Zachary Nowak, MD
Pain Medicine · Grand Rapids, MINPI 1487176665
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,959 of the $4,813 with a category attached, or 61.5%. 16 manufacturers reported payments, led by Boston Scientific at 40.5% of the total. Reporting peaked in 2022 at $1,378 and has fallen 68.0% since, to $441 in 2025.
Across 81 payments — averaging $59.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- Nevro Corp.$692
- Relievant Medsystems, Inc.$633
- Medtronic$517
- SPR Therapeutics, Inc$184
- Abbott$167
- plus $671 from 10 others
What the payments were for
- Travel & lodging$1,85439%
- Food & beverage$2,95961%
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 |
|---|---|---|
| Boston Scientific | 18 | $1,948 |
| Nevro Corp. | 16 | $692 |
| Relievant Medsystems, Inc. | 2 | $633 |
| Medtronic | 15 | $517 |
| SPR Therapeutics, Inc | 4 | $184 |
| Abbott | 4 | $167 |
| Stryker | 2 | $161 |
| Nalu Medical, Inc. | 3 | $153 |
| AbbVie(2 entities) | 4 | $86 |
| Globus Medical | 3 | $80 |
| Vertex | 3 | $61 |
| Vertos Medical, Inc. | 3 | $49 |
| Lightbody Medical Technologies Inc | 1 | $29 |
| Saluda Medical Americas, Inc. | 1 | $20 |
| Averitas Pharma Inc. | 1 | $17 |
| Fidia Pharma USA Inc. | 1 | $15 |
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.
- Intracept$2,820
- Superion Indirect Decompression System$704
- Senza Spinal Cord Stimulation System$247
- INTELLIS$168
- SYNCHROMEDII$155
- mild Device Kit$149
- Omnia$143
- WaveWriter Alpha Prime 16$121
- PROCLAIM$120
- SUPERION$101
How this compares
$4,813 in reported general payments places this provider in the 65th percentile of 139 pain medicine 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 163 | $2,367 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 54 | $858 |
| Pregabalin | 61 | $743 |
| Cyclobenzaprine Hcl | 67 | $547 |
| Gabapentin | 82 | $542 |
| Morphine Sulfate ErMorphine Sulfate | 25 | $472 |
| Methadone Hcl | 17 | $394 |
| Oxycodone Hcl | 23 | $292 |
| Methocarbamol | 27 | $261 |
| Tizanidine Hcl | 17 | $200 |
| Baclofen | 18 | $175 |
| Methylprednisolone | 24 | $138 |
| Tramadol Hcl | 11 | $44 |
| Meloxicam | 19 | $43 |
| Diazepam | 12 | $30 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Grand Rapids
- Yijia ChuGrand Rapids$88K
- Peter KhouryGrand Rapids$15K
- Matthew VillerotGrand Rapids$14K
- Emilio ValdesGrand Rapids$5K
- Adam PowellGrand Rapids$5K
- Kevin NemethGrand Rapids$5K
- Carl HinshawGrand Rapids$3K
- Daniel VeldheerGrand Rapids$3K
- Harry SukumaranRochester Hills$304K
- Nasir KhatriFlint$133K
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.