Stephen Zonca, MD
Plastic and Reconstructive Surgery · Muskegon, MINPI 1255394482
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 34 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Merz North America, Inc. at 28.7% of the total. Reporting peaked in 2019 at $566 and has fallen 75.0% since, to $142 in 2025. That places this record below the midpoint for plastic and reconstructive surgery clinicians in MI, where the typical reported total is $1,935.
Across 34 payments — averaging $49.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merz North America, Inc.$482
- Mentor Worldwide LLC$320
- Musculoskeletal Transplant Foundation Inc.$183
- Galderma Laboratories, L.p.$156
- Checkpoint Surgical, Inc$104
- KCI USA, Inc.$93
- plus $342 from 6 others
What the payments were for
- Food & beverage$1,679100%
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 |
|---|---|---|
| Merz North America, Inc. | 6 | $482 |
| Mentor Worldwide LLC | 9 | $320 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $183 |
| Galderma Laboratories, L.p. | 2 | $156 |
| Checkpoint Surgical, Inc | 1 | $104 |
| KCI USA, Inc. | 1 | $93 |
| Stryker | 2 | $83 |
| AbbVie(2 entities) | 4 | $80 |
| Smith+Nephew | 3 | $56 |
| Integra Lifesciences Corporation | 2 | $44 |
| Lemaitre Vascular, Inc. | 1 | $42 |
| Acelrx Pharmaceuticals, Inc. | 2 | $37 |
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.
How this compares
$1,679 in reported general payments places this provider in the 40th percentile of 55 plastic and reconstructive surgery providers in Michigan.
See all plastic and reconstructive surgery providers in Michigan →
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 |
|---|---|---|
| Fluorouracil | 141 | $7,602 |
| SsdSilver Sulfadiazine | 80 | $972 |
| Betamethasone Dipropionate | 22 | $873 |
| Metronidazole | 11 | $792 |
| Doxycycline Monohydrate | 48 | $689 |
| Cephalexin | 111 | $383 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 98 | $338 |
| Mupirocin | 30 | $323 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 14 | $294 |
| Silver Sulfadiazine | 15 | $244 |
| Doxycycline Hyclate | 43 | $230 |
| Nystatin-TriamcinoloneNystatin/Triamcinolone Acet | 12 | $214 |
| Ibuprofen | 50 | $173 |
| Tramadol Hcl | 20 | $16 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Muskegon
- Dena ThayerMuskegon$3K
- Michael MeiningerBloomfield Hills$152K
- Dunya AtishaDetroit$74K
- Barak TanzmanBerkley$70K
- Firas KarmoPontiac$47K
- Melek KayserSaint Clair Shores$28K
- Theodore KungAnn Arbor$19K
- Pravin PuriTroy$16K
- Christopher LumleyBingham Farms$15K
- Maristella EvangelistaDetroit$11K
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.