Zachary Lubek, DPM
Foot & Ankle Surgery · Billings, MTNPI 1093375586
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (39.3%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Stryker at 36.0% of the total. Reporting peaked in 2022 at $6,685 and has fallen 72.9% since, to $1,813 in 2025.
Across 119 payments — averaging $154.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$7K
- Medline Industries LP$5K
- Biopoly LLC$3K
- Sioux Surgical Inc$1K
- Medical Device Business Services, Inc.$780
- International Life Sciences$708
- plus $902 from 11 others
What the payments were for
- Speaking & faculty fees$2,99816%
- Travel & lodging$7,20239%
- Food & beverage$6,14834%
- Education$1,98011%
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 |
|---|---|---|
| Stryker(2 entities) | 63 | $6,591 |
| Medline Industries LP | 23 | $4,887 |
| Biopoly LLC | 2 | $3,063 |
| Sioux Surgical Inc | 5 | $1,396 |
| Medical Device Business Services, Inc. | 4 | $780 |
| International Life Sciences | 3 | $708 |
| Integra Lifesciences Corporation | 4 | $331 |
| Johnson & Johnson | 4 | $133 |
| Linvatec Corporation | 1 | $89 |
| Treace Medical Concepts, Inc. | 1 | $81 |
| Bone Support Inc. | 1 | $72 |
| Averitas Pharma Inc. | 3 | $61 |
| Bioventus LLC | 1 | $39 |
| Arthrex | 1 | $28 |
| Smith+Nephew | 1 | $27 |
| Zimmer Biomet | 1 | $26 |
| Mimedx Group, Inc. | 1 | $14 |
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.
- PROstep$2,850
- INTEGRA$726
- ASNIS$296
- INTEGRA DERMAL REGENERATION TEMPLATE$242
- PRIMATRIX$242
- VARIAX$171
- INFINITY$154
- AUGMENT INJECTABLE$145
- CARTIVA$133
- ALLOPURE$129
- BIOFOAM$122
- FLEXBAND$120
- ACTISHIELD CF$120
- ANCHORAGE$109
- COLORADO$105
How this compares
$18,327 in reported general payments places this provider in the 85th percentile of 34 foot & ankle surgery providers in Montana.
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 |
|---|---|---|
| Cephalexin | 23 | $96 |
| Oxycodone Hcl | 29 | $87 |
| Meloxicam | 12 | $44 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Billings
- Merrell KauweBillings$6K
- Ryan PayneBillings$3K
- Scott DemarsBillings$3K
- Kelda BeachyBillings$2K
- Paul OuradnikBillings$712
- Michael YorgasonBillings$270
- David BrowerBillings$208
- William OreillyBillings$170
- Craig McLawsBillings$12
- Dallin GreeneGlendive$187K
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.