Tyson Cobb, MD
Hand Surgery · Davenport, IANPI 1598735094
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $153,481 of the $154,647 with a category attached, or 99.2%. Smith+Nephew accounts for 60.8% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $44,433 and has fallen 74.1% since, to $11,514 in 2025. Among hand surgery clinicians in IA 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 49 payments — averaging $3156.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$94K
- Integra Lifesciences Corporation$60K
- Prism Medical$680
- Arthrex$250
- Aesculap, Inc.$100
- Mauna Kea Technologies, Inc.$38
- plus $98 from 4 others
Across 6 payments — averaging $554.96 each. An ownership or investment interest held by the physician or an immediate family member.
- Sonex Health, Inc.$3K
What the payments were for
- Royalty or licence$153,48199%
- Travel & lodging$5600%
- Food & beverage$5070%
- Other$1000%
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 |
|---|---|---|
| Smith+Nephew | 15 | $93,957 |
| Integra Lifesciences Corporation | 9 | $59,525 |
| Prism Medical | 3 | $680 |
| Arthrex | 15 | $250 |
| Aesculap, Inc. | 1 | $100 |
| Mauna Kea Technologies, Inc. | 2 | $38 |
| Stryker | 1 | $33 |
| Wardlow Enterprises | 1 | $24 |
| Orthofix Medical, Inc. | 1 | $21 |
| Pfizer | 1 | $20 |
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.
How this compares
$154,647 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Methylprednisolone | 53 | $327 |
| Gabapentin | 55 | $265 |
| Ibuprofen | 40 | $114 |
| Tramadol Hcl | 47 | $93 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $79 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Davenport
- Megan CrosmerDavenport$669
- Melissa Young-SzalayWest Des Moines$16K
- Betsey BeanAmes$13K
- Brock ReiterAnkeny$9K
- Peter ChimentiCedar Rapids$5K
- Joseph BuckwalterIowa City$4K
- Shane CookDes Moines$4K
- John HeinemanDes Moines$4K
- Jonathan WinstonBettendorf$3K
- Jeffrey RodgersWest Des Moines$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.