Adam Zanation, MD
Otolaryngology · Hickory, NCNPI 1780706457
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $195,610 of the $226,713 with a category attached, or 86.3%. 15 manufacturers reported payments, led by Acclarent, Inc at 42.8% of the total. Among otolaryngology clinicians in NC 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 133 payments — averaging $1704.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$97K
- Janssen Research & Development, LLC$94K
- Medical Device Business Services, Inc.$16K
- Medtronic$16K
- Stryker$1K
- 3-d Matrix, Inc.$809
- plus $1K from 9 others
What the payments were for
- Consulting fees$195,61086%
- Speaking & faculty fees$16,0337%
- Travel & lodging$8,8994%
- Food & beverage$6,1453%
- Education$260%
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 |
|---|---|---|
| Acclarent, Inc | 58 | $96,986 |
| Janssen Research & Development, LLC | 29 | $93,862 |
| Medical Device Business Services, Inc. | 8 | $16,334 |
| Medtronic(2 entities) | 3 | $16,063 |
| Stryker | 15 | $1,407 |
| 3-d Matrix, Inc. | 1 | $809 |
| Integra Lifesciences Corporation | 5 | $300 |
| Intersect ENT, Inc. | 3 | $284 |
| Aerin Medical Inc. | 2 | $156 |
| Cook Medical LLC | 3 | $138 |
| GSK | 1 | $134 |
| Zimmer Biomet | 2 | $124 |
| Johnson & Johnson | 1 | $70 |
| Merck | 1 | $26 |
| Boston Scientific | 1 | $21 |
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.
- ACCLARENT Balloon Inflation Device$26,563
- ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM$19,410
- FUSION$16,033
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$12,274
- Acclarent ENT Navigation System$5,775
- TruDi Navigation System$2,214
- TruDi Nav Suction$2,130
- TruDi Nav Cable$1,867
- NSE - HIGH SPEED DRILLS$985
- VSP RECONSTRUCTION$160
- VIVAER STYLUS$142
- RHINAER STYLUS$142
- PROPEL$139
- NUCALA$134
- CODMAN CERTAS$127
- CUSA CLARITY$127
- DURAGEN$127
- DURASEAL EXACT$127
- CODMAN HAKIM PRECISION VALVE$127
- TruDi$125
How this compares
$226,713 in reported general payments places this provider in the 95th percentile of 362 otolaryngology providers in North Carolina.
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 |
|---|---|---|
| Omeprazole | 85 | $1,397 |
| SynthroidLevothyroxine Sodium | 21 | $1,341 |
| Azithromycin | 88 | $577 |
| Fluticasone Propionate | 39 | $407 |
| Levothyroxine Sodium | 81 | $370 |
| Prednisone | 43 | $314 |
| Ofloxacin | 12 | $257 |
| Fluconazole | 11 | $239 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 26 | $222 |
| Pantoprazole Sodium | 40 | $217 |
| Oxycodone Hcl | 28 | $161 |
| Gabapentin | 13 | $77 |
| Montelukast Sodium | 26 | $29 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Hickory
- David MelonHickory$14K
- David JangDurham$324K
- Robert FerrisRaleigh$258K
- Brent SeniorChapel Hill$91K
- Charles EbertChapel Hill$57K
- Adam CampbellWinston Salem$47K
- Harold PillsburyChapel Hill$42K
- John BuentingSylva$30K
- Brendan O ConnellCharlotte$28K
- Nicholas ThompsonChapel Hill$24K
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.