Gregory Zachmann, MD
Otolaryngology · Roanoke, VANPI 1295738094
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,174 of the $1,767 with a category attached, or 66.5%. Stryker accounts for 71.7% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2021 at $1,138 and has fallen 80.7% since, to $220 in 2023.
Across 32 payments — averaging $55.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Medtronic$205
- Regeneron Healthcare Solutions, Inc.$93
- Johnson & Johnson$70
- Olympus America Inc.$39
- Mallinckrodt Enterprises LLC$19
- plus $73 from 5 others
What the payments were for
- Travel & lodging$59334%
- Food & beverage$1,17466%
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 |
|---|---|---|
| Stryker | 16 | $1,267 |
| Medtronic | 2 | $205 |
| Regeneron Healthcare Solutions, Inc. | 1 | $93 |
| Johnson & Johnson | 5 | $70 |
| Olympus America Inc. | 2 | $39 |
| Mallinckrodt Enterprises LLC | 1 | $19 |
| Urogen Pharma, Inc. | 1 | $18 |
| Bayer | 1 | $15 |
| Aerin Medical Inc. | 1 | $15 |
| Hospira, Inc. | 1 | $13 |
| Urovant Sciences Inc | 1 | $12 |
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.
- XPRESS ENT DILATION SYSTEM$593
- PROPEL$190
- ACTISHIELD CF$152
- SHAVER SYSTEM$130
How this compares
$1,767 in reported general payments places this provider in the 55th percentile of 241 otolaryngology providers in Virginia.
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 |
|---|---|---|
| Mometasone Furoate | 21 | $2,625 |
| Azelastine Hcl | 12 | $1,626 |
| Ipratropium Bromide | 27 | $1,324 |
| Fluticasone Propionate | 51 | $899 |
| Levocetirizine Dihydrochloride | 56 | $651 |
| Ofloxacin | 26 | $557 |
| Fluocinolone Acetonide Oil | 13 | $546 |
| Lansoprazole | 16 | $370 |
| Cefdinir | 19 | $288 |
| Montelukast Sodium | 22 | $167 |
| Doxycycline Hyclate | 12 | $131 |
| Mupirocin | 14 | $80 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $46 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Roanoke
- Paul LenkowskiRoanoke$282K
- Hosai Todd HeshamRoanoke$7K
- John SinacoriRoanoke$6K
- Patrick CarpenterRoanoke$6K
- Laurence OhalloranAnnandale$2.9M
- Joseph HanNorfolk$1.8M
- Ryan NordRichmond$454K
- Nipun ChhabraLeesburg$178K
- Kent LamNorfolk$127K
- Spencer PayneCharlottesville$45K
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.