Joseph Zachary, MD
Vascular & Interventional Radiology · Mountain Home, TNNPI 1386090702
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,177 of the $4,515 with a category attached, or 70.4%. Boston Scientific accounts for 89.6% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2024 at $2,992 and has fallen 95.4% since, to $139 in 2025.
Across 42 payments — averaging $107.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$4K
- Penumbra, Inc.$199
- Medtronic$178
- Stryker$94
What the payments were for
- Travel & lodging$1,33830%
- Food & beverage$3,17770%
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 |
|---|---|---|
| Boston Scientific | 31 | $4,044 |
| Penumbra, Inc. | 5 | $199 |
| Medtronic | 2 | $178 |
| Stryker | 4 | $94 |
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.
- TheraSphere Y90 Glass Microspheres 10 GBq$2,459
- TRUSELECT$386
- GENERAL - IO ABLATION$232
- Abre$161
- EMBOLD Fibered$145
- Indigo System$124
How this compares
$4,515 in reported general payments places this provider in the 60th percentile of 76 vascular & interventional radiology providers in Tennessee.
See all vascular & interventional radiology providers in Tennessee →
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.
Other vascular & interventional radiology in Mountain Home
- Britton WoodwardKnoxville$1.6M
- Aron CharyGermantown$219K
- Samdeep MouliNashville$217K
- Reed OmaryNashville$66K
- Gregory BrunoJackson$59K
- David ZielskeNashville$46K
- Phillip ZeniMemphis$44K
- Joel PerchikGermantown$37K
- Henry DalsaniaMemphis$33K
- Michael MuhlertMemphis$24K
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.