Isidoro Zambrano, MD
Orthopaedic Surgery · Fort Atkinson, WINPI 1598712663
Payments from drug & device makers
Across 31 payments — averaging $120.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Great Lakes Orthopedics$1K
- Stryker$1K
- Zimmer Biomet$366
- Spineology Inc.$274
- Johnson & Johnson$270
- Exactech, Inc.$145
- plus $437 from 7 others
What the payments were for
- Travel & lodging$1293%
- Food & beverage$2,39264%
- Education$1,20032%
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 |
|---|---|---|
| Great Lakes Orthopedics | 1 | $1,200 |
| Stryker | 11 | $1,029 |
| Zimmer Biomet | 3 | $366 |
| Spineology Inc. | 1 | $274 |
| Johnson & Johnson | 6 | $270 |
| Exactech, Inc. | 1 | $145 |
| Linvatec Corporation | 1 | $129 |
| Mindray DS USA, Inc. | 2 | $121 |
| FX Shoulder Solutions, Inc | 1 | $85 |
| Orthalign Inc | 1 | $43 |
| Enduromed, LLC | 1 | $27 |
| Medtronic | 1 | $20 |
| Integra Lifesciences Corporation | 1 | $13 |
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.
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$274
- MAKO$169
- EQUINOXE$145
- AEQUALIS ASCEND FLEX$142
- LINVATEC HIP PRESERVATION SYSTEM$129
- VARIAX$128
- Comprehensive Shoulder System$127
- HEALIX KNOTLESS PEEK$125
- RIGIDLOOP$125
- AXSOS$124
- Affixus$122
- ROSA$117
How this compares
$3,721 in reported general payments places this provider in the 55th percentile of 498 orthopaedic surgery providers in Wisconsin.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 88 | $1,233 |
| Cephalexin | 297 | $488 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $323 |
| Mupirocin | 26 | $219 |
| Clindamycin Hcl | 54 | $96 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Fort Atkinson
- Robert ChurchillGrafton$8.3M
- Richard IllgenMadison$6.1M
- Jeffrey McLaughlinOshkosh$2M
- Clifford TribusMadison$1.4M
- Thomas ZdeblickMadison$1.1M
- Rick PapandreaPewaukee$747K
- Christopher BibboStevens Point$717K
- Justin MitchellOnalaska$666K
- Robert LimoniAppleton$526K
- Paul AndersonVerona$456K
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.