Medicare Enrolled
Dr. Thomas Shook, MD, MPH
Urology Physician · Savannah, GA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Shook from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Shook
Dr. Thomas Shook is an urology physician in Savannah, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Shook performed 10,106 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Shook received a total of $5,162 from 47 pharmaceutical and/or device companies across 211 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Shook is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years of NPI registration
▲ Top 9% volume in GA
$5,162 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗10,106
Medicare services
Top 9% in GA for urology physician
Not available
Unique patients (not deduplicated)
$19
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
4,295 | $0 | $1 |
| Denosumab injection (Prolia/Xgeva) | 900 | $19 | $35 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
711 | $2 | $27 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
559 | $60 | $140 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
489 | $8 | $25 |
| PSA test (prostate cancer screening) | 394 | $18 | $97 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
354 | $6 | $92 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
258 | $5 | $30 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
225 | $3 | $30 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
224 | $90 | $205 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 217 | $133 | $700 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
155 | $73 | $197 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
122 | $59 | $552 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
108 | $10 | $69 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
95 | $38 | $95 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
84 | $37 | $97 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
75 | $25 | $120 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
74 | $8 | $43 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
65 | $25 | $142 |
| Abdominal X-ray, 1 view An X-ray image of the abdomen taken from a single angle to visualize internal structures. |
63 | $20 | $125 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
61 | $48 | $353 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
58 | $17 | $53 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
48 | $45 | $237 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
45 | $24 | $190 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
44 | $97 | $575 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
41 | $184 | $1,320 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
37 | $109 | $325 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
32 | $56 | $180 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
32 | $16 | $93 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
28 | $4 | $60 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
28 | $10 | $55 |
| Insertion of temporary bladder tube | 21 | $33 | $157 |
| Simple change of bladder tube | 21 | $70 | $225 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
20 | $74 | $774 |
| Complex urodynamic pressure flow study A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning. |
19 | $131 | $601 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
19 | $15 | $273 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
19 | $64 | $236 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
15 | $89 | $316 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
15 | $125 | $378 |
| Prostate tissue destruction using radiofrequency heated water vapor A procedure that destroys prostate tissue by using radiofrequency energy to heat water vapor. This method is applied to treat the prostate gland. |
13 | $286 | $8,562 |
| Shock wave crushing of kidney stones A procedure that uses shock waves to break kidney stones into smaller pieces so they can pass more easily from the body. |
12 | $433 | $5,300 |
| Ureteral stent insertion via endoscope A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder. |
11 | $107 | $1,406 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
0.1% high complexity
58.0% medium
41.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,162
Total received (2018-2024)
Avg $737/year across 7 years
Top 44% in GA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
211
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$610
2023
$953
2022
$866
2021
$1,213
2020
$215
2019
$878
2018
$428
Payments by company (2024)
PFIZER INC.
$81
ABBVIE INC.
$75
Merck Sharp & Dohme LLC
$46
Endo Pharmaceuticals Inc.
$46
Novartis Pharmaceuticals Corporation
$44
Bayer Healthcare Pharmaceuticals Inc.
$37
Astellas Pharma US Inc
$37
Davol Inc.
$31
Janssen Biotech, Inc.
$30
Tolmar, Inc.
$28
UROGEN PHARMA, INC.
$27
PROCEPT BioRobotics Corporation
$25
Medline Industries LP
$24
Dendreon Pharmaceuticals LLC
$20
Sumitomo Pharma America, Inc.
$18
Endo USA, Inc.
$16
AstraZeneca Pharmaceuticals LP
$15
Innovation Technologies Inc
$13
Top 3 companies account for 32.9% of 2024 payments
All-time payments by company (2018-2024) ›
BOSTON SCIENTIFIC CORPORATION
$922
Coloplast Corp
$592
PFIZER INC.
$337
Boston Scientific Corporation
$290
Astellas Pharma US Inc
$275
PROCEPT BioRobotics Corporation
$256
Dendreon Pharmaceuticals LLC
$249
Endo Pharmaceuticals Inc.
$232
Merck Sharp & Dohme LLC
$166
ABBVIE INC.
$160
AbbVie Inc.
$154
Bayer HealthCare Pharmaceuticals Inc.
$120
Bayer Healthcare Pharmaceuticals Inc.
$119
AstraZeneca Pharmaceuticals LP
$119
Novartis Pharmaceuticals Corporation
$115
Amgen Inc.
$108
UROVANT SCIENCES INC
$103
Sumitomo Pharma America, Inc.
$73
Myovant Sciences Inc.
$62
Blue Earth Diagnostics Limited
$49
Olympus America Inc.
$47
Allergan Inc.
$44
UROGEN PHARMA, INC.
$43
Janssen Biotech, Inc.
$41
Ferring Pharmaceuticals Inc.
$38
Teleflex LLC
$38
Allergan, Inc.
$34
Davol Inc.
$31
Tolmar, Inc.
$28
NeoTract Inc.
$28
MEDIVATION FIELD SOLUTIONS LLC
$27
Medline Industries LP
$24
Axonics, Inc.
$24
Antares Pharma, Inc.
$23
Merck Sharp & Dohme Corporation
$22
180 Medical, Inc.
$20
Progenics Pharmaceuticals, Inc.
$20
TOLMAR Pharmaceuticals, Inc.
$19
UroGen Pharma, Inc.
$19
Telix Pharmaceuticals
$19
Endo USA, Inc.
$16
Myriad Genetic Laboratories, Inc.
$14
Innovation Technologies Inc
$13
AbbVie, Inc.
$12
Avadel Specialty Pharmaceuticals, LLC
$11
Retrophin, Inc.
$3
Travere Therapeutics, Inc.
$2
Top 3 companies account for 35.9% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · ADVANCE · AMS · AMS 700 CXR RTE KIT · AMS 700 CXR RTE Kit · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · ARISTA AH FlexiTip · AVEED · Axonics r-SNM System · Axumin · BOTOX · BOTOX THERAPEUTIC · EDEX · ELIGARD · ERLEADA · Erleada · FIRMAGON · GEMTESA · GREENLIGHT · ILLUCCIX · IRRISEPT · JELMYTO · KEYTRUDA · LITHOVUE · LUPRON DEPOT · LYNPARZA · LithoVue · Lupron · MYRBETRIQ · Myrbetriq · NOCDURNA · Noctiva · Nubeqa · ORGOVYX · Olympus Ureteroscopes · PLUVICTO · PROLARIS · PROVENGE · PYLARIFY · Porges Coloplast · Prolia · REZUM · SPACEOAR VUE · TITAN · TOVIAZ · Thiola · UROLIFT · UroLift · VIRTUE · XGEVA · XIAFLEX · XTANDI · Xofigo · Xtandi · iTIND System
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Urology physicians in nearby ZIP areas
17
County median income
$69,575
Nearest hospital to ZIP centroid (approximate)
CANDLER HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Shook is a mixed practice specialist, with above-average Medicare volume (top 9% in GA), with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Shook experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Shook performed 4,295 contrast dye for imaging (iodine-based) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Shook receive payments from pharmaceutical companies?
Yes. Dr. Shook received a total of $5,162 from 47 companies across 211 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Shook's costs compare to other urology physicians in Savannah?
Dr. Shook's average Medicare payment per service is $19. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Shook) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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PFIZER INC. Payments to Doctors
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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