Zachary Fisk, MD
Pain Medicine · Bellevue, WANPI 1992931711
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.0% of the total across 106 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 16.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $782 and has fallen 78.3% since, to $170 in 2025.
Across 106 payments — averaging $27.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$488
- AbbVie$462
- SPR Therapeutics, Inc$326
- Abbott$205
- Boston Scientific$175
- Lilly USA, LLC$154
- plus $1K from 23 others
What the payments were for
- Consulting fees$1003%
- Food & beverage$2,77696%
- Entertainment$171%
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 |
|---|---|---|
| Nevro Corp. | 22 | $488 |
| AbbVie | 21 | $462 |
| SPR Therapeutics, Inc | 4 | $326 |
| Abbott | 8 | $205 |
| Boston Scientific | 3 | $175 |
| Lilly USA, LLC | 8 | $154 |
| Painteq LLC | 2 | $124 |
| Collegium Pharmaceutical, Inc. | 6 | $116 |
| Si-bone, Inc. | 1 | $115 |
| Comsort, Inc | 1 | $100 |
| Amgen(2 entities) | 5 | $99 |
| Fidia Pharma USA Inc. | 3 | $73 |
| Pfizer | 2 | $47 |
| Merz Pharmaceuticals, LLC | 1 | $47 |
| Biodelivery Sciences International, Inc. | 2 | $41 |
| Nalu Medical, Inc. | 1 | $36 |
| Lundbeck LLC | 2 | $35 |
| Biohaven Pharmaceuticals, Inc. | 2 | $33 |
| Avanos Medical | 1 | $27 |
| Sentynl Therapeutics, Inc. | 2 | $23 |
| Arbor Pharmaceuticals, Inc. | 1 | $23 |
| Kowa Pharmaceuticals America, Inc. | 1 | $21 |
| Assertio Therapeutics, Inc. | 1 | $20 |
| Bioventus LLC | 1 | $20 |
| Medtronic | 1 | $18 |
| Teva Pharmaceuticals USA, Inc. | 1 | $17 |
| Flowonix Medical Incorporated | 1 | $17 |
| Orexo US, Inc. | 1 | $16 |
| Redhill Biopharma 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.
- SPRINT PNS System$225
- Omnia$145
- GENERAL PAIN MANAGEMENT$118
- iFuse Implant$115
- PAINTEQ$104
- BRIDION$100
How this compares
$2,892 in reported general payments places this provider in the 55th percentile of 124 pain medicine 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 |
|---|---|---|
| Buprenorphine | 20 | $3,536 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 16 | $2,308 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 70 | $2,087 |
| Oxycodone Hcl | 89 | $1,318 |
| Buprenorphine Hcl | 32 | $1,229 |
| Pregabalin | 27 | $539 |
| Tramadol Hcl | 23 | $235 |
| Hydromorphone Hcl | 17 | $190 |
| Baclofen | 16 | $164 |
| Tizanidine Hcl | 11 | $117 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Bellevue
- Robert BowersBellevue$2K
- Jennifer LeeKirkland$318K
- Steven StanosSeattle$206K
- Corrie AndersonSeattle$102K
- Gregory TermanSeattle$95K
- Caroline HarstroemEverett$74K
- Sloane YuVancouver$42K
- Praveen MambalamEdmonds$32K
- Miroslav BackonjaSeattle$22K
- Ross VogelgesangOlympia$21K
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.