Zachary Pharr, MD
Sports Medicine · Columbia, TNNPI 1861870792
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (30.1%), education and travel and lodging — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Arthrex at 58.4% of the total. Reporting peaked in 2020 at $29,244 and has fallen 57.6% since, to $12,390 in 2025. Among sports medicine clinicians in TN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 159 payments — averaging $470.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$44K
- Smith+Nephew$16K
- Alpha Orthopedic Systems$9K
- DJO, LLC$3K
- Stryker$2K
- Music City Medical Technologies, LLC$1K
- plus $465 from 8 others
What the payments were for
- Royalty or licence$8,64612%
- Consulting fees$7,32510%
- Speaking & faculty fees$750%
- Grants$22,50030%
- Travel & lodging$8,82712%
- Food & beverage$4,9507%
- Education$22,47930%
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 |
|---|---|---|
| Arthrex | 80 | $43,715 |
| Smith+Nephew | 5 | $15,570 |
| Alpha Orthopedic Systems | 28 | $9,411 |
| DJO, LLC | 4 | $2,500 |
| Stryker | 22 | $1,841 |
| Music City Medical Technologies, LLC | 6 | $1,300 |
| Johnson & Johnson | 5 | $185 |
| Innovation Technologies Inc | 1 | $138 |
| Boston Scientific | 2 | $49 |
| Abbott | 2 | $40 |
| Bioventus LLC | 1 | $17 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Radius Health, Inc. | 1 | $12 |
| Biocomposites Inc | 1 | $10 |
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.
- ARTHREX$34,151
- SALVATION$316
- NA$289
- REUNION$234
- HIPCHECK$194
- VISIONAIRE$139
- Irrisept$138
- DISTAL EXTREMITIES IMPLANTS TRAUMA ANKLE FRACTURE$129
- REGENETEN Shoulder$129
- TRIATHLON$118
- ATTUNE$106
How this compares
$74,802 in reported general payments places this provider in the 95th percentile of 147 sports medicine providers in Tennessee.
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 |
|---|---|---|
| Diclofenac Sodium | 24 | $373 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 35 | $259 |
| Meloxicam | 78 | $174 |
| Ondansetron OdtOndansetron | 17 | $104 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $74 |
| Methylprednisolone | 14 | $69 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Columbia
- Jeffrey DlabachCollierville$504K
- Ian ByramFranklin$252K
- Jw ByrdNashville$248K
- Lucas RichieLebanon$159K
- Colin LooneyFranklin$68K
- Jonathan BryantBristol$67K
- Lucas TeskeClarksville$57K
- Frederick AzarGermantown$54K
- Michael NeelMemphis$50K
- Andrew HoltKnoxville$46K
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.