Hossein Pakzadsedigh, MD
Foot and Ankle Surgery · Tacoma, WANPI 1699066530
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (53.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 4 manufacturers reported payments, led by Arthrex at 58.1% of the total. Reporting peaked in 2022 at $6,768 and has fallen 91.4% since, to $581 in 2025.
Across 50 payments — averaging $201.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$6K
- Stryker$3K
- Summit Surgical Corp.$2K
- Zimmer Biomet$90
What the payments were for
- Travel & lodging$3,02230%
- Food & beverage$1,65916%
- Education$5,38153%
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 |
|---|---|---|
| Arthrex | 34 | $5,849 |
| Stryker(2 entities) | 11 | $2,534 |
| Summit Surgical Corp. | 3 | $1,590 |
| Zimmer Biomet | 2 | $90 |
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.
- PROstep$1,038
- INFINITY ADAPTIS$581
- PROPHECY$575
- AXS INFINITY LS$172
How this compares
$10,062 in reported general payments places this provider in the 80th percentile of 203 foot and ankle surgery providers in Washington.
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 |
|---|---|---|
| Diclofenac Sodium | 26 | $571 |
| Naproxen | 13 | $101 |
| Meloxicam | 18 | $88 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Tacoma
- Timothy ChanTacoma$7K
- Ruben MechellTacoma$6K
- Jeffrey ChristensenEverett$828K
- David DalstromSeattle$491K
- Richard LamourOlympia$87K
- Adam AlbabaSeattle$46K
- Stephen BenirschkeSeattle$45K
- Craig CliffordFederal Way$44K
- Shawn KhademiRenton$43K
- Gregory GrabowskiBellevue$34K
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.