Carla Zacher
Pediatrics · Bismarck, NDNPI 1700828225
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 54 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 19 manufacturers, the largest accounting for just 17.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $325 and has fallen 73.7% since, to $85 in 2025. Among pediatrics clinicians in ND 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 54 payments — averaging $15.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$145
- Lilly USA, LLC$120
- Takeda Pharmaceuticals U.S.A., Inc.$102
- Merck$60
- Gilead$40
- Sanofi Pasteur Inc.$38
- plus $306 from 13 others
Across 14 payments — averaging $771.32 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- AbbVie$9K
- Vivus LLC$1K
What the payments were for
- Food & beverage$812100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Pfizer | 7 | $145 |
| Lilly USA, LLC | 16 | $120 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $102 |
| Merck | 3 | $60 |
| Gilead | 1 | $40 |
| Sanofi Pasteur Inc. | 2 | $38 |
| Ultragenyx Pharmaceutical Inc. | 2 | $37 |
| GSK | 1 | $36 |
| Astellas Pharma US Inc | 2 | $33 |
| Pacira Therapeutics, Inc. | 2 | $33 |
| Novo Nordisk | 2 | $28 |
| Xeris Pharmaceuticals, Inc. | 1 | $25 |
| Grifols USA, LLC | 2 | $24 |
| Biomarin Pharmaceutical Inc. | 1 | $19 |
| Sobi, Inc | 1 | $17 |
| Vertex | 1 | $16 |
| Collegium Pharmaceutical, Inc. | 1 | $14 |
| Ipsen Biopharmaceuticals, Inc | 1 | $13 |
| Adlon Therapeutics L.p. | 1 | $12 |
How this compares
$812 in reported general payments places this provider in the 95th percentile of 83 pediatrics providers in North Dakota.
Other pediatrics in Bismarck
- Vanessa NelsonBismarck$710
- Lisa KozelBismarck$587
- Aaron van NingenBismarck$554
- Evan RoglerBismarck$437
- Amy JuelsonBismarck$333
- Amber CasterBismarck$321
- Courtney NordmeyerBismarck$189
- Jamie PeshekBismarck$180
- Kristie TomanBismarck$179
- Stephen McDonoughBismarck$175
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.