Craig McCoyMoberly$101K
- Richard GutknechtIndependence$65K
- Amanda CarrollFestus$55K
- Amy CarterKansas City$49K
- Megan SneedLees Summit$44K
- Kimberly LemoineSaint Louis$30K
- Carrie CardaPoplar Bluff$22K
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.