Zachary Mirsky, MD
Anesthesiology · Atlantis, FLNPI 1902255706
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 74 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 20 manufacturers reported payments, led by Abbott at 26.8% of the total. Reporting peaked in 2022 at $1,063 and has fallen 73.1% since, to $286 in 2023. Among anesthesiology clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 74 payments — averaging $25.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$498
- Medtronic$422
- Scilex Pharmaceuticals Inc.$164
- Kowa Pharmaceuticals America, Inc.$133
- Nevro Corp.$131
- Nalu Medical, Inc.$92
- plus $418 from 14 others
What the payments were for
- Food & beverage$1,858100%
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 |
|---|---|---|
| Abbott | 23 | $498 |
| Medtronic | 10 | $422 |
| Scilex Pharmaceuticals Inc. | 10 | $164 |
| Kowa Pharmaceuticals America, Inc. | 8 | $133 |
| Nevro Corp. | 1 | $131 |
| Nalu Medical, Inc. | 1 | $92 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $71 |
| Boston Scientific | 2 | $62 |
| Pfizer | 2 | $46 |
| SPR Therapeutics, Inc | 3 | $42 |
| GRT US Holding, Inc. | 2 | $28 |
| Forte Bio-pharma LLC | 1 | $28 |
| Merck | 1 | $22 |
| Stimwave Technologies Incorporated | 1 | $22 |
| Avanos Medical | 1 | $20 |
| Camber Spine Technologies LLC | 1 | $18 |
| Merz Pharmaceuticals, LLC | 1 | $17 |
| Almatica Pharma LLC | 1 | $16 |
| Relievant Medsystems, Inc. | 1 | $12 |
| Hikma Pharmaceuticals USA | 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.
- Omnia$131
- INTELLIS$128
- SYNCHROMEDII$122
How this compares
$1,858 in reported general payments places this provider in the 90th percentile of 2,767 anesthesiology providers in Florida.
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 anesthesiology in Atlantis
- Robert LondonOrlando$402K
- Todd HorowitzDelray Beach$267K
- Darren WredeLargo$211K
- Ralf GebhardMiami$166K
- Adam BlombergHollywood$120K
- Andre BoezaartGainesville$119K
- Samantha NiekampMiami$82K
- Jackson WagonerGainesville$70K
- Sorin BrullJacksonville$66K
- Roman DudarykMiami$57K
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.