Todd Shanks, MD
Neurological Surgery · Frisco, TXNPI 1154542181
Payments from drug & device makers
Across 151 payments — averaging $1105.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Republic Spine$132K
- Innovasis Inc$20K
- Nanohive Medical LLC$8K
- Abbott$2K
- 4web, Inc.$1K
- Camber Spine Technologies LLC$956
- plus $3K from 21 others
What the payments were for
- Royalty or licence$11,7557%
- Consulting fees$139,00083%
- Travel & lodging$8,1795%
- Food & beverage$7,5054%
- Gifts$5300%
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 |
|---|---|---|
| Republic Spine | 20 | $132,053 |
| Innovasis Inc | 24 | $20,206 |
| Nanohive Medical LLC | 4 | $7,716 |
| Abbott | 31 | $1,696 |
| 4web, Inc. | 1 | $1,000 |
| Camber Spine Technologies LLC | 15 | $956 |
| Medtronic(2 entities) | 19 | $827 |
| The Institute Of Musculoskeletal Science And Education | 1 | $530 |
| Icotec Medical Inc. | 5 | $463 |
| 7d Surgical ULC | 2 | $287 |
| Genesys Orthopedics Systems, L.L.C. | 2 | $242 |
| CPM Medical Consultants, LLC | 1 | $186 |
| Stryker | 2 | $163 |
| Orthofix Medical, Inc. | 6 | $128 |
| Life Spine, Inc. | 3 | $105 |
| Providence Medical Technology, Inc. | 1 | $85 |
| Kuros Biosciences USA, Inc | 1 | $55 |
| Fuse Medical, Inc. | 1 | $53 |
| Sonex Health, Inc. | 2 | $38 |
| Si-bone, Inc. | 1 | $38 |
| Pacira Therapeutics, Inc. | 2 | $36 |
| Integra Lifesciences Corporation | 2 | $29 |
| Mimedx Group, Inc. | 1 | $20 |
| Brainlab, Inc. | 1 | $16 |
| Sanofi-aventis U.S. LLC | 1 | $15 |
| Theragen, Inc. | 1 | $14 |
| Nevro Corp. | 1 | $12 |
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.
- Expandable Interbody System$131,250
- Hive ALIF, Hive O-AL,$6,750
- SPINE TRUSS SYSTEM$1,000
- Hive O-AL$648
- Proclaim Family of SCS IPGs$410
- 7D Surgical System$283
- Hive ALIF, Hive O-AL, Hive Standalone Cervical$253
- TiLock$242
- PROCLAIM$222
- icotec BlackArmor Spine System$195
- Fuse Pedicle Screw System$186
- icotec Cervical Cage$175
- icotec Interbody Cage System$175
- Vader one Pedicle System MIS$175
- INTELLIS$169
- ADVANCED PRODUCT DEVELOPMENT$128
- nanoLOCK-L$124
- Protege Family of SCS IPGs$118
- Mazor X Stealth Edition$110
How this compares
$166,969 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 |
|---|---|---|
| Celecoxib | 39 | $1,086 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $630 |
| Gabapentin | 55 | $491 |
| Methylprednisolone | 26 | $208 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Frisco
- Ripul PanchalFrisco$683K
- John DormanOdessa$8.5M
- Daniel PetersonAustin$5.8M
- Daniel CurryHouston$3M
- Peter KanGalveston$1.8M
- Mirza BaigShenandoah$1.6M
- Koijan KainthThe Woodlands$1.3M
- Luis DuarteSan Angelo$1.2M
- Douglas FoxAustin$948K
- Richard MeyratDallas$883K
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.