Zachary Nuffer, MD
Vascular & Interventional Radiology · Terre Haute, INNPI 1235558297
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (48.9%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Sirtex Medical Inc accounts for 82.7% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $22,645, more than ten times the $125 reported in 2021.
Across 98 payments — averaging $252.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sirtex Medical Inc$20K
- Boston Scientific$1K
- Inari Medical, Inc.$788
- Penumbra, Inc.$719
- Trisalus Life Sciences, Inc.$528
- Stryker$422
- plus $657 from 9 others
What the payments were for
- Consulting fees$6,00024%
- Speaking & faculty fees$12,10049%
- Travel & lodging$2,0908%
- Food & beverage$4,56718%
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 |
|---|---|---|
| Sirtex Medical Inc | 23 | $20,474 |
| Boston Scientific | 9 | $1,168 |
| Inari Medical, Inc. | 16 | $788 |
| Penumbra, Inc. | 2 | $719 |
| Trisalus Life Sciences, Inc. | 16 | $528 |
| Stryker | 6 | $422 |
| Balt USA, LLC | 7 | $167 |
| Terumo Medical Corporation | 12 | $140 |
| Pfizer | 1 | $125 |
| Medtronic | 1 | $87 |
| Bard Peripheral Vascular, Inc. | 1 | $71 |
| BD | 1 | $19 |
| Siemens Medical Solutions USA, Inc. | 1 | $17 |
| Cook Medical LLC | 1 | $16 |
| Angiodynamics, 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.
How this compares
$24,756 in reported general payments places this provider in the 70th percentile of 74 vascular & interventional radiology providers in Indiana.
See all vascular & interventional radiology providers in Indiana →
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 vascular & interventional radiology in Terre Haute
- Paul TimpermanWest Lafayette$1.3M
- Daniel SahleinCarmel$845K
- Sabah ButtyMishawaka$275K
- Jeffrey RamkaransinghIndianapolis$274K
- Brandon MartinezFishers$226K
- Nazar GolewaleMerrillville$224K
- Kannan NatarajanIndianapolis$188K
- Katharine KrolLafayette$155K
- Matthew JohnsonIndianapolis$92K
- Ramon HalumGreenwood$81K
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.