Christine Zdeb, NP
Nurse Practitioner · Winston Salem, NCNPI 1790259984
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $9,138 of the $14,674 with a category attached, or 62.3%. 18 manufacturers reported payments, led by Medtronic at 38.4% of the total. Reporting peaked in 2023 at $6,159 and has fallen 56.1% since, to $2,703 in 2025. Among nurse practitioner 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 225 payments — averaging $65.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$6K
- Boston Scientific$5K
- Abbott$2K
- Relievant Medsystems, Inc.$391
- Nevro Corp.$302
- Biotronik NRO, Inc.$299
- plus $853 from 12 others
What the payments were for
- Speaking & faculty fees$9757%
- Travel & lodging$4,50731%
- Food & beverage$9,13862%
- Education$540%
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 |
|---|---|---|
| Medtronic | 81 | $5,638 |
| Boston Scientific | 78 | $4,860 |
| Abbott | 28 | $2,332 |
| Relievant Medsystems, Inc. | 4 | $391 |
| Nevro Corp. | 6 | $302 |
| Biotronik NRO, Inc. | 2 | $299 |
| SPR Therapeutics, Inc | 5 | $195 |
| Penumbra, Inc. | 9 | $183 |
| MML US, Inc. | 3 | $137 |
| Saluda Medical Americas, Inc. | 1 | $133 |
| GRT US Holding, Inc. | 1 | $58 |
| AbbVie | 1 | $27 |
| Augmedics Inc. | 1 | $27 |
| Cordis US CORP. | 1 | $26 |
| Vertex | 1 | $21 |
| Zimmer Biomet | 1 | $19 |
| Stimwave Technologies Incorporated | 1 | $15 |
| Tonix Medicines, Inc. | 1 | $14 |
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.
- INTELLIS ADAPTIVESTIM$2,966
- Intracept$1,542
- WaveWriter Alpha Prime 16$1,102
- SYNCHROMEDII$975
- PROCLAIM$931
- ETERNA$596
- ARTISAN$338
- Prospera$299
- GENERAL PAIN MANAGEMENT$251
- INCEPTIV$150
- Evoke$133
- ReActiv8$107
How this compares
$14,674 in reported general payments places this provider in the 95th percentile of 4,393 nurse practitioner 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 94 | $1,424 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 64 | $1,327 |
| Gabapentin | 180 | $1,294 |
| Methocarbamol | 56 | $870 |
| Pregabalin | 78 | $746 |
| Tizanidine Hcl | 52 | $530 |
| Oxycodone Hcl | 35 | $521 |
| Morphine Sulfate | 16 | $515 |
| Celecoxib | 42 | $511 |
| Baclofen | 36 | $395 |
| Tramadol Hcl | 88 | $395 |
| Cyclobenzaprine Hcl | 53 | $351 |
| Methylprednisolone | 18 | $91 |
| Meloxicam | 19 | $46 |
| Diazepam | 52 | $45 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Winston Salem
- Olivia OgburnWinston Salem$70K
- Amy MitchellWinston Salem$33K
- Mary SandsWinston Salem$32K
- Ladonna CookWinston Salem$23K
- Gillian WinterWinston Salem$18K
- Sandrivette JohnsonRaleigh$573K
- Ayeshia WrightMocksville$145K
- Jeanann VawterGastonia$97K
- Terra KampJacksonville$72K
- Mary DilorenzoCharlotte$71K
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.