Tyler Reynolds, MD
Surgical Critical Care · Springfield, MONPI 1376737874
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (48.0%), education and food and beverage — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Intuitive Surgical at 50.5% of the total. Reporting peaked in 2019 at $1,117 and has fallen 93.7% since, to $70 in 2025.
Across 18 payments — averaging $142.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$1K
- Zimmer Biomet$957
- Kerecis Limited$96
- Prytime Medical Devices, Inc.$78
- AstraZeneca$31
- Pfizer$26
- plus $81 from 4 others
What the payments were for
- Travel & lodging$1,23248%
- Food & beverage$33313%
- Education$1,00039%
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 | 6 | $1,296 |
| Zimmer Biomet | 4 | $957 |
| Kerecis Limited | 1 | $96 |
| Prytime Medical Devices, Inc. | 1 | $78 |
| AstraZeneca | 1 | $31 |
| Pfizer | 1 | $26 |
| Dynavax Technologies Corporation | 1 | $24 |
| Novo Nordisk | 1 | $19 |
| Actelion Pharmaceuticals US, Inc. | 1 | $19 |
| IBSA Pharma Inc. | 1 | $18 |
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$1,160
- AdvantageRib$935
How this compares
$2,565 in reported general payments places this provider in the 65th percentile of 35 surgical critical care 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.
Other surgical critical care in Springfield
- Matthew SimpsonSpringfield$3K
- Grant BochicchioSaint Louis$38K
- Jacob QuickOsage Beach$12K
- Mary CarrColumbia$11K
- Charlie SrivilasaSaint Louis$11K
- Rushabh DevColumbia$9K
- Zachary EnglertSaint Louis$9K
- Sumaiya SarwarKansas City$7K
- Sheliza KabaniLees Summit$5K
- Michael KeirseySaint Louis$3K
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.