Zachary Litvack, MD
Neurological Surgery · Seattle, WANPI 1235347980
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.1%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Medtronic accounts for 77.7% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $11,628, 9.7 times the $1,205 reported in 2019.
Across 49 payments — averaging $281.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$11K
- Monteris Medical Corporation$1000
- Integra Lifesciences Corporation$634
- NICO Corporation$319
- Arrinex, Inc.$252
- Stryker$188
- plus $673 from 6 others
Across 7 payments — averaging $5578.14 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- NX Development Corp.$24K
- Novartis$15K
What the payments were for
- Consulting fees$8,14059%
- Travel & lodging$2,75720%
- Food & beverage$2,87421%
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 |
|---|---|---|
| Medtronic(2 entities) | 23 | $10,706 |
| Monteris Medical Corporation | 7 | $1,000 |
| Integra Lifesciences Corporation | 5 | $634 |
| NICO Corporation | 2 | $319 |
| Arrinex, Inc. | 2 | $252 |
| Stryker | 2 | $188 |
| Globus Medical | 3 | $156 |
| Microvention, Inc. | 1 | $141 |
| Boston Scientific | 1 | $121 |
| Longeviti Neuro Solutions Inc | 1 | $104 |
| Biotronik NRO, Inc. | 1 | $76 |
| Olympus America Inc. | 1 | $74 |
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.
- STEALTHSTATION S8 PLATFORM$9,901
- Neuroblate$763
- CODMAN CERTAS$634
- CUSA CLARITY$634
- NICO BRAINPATH$420
- DURAGEN$342
- DURASEAL EXACT$342
- CODMAN HAKIM PRECISION VALVE$342
- NICO AUTOMATED PRESERVATION SYSTEM$319
- NICO MENIGLIDE$319
- NICO SECUREHOLD$319
- NICO FLUID SYSTEM$319
- CODMAN HAKIM$293
- DURASEAL EXACT SPINAL SEALANT SYSTEM$293
- CLARIFIX$252
- MAZOR X SYSTEM$203
- VERTEX$156
- WEB$141
- HydroFrame Coil$141
- HydroSoft 3D Coil$141
How this compares
$13,772 in reported general payments places this provider in the 80th percentile of 175 neurological 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.
Other neurological surgery in Seattle
- Rod OskouianSeattle$2.4M
- Christoph HofstetterSeattle$768K
- Stephen MonteithSeattle$151K
- Jean-Christophe LevequeSeattle$120K
- Vijay YanamadalaSeattle$85K
- Hoan Vu TranSeattle$78K
- Martin RutkowskiSeattle$62K
- Bailey ZampellaSeattle$38K
- Melanie WalkerSeattle$38K
- Elias EliasSeattle$35K
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.