Medicare Enrolled
Dr. Brent Shook, M.D.
MOHS-Micrographic Surgery Physician · The Woodlands, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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 →
Are you Dr. Shook?
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What this data tells you about Dr. Shook
Dr. Brent Shook is a mohs-micrographic surgery physician in The Woodlands, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Shook performed 3,702 Medicare services across 2,319 unique beneficiaries.
Between the years covered by Open Payments, Dr. Shook received a total of $4,434 from 39 pharmaceutical and/or device companies across 228 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in mohs-micrographic surgery physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 26% volume in TX
$4,434 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,702
Medicare services
Top 26% in TX for mohs-micrographic surgery physician
2,319
Unique beneficiaries
$145
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~195 Medicare services per year of practice
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 |
|---|---|---|---|
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
782 | $5 | $50 |
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
406 | $428 | $1,205 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
246 | $59 | $200 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
244 | $30 | $100 |
| 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. |
235 | $54 | $110 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
193 | $188 | $800 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
166 | $39 | $105 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
162 | $396 | $1,109 |
| Radiation treatment planning, 1 area This procedure involves gathering the necessary data to design the most effective radiation therapy plan for a single treatment area. |
141 | $209 | $500 |
| High dose rate electronic brachytherapy, external | 140 | $178 | $300 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 99 | $323 | $811 |
| 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. |
96 | $59 | $160 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
95 | $76 | $165 |
| Intermediate wound repair, 2.6-7.5 cm A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing. |
93 | $146 | $445 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
87 | $201 | $635 |
| 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. |
69 | $82 | $160 |
| Intraoperative pathology examination, first tissue block A pathologist examines a tissue sample removed during surgery to provide a preliminary diagnosis. This test is performed on the first tissue block obtained from the procedure. |
46 | $77 | $220 |
| 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. |
43 | $87 | $245 |
| 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. |
37 | $42 | $70 |
| Complex repair of eyelid, nose, ear, or lip wound, 2.6-7.5 cm A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 2.6 and 7.5 centimeters. |
29 | $199 | $1,100 |
| Complicated wound repair, each additional 5 cm or less This code covers the additional work for a complex surgical repair of a wound on the scalp, arms, or legs when the repair extends beyond the initial measurement. It is billed for each incremental 5-centimeter segment added to the primary procedure. |
27 | $97 | $250 |
| Complicated wound repair, each additional 5 cm or less This code covers the additional work for repairing a complex wound in specified body areas when the repair extends beyond the initial measurement. It applies to each incremental 5.0 cm or less added to the primary repair length. |
27 | $133 | $260 |
| Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less. |
27 | $576 | $1,750 |
| Intermediate wound repair, 7.6-12.5 cm This procedure involves stitching a wound on the scalp, underarms, trunk, arms, or legs that measures between 7.6 and 12.5 centimeters. It includes cleaning the wound and closing it with sutures to promote healing. |
26 | $194 | $600 |
| Destruction of 15 or more precancerous skin growths This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer. |
25 | $104 | $235 |
| Destruction of cancer skin growth, 1.1-2.0 cm Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters. |
23 | $92 | $280 |
| Surgical removal of skin cancer, 1.1-2.0 cm Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs. |
22 | $95 | $365 |
| Surgical removal of skin cancer, 2.1-3.0 cm This procedure involves the surgical excision of a cancerous skin growth located on the body, arms, or legs. The size of the removed tissue measures between 2.1 and 3.0 centimeters. |
22 | $112 | $414 |
| Complex repair of eyelid, nose, ear, or lip wound, 1.1-2.5 cm A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 1.1 and 2.5 centimeters. |
20 | $176 | $600 |
| Removal of noncancer skin growth, 1.1-2.0 cm This procedure involves the surgical removal of a benign skin growth located on the body, arms, or legs. The growth measured between 1.1 and 2.0 centimeters in diameter. |
18 | $72 | $250 |
| Full thickness skin graft to nose, ears, eyelids, or lips, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to the nose, ears, eyelids, or lips. The graft covers an area of 20 square centimeters or less. |
18 | $775 | $1,750 |
| Complicated wound repair of trunk, 2.6-7.5 cm A surgical procedure to close a complex wound on the trunk that measures between 2.6 and 7.5 centimeters in length. |
14 | $255 | $590 |
| Additional Mohs surgery stage with microscopic exam This procedure involves the removal and microscopic examination of an additional stage of tissue from the trunk, arms, or legs. It is performed in stages to ensure complete removal of the growth. |
13 | $308 | $751 |
| Radiation treatment planning, complex This procedure involves obtaining the necessary data to develop an optimal radiation treatment plan for three or more treatment areas, or any number of areas requiring special treatment. |
11 | $351 | $900 |
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. A higher procedure volume generally indicates more experience with that procedure.
0.4% high complexity
15.2% medium
84.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$4,434
Total received (2018-2024)
Avg $633/year across 7 years
Top 38% in TX for mohs-micrographic surgery physician
39
Companies
228
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,434 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$996
2023
$1,199
2022
$609
2021
$308
2020
$175
2019
$604
2018
$542
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Sun Pharmaceutical Industries Inc.
$765
Janssen Biotech, Inc.
$519
Incyte Corporation
$283
ABBVIE INC.
$276
SUN PHARMACEUTICAL INDUSTRIES INC.
$248
Amgen Inc.
$214
GENZYME CORPORATION
$207
Almirall LLC
$206
Novartis Pharmaceuticals Corporation
$199
Mayne Pharma Inc.
$195
Regeneron Healthcare Solutions, Inc.
$166
Ortho Dermatologics, a division of Bausch Health US, LLC
$160
PFIZER INC.
$112
AbbVie, Inc.
$108
AbbVie Inc.
$99
E.R. Squibb & Sons, L.L.C.
$87
Galderma Laboratories, L.P.
$85
Novum Pharma, LLC
$54
Celgene Corporation
$51
Lilly USA, LLC
$39
LEO Pharma Inc.
$33
EPI Health, LLC
$25
Bayer HealthCare Pharmaceuticals Inc.
$24
Urgo Medical North America, LLC
$22
DERMIRA, INC.
$22
Kerecis Limited
$21
Journey Medical Corporation
$21
MAYNE PHARMA INC.
$20
Biofrontera Inc.
$20
Taro Pharmaceuticals USA, Inc.
$18
Dermavant Sciences, Inc.
$18
ConvaTec Inc.
$18
Mission Pharmacal Company
$18
Helsinn Therapeutics (U.S.), Inc.
$16
Merck Sharp & Dohme Corporation
$15
VYNE Pharmaceuticals Inc.
$15
UCB, Inc.
$15
Mylan Pharmaceuticals Inc.
$11
MAYNE PHARMA COMMERCIAL LLC
$7
Top 3 companies account for 35.3% of total payments
Associated products mentioned in payments ›
ABSORICA (isotretinoin) · AKLIEF · AMELUZ · AMZEEQ · Acticlate · Alcortin A · BLU-U · BOTOX · Bimzelx · CIBINQO · CLODERM · COSENTYX · Cabtreo · Clindamycin Phosphate and Benzoyl Peroxide · DORYX · DUPIXENT · ELIDEL · ENSTILAR · EPIDUO FORTE · EUCRISA · Finacea · HALOG OINTMENT (Halcinonide Ointment · HUMIRA · Humira · ILUMYA · ILUMYA (tildrakizumab-asmn) injection · INNOVAMATRIX AC · Ilumya · JUBLIA · Kerecis Omega3 SurgiClose · Klisyri · LIBTAYO · ONEXTON · OPZELURA · Otezla · QBREXZA · REMICADE · RINVOQ · SILIQ · SIVEXTRO · SKYRIZI · SOOLANTRA · Seysara · Sotyktu · TALTZ · TREMFYA · USP) 0.1% · VALCHLOR · VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP · VTAMA · Veltin · Winlevi
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $120 per 100 Medicare services performed
Geographic Context
Mohs-micrographic surgery physicians within 10 mi
5
Per 100K population
0.8
County median income
$97,266
Nearest hospital
HOUSTON METHODIST THE WOODLANDS HOSPITAL
4.2 mi
4.2 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Shook is a mixed practice specialist, with above-average Medicare volume (top 26% in TX), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Shook experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Shook performed 782 destruction of precancerous skin growths, 2-14 services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Shook receive payments from pharmaceutical companies?
Yes. Dr. Shook received a total of $4,434 from 39 companies across 228 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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 mohs-micrographic surgery physicians in The Woodlands?
Dr. Shook's average Medicare payment per service is $145. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. The Transparency Score measures 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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